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Medication self-management among older adults with cognitive frailty

Background: Independent and safe medication self-management is essential for successful aging. Nevertheless, how older adults with cognitive frailty (CF) self-manage medications at their own homes remain elusive. Objective: This study aimed at assessing the medication self-management capability of h...

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Main Authors:	Ibrahim, Nurul Alyaa, Wong, Yuet Yen, Lean, Qi Ying, Ramasamy, Kalavathy, Lim, Siong Meng, Tan, Maw Pin, Majeed, Abu Bakar Abdul
Format:	Article
Published:	Elsevier 2024
Subjects:	RA Public aspects of medicine RA0421 Public health. Hygiene. Preventive Medicine RM Therapeutics. Pharmacology RS Pharmacy and materia medica
Online Access:	http://eprints.um.edu.my/45793/ https://doi.org/10.1016/j.sapharm.2023.11.001
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spelling	my.um.eprints.457932024-11-12T04:21:42Z http://eprints.um.edu.my/45793/ Medication self-management among older adults with cognitive frailty Ibrahim, Nurul Alyaa Wong, Yuet Yen Lean, Qi Ying Ramasamy, Kalavathy Lim, Siong Meng Tan, Maw Pin Majeed, Abu Bakar Abdul RA Public aspects of medicine RA0421 Public health. Hygiene. Preventive Medicine RM Therapeutics. Pharmacology RS Pharmacy and materia medica Background: Independent and safe medication self-management is essential for successful aging. Nevertheless, how older adults with cognitive frailty (CF) self-manage medications at their own homes remain elusive. Objective: This study aimed at assessing the medication self-management capability of home-dwelling older adults with CF and exploring the ways, perceived challenges and barriers in medication self-management. Methods: A convergent mixed-method study design was used. The medication management capability of 16 CF individuals aged > 60 years on > 1 long-term prescription drugs were assessed using the Drug Regimen Unassisted Grading Scale (DRUGS). Virtual in-depth interviews were also performed between July-August 2022 using a semi-structured interview guide. All interviews were audio-recorded and transcribed verbatim. Qualitative data were analysed using a thematic analysis approach guided by Bailey and colleagues' model of medication selfmanagement. Results: The mean DRUGS summary score was 96.86 standard deviation (SD) 3.74] with highest performance scores observed in medication access (100 %) and lowest performance score in medication identification (91.46 %). Informants were able to independently take their medications and they tended to organise their medication intakes according to mealtime even though some admitted missing medication doses due to forgetfulness. Informants had difficulties with recalling drug names, with little awareness of self-monitoring their own health conditions and the effects of medications. Misconceptions towards medications, difficulties in accessing medications, reduced mobility and worsening health conditions could potentially deter informants from safe and independent medication self-management. In contrast, trust in doctors and a desire to achieve treatment goal could motivate medication self-management. Conclusion: The findings revealed knowledge gaps among older adults with CF in identifying their medications and self-monitoring which warrant reinforcement by healthcare professionals to ensure chronic safe medication use. Future studies should evaluate strategies to enhance medication safety in terms of self-monitoring in individuals with CF. Elsevier 2024-02 Article PeerReviewed Ibrahim, Nurul Alyaa and Wong, Yuet Yen and Lean, Qi Ying and Ramasamy, Kalavathy and Lim, Siong Meng and Tan, Maw Pin and Majeed, Abu Bakar Abdul (2024) Medication self-management among older adults with cognitive frailty. Research in Social and Administrative Pharmacy, 20 (2). pp. 172-181. ISSN 1551-7411, DOI https://doi.org/10.1016/j.sapharm.2023.11.001 <https://doi.org/10.1016/j.sapharm.2023.11.001>. https://doi.org/10.1016/j.sapharm.2023.11.001 10.1016/j.sapharm.2023.11.001
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	RA Public aspects of medicine RA0421 Public health. Hygiene. Preventive Medicine RM Therapeutics. Pharmacology RS Pharmacy and materia medica
spellingShingle	RA Public aspects of medicine RA0421 Public health. Hygiene. Preventive Medicine RM Therapeutics. Pharmacology RS Pharmacy and materia medica Ibrahim, Nurul Alyaa Wong, Yuet Yen Lean, Qi Ying Ramasamy, Kalavathy Lim, Siong Meng Tan, Maw Pin Majeed, Abu Bakar Abdul Medication self-management among older adults with cognitive frailty
description	Background: Independent and safe medication self-management is essential for successful aging. Nevertheless, how older adults with cognitive frailty (CF) self-manage medications at their own homes remain elusive. Objective: This study aimed at assessing the medication self-management capability of home-dwelling older adults with CF and exploring the ways, perceived challenges and barriers in medication self-management. Methods: A convergent mixed-method study design was used. The medication management capability of 16 CF individuals aged > 60 years on > 1 long-term prescription drugs were assessed using the Drug Regimen Unassisted Grading Scale (DRUGS). Virtual in-depth interviews were also performed between July-August 2022 using a semi-structured interview guide. All interviews were audio-recorded and transcribed verbatim. Qualitative data were analysed using a thematic analysis approach guided by Bailey and colleagues' model of medication selfmanagement. Results: The mean DRUGS summary score was 96.86 standard deviation (SD) 3.74] with highest performance scores observed in medication access (100 %) and lowest performance score in medication identification (91.46 %). Informants were able to independently take their medications and they tended to organise their medication intakes according to mealtime even though some admitted missing medication doses due to forgetfulness. Informants had difficulties with recalling drug names, with little awareness of self-monitoring their own health conditions and the effects of medications. Misconceptions towards medications, difficulties in accessing medications, reduced mobility and worsening health conditions could potentially deter informants from safe and independent medication self-management. In contrast, trust in doctors and a desire to achieve treatment goal could motivate medication self-management. Conclusion: The findings revealed knowledge gaps among older adults with CF in identifying their medications and self-monitoring which warrant reinforcement by healthcare professionals to ensure chronic safe medication use. Future studies should evaluate strategies to enhance medication safety in terms of self-monitoring in individuals with CF.
format	Article
author	Ibrahim, Nurul Alyaa Wong, Yuet Yen Lean, Qi Ying Ramasamy, Kalavathy Lim, Siong Meng Tan, Maw Pin Majeed, Abu Bakar Abdul
author_facet	Ibrahim, Nurul Alyaa Wong, Yuet Yen Lean, Qi Ying Ramasamy, Kalavathy Lim, Siong Meng Tan, Maw Pin Majeed, Abu Bakar Abdul
author_sort	Ibrahim, Nurul Alyaa
title	Medication self-management among older adults with cognitive frailty
title_short	Medication self-management among older adults with cognitive frailty
title_full	Medication self-management among older adults with cognitive frailty
title_fullStr	Medication self-management among older adults with cognitive frailty
title_full_unstemmed	Medication self-management among older adults with cognitive frailty
title_sort	medication self-management among older adults with cognitive frailty
publisher	Elsevier
publishDate	2024
url	http://eprints.um.edu.my/45793/ https://doi.org/10.1016/j.sapharm.2023.11.001
_version_	1816130461015998464
score	13.222552

Medication self-management among older adults with cognitive frailty

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