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Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal

Author

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  • Maria dos Anjos Dixe

    (Center for Innovative Care and Health Technology, Polytechnic of Leiria, 2411-901 Leiria, Portugal
    School of Health Sciences, Polytechnic of Leiria, 2411-901 Leiria, Portugal)

  • Joana Pinho

    (Center for Innovative Care and Health Technology, Polytechnic of Leiria, 2411-901 Leiria, Portugal
    School of Health Sciences, Polytechnic of Leiria, 2411-901 Leiria, Portugal)

  • Filipa Pereira

    (School of Health Sciences, HES-SO Valais-Wallis, 2800 Sion, Switzerland
    Institute of Biomedical Sciences Abel Salazar, University of Porto, 4099-002 Porto, Portugal)

  • Henk Verloo

    (School of Health Sciences, HES-SO Valais-Wallis, 2800 Sion, Switzerland
    Service of Old Age Psychiatry, Lausanne University Hospital, 1011 Lausanne, Switzerland)

  • Carla Meyer-Massetti

    (Clinical Pharmacology and Toxicology Unit, General Internal Medicine Clinic, University Hospital of Bern (Inselspital), 3010 Bern, Switzerland
    Institute for Primary Health Care (BIHAM), University of Bern, 3012 Bern, Switzerland)

  • Sónia Gonçalves Pereira

    (Center for Innovative Care and Health Technology, Polytechnic of Leiria, 2411-901 Leiria, Portugal)

Abstract

Ageing is frequently associated with multimorbidity and polypharmacy. The present study aimed to identify the current medication management patterns and the profiles of home-dwelling older adults and to find any association with their conditions, including frailty and cognitive impairment. Within the scope of this cross-sectional study, 112 older adults living in the community were assessed via face-to-face structured interviews. Frailty, cognitive status, medication management and clinical and sociodemographic variables were evaluated. Descriptive and inferential statistics were calculated. The mean participant age was 76.6 ± 7.1 years, 53.6% of participants were women, and 40.2% of participants lived alone. More than half were classified as having frailty (58.9%), almost one-fifth (19.6%) presented with a moderate cognitive impairment had more than one disease, and 60.7% were polymedicated. No associations were found between polymedication and medication self-management, the use of over-the-counter medications, living alone, having a poor understanding of pharmacological therapy and/or pathology, or having more than one prescriber. Self-management was associated with age, the number of medications, frailty and cognitive status. Binary logistic regressions showed that cognitive impairment had statistically significant differences with medication management, having a poor understanding of pharmacological therapy and/or pathology, having one prescriber and the use of medications not prescribed by physicians. Interventions to prevent medication-related problems in home-dwelling older adults are recommended.

Suggested Citation

  • Maria dos Anjos Dixe & Joana Pinho & Filipa Pereira & Henk Verloo & Carla Meyer-Massetti & Sónia Gonçalves Pereira, 2023. "Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:1701-:d:1038871
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    References listed on IDEAS

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    1. Daniel Gomes & Ana Isabel Placido & Rita Mó & João Lindo Simões & Odete Amaral & Isabel Fernandes & Fátima Lima & Manuel Morgado & Adolfo Figueiras & Maria Teresa Herdeiro & Fátima Roque, 2019. "Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal," IJERPH, MDPI, vol. 17(1), pages 1-13, December.
    2. Cristina M Lozano-Hernández & Juan A López-Rodríguez & Francisca Leiva-Fernández & Amaia Calderón-Larrañaga & Jaime Barrio-Cortes & Luis A Gimeno-Feliu & Beatriz Poblador-Plou & Isabel del Cura-Gonzál, 2020. "Social support, social context and nonadherence to treatment in young senior patients with multimorbidity and polypharmacy followed-up in primary care. MULTIPAP Study," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-15, June.
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