Medication adherence among community dwelling elderly in Selangor / Saliza Ibrahim

Background: Medication adherence is an important factor that influences the therapeutic outcomes. An elderly will generally receive more prescriptions than the other age groups in the population. Due to cognitive impairment in elderly, as well as multiple and complex medication regimens, this leads...

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Main Author:	Ibrahim, Saliza
Format:	Thesis
Language:	English
Published:	2017
Subjects:	Administration Physical medicine. Physical therapy. Including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy
Online Access:	http://ir.uitm.edu.my/id/eprint/26260/ http://ir.uitm.edu.my/id/eprint/26260/1/TM_SALIZA%20IBRAHIM%20PH%2017_5.pdf

id	uitm-26260
recordtype	eprints
spelling	uitm-262602019-10-23T08:36:32Z http://ir.uitm.edu.my/id/eprint/26260/ Medication adherence among community dwelling elderly in Selangor / Saliza Ibrahim Ibrahim, Saliza Administration Physical medicine. Physical therapy. Including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy Background: Medication adherence is an important factor that influences the therapeutic outcomes. An elderly will generally receive more prescriptions than the other age groups in the population. Due to cognitive impairment in elderly, as well as multiple and complex medication regimens, this leads to the risk of medication nonadherence. Accordingly, this study aimed to determine medication adherence among multi-ethnic community-dwelling elderly in Selangor. Barriers and belief towards medication as well as awareness towards the use of medicine were also assessed. Besides that, this study evaluated the correlation between medication adherence and cognitive functions of the community-dwelling elderly people in Malaysia. The predictors of non-adherence were also determined in this study. Materials and Methods: A cross-sectional study, involving the elderly prescribed with medicines, was conducted in Selangor from September to December 2016. A 71-item validated questionnaire, including eight items Morisky Medication Adherence Scale (MMAS-8), belief about medicine (BaMQ), Ministry Mental Examination State (MMSE) and Montreal Cognitive Assessment (MoCA), was employed. Results: One hundred and fifty elderly with a median age of 70 were recruited in this study. Thirty-two percent (n=48) of the respondents received at least five prescribed medications. About 58.7% (n=88) of the elderly reported with low adherence level with a mean score of 4.37 ± 1.46. More than three quarter (80%, n=121) of the elderly had a problem to differentiate between active ingredient and brand name of a medication. Mean necessity score was significantly higher than mean concern score (p < 0.001). The medication adherence score was negatively correlated (r=-0.220) with the concerns score (p=0.007). Age (r=0.289, p<0.001) also found to had positive but poor correlation between medication adherence. There was no significant correlation between medication adherence and cognitive functions either using Mini Mental State Examination (MMSE) score or Montreal Cognitive Assessment (MoCA) score. Concern score in belief towards medication and age were identified as the predictors of medication adherence among the community-dwelling elderly in Selangor. Conclusion: Medication adherence among elderly is a complex process. It is essential to understand the determinants and barriers to medication adherence in order to optimise medication adherence and provide education if necessary. 2017 Thesis NonPeerReviewed text en http://ir.uitm.edu.my/id/eprint/26260/1/TM_SALIZA%20IBRAHIM%20PH%2017_5.pdf Ibrahim, Saliza (2017) Medication adherence among community dwelling elderly in Selangor / Saliza Ibrahim. Masters thesis, Universiti Teknologi MARA.
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Teknologi MARA
building	UiTM Institutional Repository
collection	Online Access
language	English
topic	Administration Physical medicine. Physical therapy. Including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy
spellingShingle	Administration Physical medicine. Physical therapy. Including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy Ibrahim, Saliza Medication adherence among community dwelling elderly in Selangor / Saliza Ibrahim
description	Background: Medication adherence is an important factor that influences the therapeutic outcomes. An elderly will generally receive more prescriptions than the other age groups in the population. Due to cognitive impairment in elderly, as well as multiple and complex medication regimens, this leads to the risk of medication nonadherence. Accordingly, this study aimed to determine medication adherence among multi-ethnic community-dwelling elderly in Selangor. Barriers and belief towards medication as well as awareness towards the use of medicine were also assessed. Besides that, this study evaluated the correlation between medication adherence and cognitive functions of the community-dwelling elderly people in Malaysia. The predictors of non-adherence were also determined in this study. Materials and Methods: A cross-sectional study, involving the elderly prescribed with medicines, was conducted in Selangor from September to December 2016. A 71-item validated questionnaire, including eight items Morisky Medication Adherence Scale (MMAS-8), belief about medicine (BaMQ), Ministry Mental Examination State (MMSE) and Montreal Cognitive Assessment (MoCA), was employed. Results: One hundred and fifty elderly with a median age of 70 were recruited in this study. Thirty-two percent (n=48) of the respondents received at least five prescribed medications. About 58.7% (n=88) of the elderly reported with low adherence level with a mean score of 4.37 ± 1.46. More than three quarter (80%, n=121) of the elderly had a problem to differentiate between active ingredient and brand name of a medication. Mean necessity score was significantly higher than mean concern score (p < 0.001). The medication adherence score was negatively correlated (r=-0.220) with the concerns score (p=0.007). Age (r=0.289, p<0.001) also found to had positive but poor correlation between medication adherence. There was no significant correlation between medication adherence and cognitive functions either using Mini Mental State Examination (MMSE) score or Montreal Cognitive Assessment (MoCA) score. Concern score in belief towards medication and age were identified as the predictors of medication adherence among the community-dwelling elderly in Selangor. Conclusion: Medication adherence among elderly is a complex process. It is essential to understand the determinants and barriers to medication adherence in order to optimise medication adherence and provide education if necessary.
format	Thesis
author	Ibrahim, Saliza
author_facet	Ibrahim, Saliza
author_sort	Ibrahim, Saliza
title	Medication adherence among community dwelling elderly in Selangor / Saliza Ibrahim
title_short	Medication adherence among community dwelling elderly in Selangor / Saliza Ibrahim
title_full	Medication adherence among community dwelling elderly in Selangor / Saliza Ibrahim
title_fullStr	Medication adherence among community dwelling elderly in Selangor / Saliza Ibrahim
title_full_unstemmed	Medication adherence among community dwelling elderly in Selangor / Saliza Ibrahim
title_sort	medication adherence among community dwelling elderly in selangor / saliza ibrahim
publishDate	2017
url	http://ir.uitm.edu.my/id/eprint/26260/ http://ir.uitm.edu.my/id/eprint/26260/1/TM_SALIZA%20IBRAHIM%20PH%2017_5.pdf
first_indexed	2023-09-18T23:16:31Z
last_indexed	2023-09-18T23:16:31Z
_version_	1777419148772507648

Medication adherence among community dwelling elderly in Selangor / Saliza Ibrahim

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