Evidence map›Paper›PMID 37629691›Full record

ArticleMedicina (Kaunas, Lithuania)2023

Relationship between Treatment Burden, Health Literacy, and Medication Adherence in Older Adults Coping with Multiple Chronic Conditions.

Dharrshinee Selvakumar, Palanisamy Sivanandy, Pravinkumar Vishwanath Ingle, Kumutha Theivasigamani

Open access · goldAbstract read
In one paragraph

Article in Medicina (Kaunas, Lithuania), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% of its field
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Measuring treatment burden with the treatment burden questionnaire (TBQ): a narrative literature review and implications for geriatric research and clinical practice.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
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  14. Review
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  18. Treatment Burden Among Older Adults in the United States, 2022.Journal of the American Geriatrics Society · 2025
    Article
  19. Article
  20. Article
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 at 1 institution in 1 country.

Dharrshinee SelvakumarSchool of Postgraduate Studies, International Medical University, Kuala Lumpur 57000, Malaysia.
Palanisamy SivanandyDepartment of Pharmacy Practice, School of Pharmacy, International Medical University, Kuala Lumpur 57000, Malaysia.ORCID 0000-0002-9183-5091
Pravinkumar Vishwanath IngleDepartment of Pharmacy Practice, School of Pharmacy, International Medical University, Kuala Lumpur 57000, Malaysia.ORCID 0000-0003-1033-4330
Kumutha TheivasigamaniDepartment of Pharmacy Practice, Nanda College of Pharmacy, Erode 638052, India.
IMU University · MY

Funding

International Medical University MPP 1-2022(04)
6 · The paper itself

Abstract

A prospective study was conducted to investigate the impact of treatment burden and health literacy on medication adherence among older adults with multiple chronic conditions (MCC) and to explore the potential moderating effects of demographic and clinical factors. Face-to-face structured interviews were conducted among older adults aged 60 and above using the Burden of Treatment Questionnaire (TBQ-15), Short Form Health Literacy Questionnaire (HLS-SF12), and Malaysia Medication Adherence Assessment Tool (MyMAAT). This study included 346 older adults aged 60 years and above with two or more chronic conditions (n = 346). Hypertension (30.2%), hyperlipidemia (24.0%), and diabetes (18.0%) were the most reported chronic conditions among participants. The mean score of treatment burden was 53.4 (SD = 28.2), indicating an acceptable burden of treatment. The mean score of health literacy was 16.4 (SD = 12.6), indicating a limited health literacy level among participants; meanwhile, the mean score of medication adherence was 32.6 (SD = 12.3), indicating medication non-adherence among participants. Medication adherence was significantly correlated with treatment burden (r = -0.22,

Indexed as

Health LiteracyMultiple Chronic ConditionsAdaptation, PsychologicalAgedHumansMedication AdherenceProspective Studiescomplicationsdiabeteselderlyhealthhyperlipidaemiahypertension

Identifiers

PMID37629691
PMCPMC10456640
OpenAlexW4385423457

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.