Evidence map›Paper›PMID 38704779›Full record

SynthesisInternational journal of clinical pharmacy2024

The influence of patients' beliefs about medicines and the relationship with suboptimal medicine use in community-dwelling older adults: a systematic review of quantitative studies.

Eman Rafhi, Malath Al-Juhaishi, Ieva Stupans, Julie E Stevens, Joon Soo Park, Kate N Wang

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of clinical pharmacy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 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

6 authors.

Eman RafhiPharmacy, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia. s3598938@student.rmit.edu.au.ORCID http://orcid.org/0009-0004-6934-7763
Malath Al-JuhaishiPharmacy, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia.ORCID http://orcid.org/0000-0003-0712-6696
Ieva StupansPharmacy, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia.ORCID http://orcid.org/0000-0002-8193-6905
Julie E StevensPharmacy, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia.ORCID http://orcid.org/0000-0002-2486-5135
Joon Soo ParkSchool of Allied Health, The University of Western Australia, Crawley, WA, 6009, Australia.ORCID http://orcid.org/0000-0002-2052-558X
Kate N WangPharmacy, School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia.ORCID http://orcid.org/0000-0001-5208-1090

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedication use in older adults is increasing, therefore, reducing the risk of suboptimal medicine use is imperative in achieving optimal therapeutic outcomes. Research suggests that factors such as personal beliefs and beliefs about medicines may be associated with non-adherence and inappropriate medicine use.

aimTo systematically review and identify quantitative research on the influence of beliefs about medicines and the relationship with suboptimal medicine use in older adults.

methodSearches were conducted on PubMed, EMBASE, CINAHL, and PsycINFO for quantitative studies (inception to March 2023). INCLUSION CRITERIA: (1) exposure: participants' beliefs (personal, cultural, and medication-related), (2) outcomes: polypharmacy, potentially inappropriate medicines use, or non-adherence, and (3) participants: community-dwelling adults 65 years or above. Study selection, data extraction and quality appraisal (Joanna Briggs Institute critical appraisal checklist) were completed independently by two investigators. Data were combined in a narrative synthesis and presented in a summary of findings table.

resultsNineteen articles were included: 15 cross-sectional and four cohort studies. Outcomes of included papers were as follows; adherence (n = 18) and potentially inappropriate medicine use (n = 1). Ten studies found stronger beliefs in the necessity of medicines and/or fewer concerns led to better adherence, with one paper contradicting these findings. Three studies did not find associations between adherence and beliefs. One study confirmed an association between unnecessary drug use and a lack of belief in a "powerful other" (e.g. doctor).

conclusionFurther investigation is necessary to (1) ascertain the importance of necessity or concern beliefs in fostering adherence and, (2) examine the influence of beliefs on polypharmacy and inappropriate medicine use.

Indexed as

Health Knowledge, Attitudes, PracticeIndependent LivingMedication AdherencePolypharmacyAgedAged, 80 and overHumansInappropriate PrescribingPotentially Inappropriate Medication ListAgedAttitudeMedication adherenceOlder adultsPatient beliefsPolypharmacyPotentially inappropriate medication

Identifiers

PMID38704779
PMCPMC11286706

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.