Evidence map›Paper›PMID 24402388›Full record

ArticleThe journal of nutrition, health & aging2014

Medication management capacity in relation to cognition and self-management skills in older people on polypharmacy.

C G M Sino, M Sietzema, T C G Egberts, M J Schuurmans

Abstract read
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Article in The journal of nutrition, health & aging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–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

28 citing papers in PubMed.

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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.

C G M SinoCarolien GM Sino, HU University of Applied Science Utrecht, Research Centre for Innovation in Health Care. The Netherlands. P.O. box 85182, 3508 AD Utrecht. www.innovationsinhealthcare.research.hu.nl. Tel: +31(0)88481 5079. Fax: +31(0)88481 0608 E-mail: Carolien.sino@hu.nl.
M Sietzema
T C G Egberts
M J Schuurmans

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the medication management capacity of independently living older people (≥75 years) on polypharmacy (≥ 5 medications) in relation to their cognitive- and self-management skills.

designCross-sectional study.

settingTwo homecare organizations in the Netherlands.

participantsHomecare clients aged 75 and older on polypharmacy (N=95). MEASUREMENTS: The primary outcome measure was medication management capacity, quantified as the number of 'yes' answers (range = 0-17) on the Medication Management Capacity (MMC) questionnaire. Other measures included self-management ability (assessed with the SMAS30) and cognitive skills (assessed with the clock drawing test).

resultsOverall, 48.4% (n= 46) of the participants were able to manage their medication by themselves at home. About 40% of the participants were unable to state the names of their medications, even with the aid of a medication list, and about 25% reported having problems with opening medication packages. Correlations were found between self-management ability (Rs = 0.473; p < 0.001), cognitive skills (Rs = 0.372; p < 0.001), and age (Rs = 0.216; p < 0.005) and Medication Management Capacity score. Self-management ability and medication management support were significantly associated with medication management capacity.

conclusionA considerable proportion of independently living older people who receive home care and regularly use five or more medications lack the knowledge and skills needed to independently manage their own medications. Cognition and self management ability were related to medication management capacity. Self-management ability and medication management support were predictors of medication management capacity.

Indexed as

CognitionHealth Knowledge, Attitudes, PracticeHome Care ServicesIndependent LivingPolypharmacySelf CareAgedAged, 80 and overCross-Sectional StudiesExecutive FunctionFemaleHumansMaleNetherlandsSurveys and Questionnaires

Identifiers

PMID24402388
PMCPMC12878164

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.