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The association between frailty and medication adherence among community-dwelling older adults with chronic diseases: Medication beliefs acting as mediators.

Abstract：

OBJECTIVE:To explore the association between frailty and medication adherence by modeling medication beliefs (i.e., necessity and concerns) as mediators among community-dwelling older patients. METHODS:This cross-sectional study was conducted among 780 Chinese older patients. Frailty, medication adherence and medication beliefs were assessed using the Comprehensive Frailty Assessment Instrument (CFAI), the 4-item Morisky Medication Adherence Scale (MMAS-4) and the Beliefs about Medicines Questionnaire-Specific (BMQ-Specific), respectively. The PROCESS SPSS Macro version 2.16.3, model 4 was used to test the significance of the indirect effects. RESULTS:Frailty was associated with high medication necessity (β = 0.091, p = 0.011) and high medication concerns (β = 0.297, p < 0.001). Medication adherence was positively associated with medication necessity (β = 0.129, p = 0.001), and negatively associated with medication concerns (β = -0.203, p < 0.001). Medication necessity and medication concerns attenuated the total effect of frailty on medication adherence by -13.6% and 70.3%, respectively CONCLUSION: High medication concerns among frail older patients inhibit their medication adherence, which cannot be offset by the positive effect of their high medication necessity on medication adherence. PRACTICE IMPLICATIONS:Interventions should target medication beliefs among frail older patients, particularly medication concerns, to efficiently improve their medication adherence.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Qiao X,Tian X,Liu N,Dong L,Jin Y,Si H,Liu X,Wang C

doi

10.1016/j.pec.2020.05.013

subject

Has Abstract

pub_date

2020-05-15 00:00:00

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(20)30279-2

pub_type

杂志文章

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