Medication Adherence in New Zealand Older Adults: Effects of an External Cognitive Support

J. Greyvenstein, N. Kazantzis, N. Pachana
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Abstract

Pharmacotherapy is the most frequently used treatment modality among the older adult population. Consequently, medication adherence represents an important treatment consideration. The present study was conducted to assess the extent of medication adherence in the New Zealand sample, and evaluate the effectiveness of an external cognitive support in a sample of 50 community-dwelling older adults (M = 70.70, Mdn = 72.00, SD = 8.12). A randomised controlled trial to compare the usual medication practice with a medication calendar was conducted. The present sample had high levels of medication adherence, with high adherence measured on an adherence ratio 97% (range 82% to 109%), and low rate of medication errors (19 errors). There were no significant differences in medication adherence between intervention and control groups (ps >.05). However, consistent with prior research, there was some evidence to suggest that female participants were less compliant and made more errors than male participants. Further research on larger more representative older adult samples is warranted.
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新西兰老年人的药物依从性:外部认知支持的影响
药物治疗是老年人群中最常用的治疗方式。因此,药物依从性是一个重要的治疗考虑因素。本研究旨在评估新西兰样本的药物依从程度,并评估50名社区居住老年人的外部认知支持的有效性(M = 70.70, Mdn = 72.00, SD = 8.12)。进行了一项随机对照试验,比较常规用药实践与用药日历。目前的样本具有高水平的药物依从性,高依从性的依从率为97%(范围为82%至109%),药物错误率低(19次错误)。干预组与对照组药物依从性差异无统计学意义(p < 0.05)。然而,与先前的研究一致,有一些证据表明,女性参与者比男性参与者更不听话,犯了更多的错误。进一步研究更大更有代表性的老年人样本是必要的。
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