Development of medication adherence scale for the elderly with chronic disease

2021 ◽  
Vol 41 (1) ◽  
pp. 149-168
Author(s):  
Sook Kang ◽  
Jeong sun Kim
Keyword(s):  
Chronic Disease ◽  
Medication Adherence ◽  
The Elderly ◽  
Adherence Scale

scholarly journals HUBUNGAN FUNGSI KOGNITIF DENGAN KEPATUHAN PENGGUNAAN MEDIKASI PADA LANSIA DI KELURAHAN GIRIAN PERMAI KOTA BITUNG

2019 ◽  
Vol 5 (2) ◽  
pp. 185-192
Author(s):  
Abigail Asfas Tandilangi ◽  
Regina Makawimbang
Keyword(s):  
Cognitive Impairment ◽  
Medication Adherence ◽  
Cognitive Function ◽  
Mini Mental State Examination ◽  
Medication Use ◽  
The Elderly ◽  
Cross Sectional ◽  
Moderate Cognitive Impairment ◽  
Adherence Scale ◽  
State Examination

Elderly is a life process that is characterized by a decline in cognitive function that can cause the inability to carry out activities, especially for the elderly who are undergoing treatment. The purpose of this study was to determine whether there is a relationship between cognitive function and compliance with the use of medication in the elderly in Girian Permai Village. The methods used were observational analytic and cross-sectional. Data were collected using a Mini-Mental State Examination (MMSE) questionnaire for cognitive function and the Morisky Medication Adherence Scale (MMAS) for compliance with medication use. The results showed 26 (52%) elderly experienced moderate cognitive impairment, and 38 (76%) elderly had low adherence to the use of medication, while the results of the correlation test between cognitive function and compliance with the use of medication showed significant values ​​p = (0.008). Researchers' recommendations for the community is to pay more attention and provide support to the elderly who are around the neighborhood, especially specifically for the elderly who are undergoing treatment, so that they can use the drug obediently.

scholarly journals Reliability and validity of a 12-item medication adherence scale for patients with chronic disease in Japan

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Haruka Ueno ◽  
Yoshihiko Yamazaki ◽  
Yuki Yonekura ◽  
MJ Park ◽  
Hirono Ishikawa ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Medication Adherence ◽  
Reliability And Validity ◽  
Adherence Scale

Brief Medication Adherence Scale

2018 ◽  
Author(s):  
E. Chui ◽  
K. L. Wong ◽  
K. Y. Chan ◽  
M. Wong
Keyword(s):  
Medication Adherence ◽  
Adherence Scale

scholarly journals Long-term effectiveness of elderly health care voucher scheme strategies: a system dynamics simulation analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ka Chun Chong ◽  
Hong Fung ◽  
Carrie Ho Kwan Yam ◽  
Patsy Yuen Kwan Chau ◽  
Tsz Yu Chow ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Public Sector ◽  
System Dynamics ◽  
The Elderly ◽  
Healthcare Services ◽  
Dynamics Simulation ◽  
Public And Private ◽  
The Public ◽  
The Impact

Abstract Background The elderly healthcare voucher (EHCV) scheme is expected to lead to an increase in the number of elderly people selecting private primary healthcare services and reduce reliance on the public sector in Hong Kong. However, studies thus far have reported that this scheme has not received satisfactory responses. In this study, we examined changes in the ratio of visits between public and private doctors in primary care (to measure reliance on the public sector) for different strategic scenarios in the EHCV scheme. Methods Based on comments from an expert panel, a system dynamics model was formulated to simulate the impact of various enhanced strategies in the scheme: increasing voucher amounts, lowering the age eligibility, and designating vouchers for chronic conditions follow-up. Data and statistics for the model calibration were collected from various sources. Results The simulation results show that the current EHCV scheme is unable to reduce the utilization of public healthcare services, as well as the ratio of visits between public and private primary care among the local aging population. When comparing three different tested scenarios, even if the increase in the annual voucher amount could be maintained at the current pace or the age eligibility can be lowered to include those aged 60 years, the impact on shifts from public-to-private utilization were insignificant. The public-to-private ratio could only be marginally reduced from 0.74 to 0.64 in the first several years. Nevertheless, introducing a chronic disease-oriented voucher could result in a significant drop of 0.50 in the public-to-private ratio during the early implementation phase. However, the effect could not be maintained for an extended period. Conclusions Our findings will assist officials in improving the design of the EHCV scheme, within the wider context of promoting primary care among the elderly. We suggest that an additional chronic disease-oriented voucher can serve as an alternative strategy. The scheme must be redesigned to address more specific objectives or provide a separate voucher that promotes under-utilized healthcare services (e.g., preventive care), instead of services designed for unspecified reasons, which may lead to concerns regarding exploitation.

scholarly journals The 8-item Morisky medication adherence scale: validation of a Portuguese version in HIV patients

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Aguiar ◽  
C Piñeiro ◽  
R Serrão ◽  
R Duarte
Keyword(s):  
Medication Adherence ◽  
Psychometric Properties ◽  
Reliability Analysis ◽  
Cronbach’S Alpha ◽  
Portuguese Version ◽  
Cronbach's Alpha ◽  
Adherence To Medication ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
The Mean

Abstract Background Antiretroviral therapy (ART) has the most effective treatment for people with HIV, but its effectiveness depends on the individual medication adherence. Morisky Medication Adherence Scale (MMAS-8) is one of the most widely used scales to assess patient adherence. Thus, we aimed to validate a Portuguese version of MMAS-8 and determine its psychometric properties in HIV positive patients. Methods A cross-sectional survey was conducted in Centro Hospitalar Universitário São João (Porto, northern Portugal) at the infectious diseases department. After authorization to use the scale - granted by the author - and, a standard forward-backwards procedure to translate MMAS-8 to Portuguese, the questionnaire was applied to 233 patients with HIV doing ART. Reliability was assessed using Cronbach's alpha and test-retest reliability. Three levels of adherence were considered: 0 to < 6 (low), 6 to < 8 (medium), 8 (high). Results In the studied sample, the mean age was 45.03 years (SD = 11.63), 80.3% men, 19.3% women and 1 transgender, and 53.8% had ≤9 years of education. The mean number of prescribed ART per patient was 1.76. The mean score for the medication adherence scale was 7.29 (SD = 6.74). For the reliability analysis, 12 patients were excluded due to missing data (n = 221). Regarding the level of adherence, 22.5% were low adhering, 71.6% medium and 5.9% high. Corrected item-total correlations showed that 1 item does not correlate very well with the overall scale and was dropped. Scale reliability analysis for the remaining 7 items revealed an overall Cronbach's alpha of 0.661. Women had a protective effect on adherence (OR = 0.31;95%CI:0.15-0.66). Number of years doing ART, age of participants, and type of residence didn't show to be correlated with adherence. Conclusions MMAS-8 is a reliable and valid measure to detect patients at risk of non-adherence. A satisfactory Cronbach's alfa (0.661) was obtained. In general, adherence to medication was medium or high. Key messages This scale can be applied nationwide in other different hospitals, as it could serve as a tool for measuring adherence to ART that can allow for better health care to the ones that are low adhering. A Portuguese version of the MMAS-8 was created for measuring adherence to ART that maintained a similar structure to the original MMAS-8 and good psychometric properties.

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