(2019) Gender based cognitive determinants of medication adherence in older adults with chronic conditions. Patient Preference and Adherence.
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Abstract
Background: Life course gender-role traits and social stereotypes could affect the pattern of medication adherence in old age. Objectives: The main purpose of this study was to investigate gender based cognitive determinants of medication adherence in a sample of older adults who suffer from at least a chronic condition. Methods: In this cross-sectional design, 455 older adults participated from five health centers in Tabriz city, Iran from June to August 2017 using a random sampling method. Next, required data about medication adherence, knowledge and beliefs about prescribed medications, perceived self-efficacy in medication adherence, illness perception, and reasons for medication non-adherence were gathered using a structured written questionnaire through face-to-face interviews with the attendees. Results: Low medication adherence was reported by 54.5 of the study participants. Perceived self-efficacy for medication adherence (OR = 1.04; 95 CI: 1.00, 1.08) and medication adherence reason (OR = 0.96; 95 CI: 0.92, 0.99) were two identified strong predictors of medication adherence among the studied older men. Illness perception (OR = 1.02; 95 CI: 1.00, 1.02) and beliefs toward prescribed medication (OR = 0.95; 95 CI: 0.93, 0.98) were both recognized as the significant predictors of medication adherence in the older women subgroup. Conclusion: Gender based variations were noted regarding the medication adherence in the studied sample and attributes of cognitive function were the main pinpointed elucidating parameters for the non-conformity. The explicit cognitive processes must be considered in care provision or interventional programs that target medication adherence in older adults. © 2019 Mahmoodi et al.
Item Type: | Article |
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Keywords: | aged; Article; attitude to health; chronic disease; cross-sectional study; female; gender; health belief; health center; human; interview; Iran; major clinical study; male; medication compliance; patient participation; perception; prescription; questionnaire; self concept |
Page Range: | pp. 1733-1744 |
Journal or Publication Title: | Patient Preference and Adherence |
Volume: | 13 |
Identification Number: | 10.2147/PPA.S219193 |
Depositing User: | مهندس جمال محمودپور |
URI: | http://eprints.muk.ac.ir/id/eprint/2117 |
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