Evidence map›Paper›PMID 23357585›Full record

ArticleClinical therapeutics2013

Medication beliefs and self-reported adherence among community-dwelling older adults.

Jo Anne Sirey, Alexandra Greenfield, Mark I Weinberger, Martha L Bruce

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical therapeutics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Review
  9. Article
  10. The role of depression pharmacogenetic decision support tools in shared decision making.Journal of neural transmission (Vienna, Austria : 1996) · 2019
    Review
  11. Article
  12. Integrated Care for Depression in Older Primary Care Patients.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2018
    Review
  13. Article
  14. Article
  15. Medication Management Apps: Usable by Older Adults?Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2017
    Article
  16. Examining Fall Recurrence Risk of Homebound Hispanic Older Adults Receiving Home Care Services.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2017
    Article
  17. Article
  18. Article
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jo Anne SireyDepartment of Psychiatry, Weill Cornell Medical College, White Plains, NY 10605, USA.
Alexandra Greenfield
Mark I Weinberger
Martha L Bruce

Funding

Cornell ACISR for Late Life DepressionP30MH068638 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI ALEXOPOULOS, GEORGE S · 2003 to 2007
$6.5M
Increasing Use of Mental Health Services by Community Dwelling Older Adults withR01MH079265 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI SIREY, JO ANNE · 2007 to 2011
$1.4M
NIMH NIH HHS 5P30MH068638NIMH NIH HHS 5R01MH079265NIMH NIH HHS P30 MH068638NIMH NIH HHS R01 MH079265
6 · The paper itself

Abstract

backgroundNonadherence to medications among older adults can compromise quality care. Among older adults with chronic diseases, nonadherence rates can reach 50%. Individual-level obstacles to full adherence may come from psychological, illness (and disability due to aging or other impairments), and tangible barriers. In this study, we examine the barriers associated with nonadherence among community-dwelling older persons participating in Aging Service Network nutrition programs.

objectiveThe goal of this study was to examine the relation of psychological, illness, and tangible barriers to reported medication adherence among older adults in a community, nonmedical setting.

methodsOlder adults (N = 299) receiving congregate meals participated in a study of factors associated with medication-taking behaviors and adherence. Self-reported medication nonadherence was measured by using the Morisky Medication Adherence Scale. Psychological barriers were assessed by using a risk/benefit score (perceived concerns vs necessity of medications). Illness barriers reviewed included overall cognitive functioning, disability, medical burden, and depression. Tangible barriers included number of medications, difficulty handling medication, and perceived cost.

resultsMost participants took multiple medications (mean, 4.8) each day, and 4 of 10 older adults (41% [122 of 299]) reported at least 1 nonadherent behavior. The psychological barrier of a low risk/benefit score (odds ratio = 0.73 [95% CI, 0.6-0.94]) and the tangible barrier of difficulty opening the medication bottle (odds ratio = 2.16 [95% CI, 1.3-3.6]) were independently associated with nonadherence.

conclusionsIn a community-dwelling sample of older adults, nonadherence to medication was associated with both tangible and psychological barriers. Beliefs about medication can be powerful barriers to a successful adherence strategy. Adherence interventions should address the multilevel barriers (psychological, illness, and tangible) to adherence among older adults.

Indexed as

Drug MonitoringHealth Knowledge, Attitudes, PracticeAgedAged, 80 and overCognition DisordersFemaleHumansMaleMedication AdherenceMemoryMiddle AgedPersons with DisabilitiesPolypharmacyResidence CharacteristicsSelf Report

Identifiers

PMID23357585
PMCPMC3603227

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.