Ibrahim, Nurul Alyaa and Wong, Yuet Yen and Lean, Qi Ying and Ramasamy, Kalavathy and Lim, Siong Meng and Tan, Maw Pin and Majeed, Abu Bakar Abdul (2024) Medication self-management among older adults with cognitive frailty. Research in Social and Administrative Pharmacy, 20 (2). pp. 172-181. ISSN 1551-7411, DOI https://doi.org/10.1016/j.sapharm.2023.11.001.
Full text not available from this repository.Abstract
Background: Independent and safe medication self-management is essential for successful aging. Nevertheless, how older adults with cognitive frailty (CF) self-manage medications at their own homes remain elusive. Objective: This study aimed at assessing the medication self-management capability of home-dwelling older adults with CF and exploring the ways, perceived challenges and barriers in medication self-management. Methods: A convergent mixed-method study design was used. The medication management capability of 16 CF individuals aged > 60 years on > 1 long-term prescription drugs were assessed using the Drug Regimen Unassisted Grading Scale (DRUGS). Virtual in-depth interviews were also performed between July-August 2022 using a semi-structured interview guide. All interviews were audio-recorded and transcribed verbatim. Qualitative data were analysed using a thematic analysis approach guided by Bailey and colleagues' model of medication selfmanagement. Results: The mean DRUGS summary score was 96.86 standard deviation (SD) 3.74] with highest performance scores observed in medication access (100 %) and lowest performance score in medication identification (91.46 %). Informants were able to independently take their medications and they tended to organise their medication intakes according to mealtime even though some admitted missing medication doses due to forgetfulness. Informants had difficulties with recalling drug names, with little awareness of self-monitoring their own health conditions and the effects of medications. Misconceptions towards medications, difficulties in accessing medications, reduced mobility and worsening health conditions could potentially deter informants from safe and independent medication self-management. In contrast, trust in doctors and a desire to achieve treatment goal could motivate medication self-management. Conclusion: The findings revealed knowledge gaps among older adults with CF in identifying their medications and self-monitoring which warrant reinforcement by healthcare professionals to ensure chronic safe medication use. Future studies should evaluate strategies to enhance medication safety in terms of self-monitoring in individuals with CF.
| Item Type: | Article |
|---|---|
| Funders: | Ministry of Education, Malaysia (LRGS/1/2019/UM/01/1/3), Universiti Teknologi MARA, Geran Kolaborasi Entiti Penyelidikan (600-RMC/KEPU 5/3 (021/2021)) |
| Uncontrolled Keywords: | Medication self-management; Elderly; Cognitive frailty; Qualitative study; Quantitative study; Mixed-method |
| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RM Therapeutics. Pharmacology R Medicine > RS Pharmacy and materia medica |
| Divisions: | Faculty of Medicine > Medicine Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 12 Nov 2024 04:21 |
| Last Modified: | 12 Nov 2024 04:21 |
| URI: | http://eprints.um.edu.my/id/eprint/45793 |
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