eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
Current issue Archive Manuscripts accepted About the journal Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
Search
4/2023
vol. 25
 
Share:
Send email
Share:
abstract:
Original paper

Medication adherence, medication beliefs and social support among illiterate and low-literate community-dwelling older adults with polypharmacy

Nafiseh Ghassab-Abdollahi
1
,
HAIDAR NADRIAN
2
,
Elnaz Shaseb
3
,
Mina Hashemiparast
4, 5
,
Hamid Allahverdipour
6
,
Parvaneh Ghahremaninasab
1

  1. Department of Geriatric Health, Faculty of Health Science, Tabriz University of Medical Sciences, Tabriz, Iran
  2. Department of Health Education and Promotion, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
  3. Drug Applied Research Centre, Tabriz University of Medical Science, Tabriz, Iran
  4. Social Determinants of Health Research Centre, Zanjan University of Medical Sciences, Zanjan, Iran
  5. Department of Health Education and Promotion, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran
  6. Research Centre of Psychiatry and Behavioural Sciences, Department of Health Education and Promotion, Tabriz University of Medical Sciences, Tabriz, Iran
Family Medicine & Primary Care Review 2023; 25(4): 399–406
DOI: https://doi.org/10.5114/fmpcr.2023.132613
Online publish date: 2023/12/27
View full text Get citation
 
PlumX metrics:
Background
medication adherence, polypharmacy, frail elderly, educational status, health belief model, social sup- port.

Objectives
We aimed to investigate whether medication belief and social support, taking into account the role of socio-demographic and clinical factors, are predictors of medication adherence among illiterate, low-literate community-dwelling older adults with polypharmacy.

Material and methods
A cross-sectional study was conducted in the health centres of Tabriz-Iran in 2022. The data was collected using the socio-demographic and clinical questionnaires, Morisky, Green and Levine’s adherence scale, Belief about Medicines Questionnaire (BMQ) and the Multidimensional Scale of Perceived Social Support (MSPSS). Hierarchical Multiple Linear Regression analysis was used to identify medication adherence predictors based on a conceptual framework.

Results
The final sample size was 318 people. The results showed that age, education years, medication satisfaction, side effects of medications, doctor checkups, medication belief and social support were significant predictors of medication adherence. The necessity part of medication belief had a negative significant relationship, and the concern part had a positive significant relationship with medication adherence.

Conclusions
A strong belief along with sufficient social support could be a good predictor of medication adherence. The results showed that elementary education has a positive relationship with people’s medication adherence, even among low-literacy populations. The development of literacy movement programmes within communities to promote primary education among illiterate older adults is recommended. Our findings also highlight the importance of improving patient-physician communication skills and clear communication in the formation of patients’ behaviour.

keywords:

medication adherence, polypharmacy, frail elderly, educational status, health belief model, social sup- port

  
Termedia
About us Contact
Copyright notice Privacy policy Advertising policy Contact us
Quick links
Journals Books eBooks Events
© 2024 Termedia Sp. z o.o.
Developed by Bentus.