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Int J Nurs Stud. 2008 Oct;45(10):1550-61. doi: 10.1016/j.ijnurstu.2008.02.009.

Older people and adherence with medication: a review of the literature.

Author information

  • 1Brunel University, School of Health Sciences and Social Care, Uxbridge UB8 3PH, UK. maggi.banning@brunel.ac.uk

Abstract

BACKGROUND:

Older people represent a sizeable population of the UK. Many older people receive drug treatment for long-term conditions. Adherence with medication is therefore an important clinical, financial and resource intensive concern.

OBJECTIVES:

This review aimed to examine patient's beliefs, perceptions and views in relation to adherence with medication.

DESIGN:

A comprehensive search of the literature was undertaken using numerous approaches. The search of revealed 30 research papers.

FINDINGS:

Articles were initially evaluated using Critical Appraisal Skills Programme principles to identify those relevant to the review. Relevant studies were then subjected to a narrative analysis to assist the development of relevant themes. Four themes were identified; experience of adherence; perceptions and attitudes to medication adherence and non-adherence; patients acceptance of their illness and impact on medication taking behaviour and shared decision making.

CONCLUSIONS:

The findings of this review imply that there is a need for more emphasis on shared decision making between the older patient and the prescriber. Using this approach, adherence with medication may improve. There is also a need to develop a standardized measure of medication adherence.

PMID:
18395727
[PubMed - indexed for MEDLINE]
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