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Title: Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal
Authors: Gomes, Daniel 
Placido, Ana Isabel
Mó, Rita
Simões, João Lindo
Amaral, Odete
Fernandes, Isabel
Lima, Fátima
Morgado, Manuel
Figueiras, Adolfo
Herdeiro, Maria Teresa 
Roque, Fátima
Keywords: elderly; polypharmacy; daily management of medication; medication adherence; self-care; nonadherence related factors
Issue Date: 27-Dec-2019
Publisher: MDPI
Project: project MedElderly [SAICT-POL/23585/2016], co-funded by Portuguese Foundation for Science and Technology (Fundação para a Ciência e Tecnologia—FCT/MCTES), Portugal 2020 and Centro 2020 
FEDER grants (CENTRO-01-0145-FEDER-023585) 
Serial title, monograph or event: International Journal of Environmental Research and Public Health
Volume: 17
Issue: 1
Abstract: The presence of age-related comorbidities prone elderly patients to the phenomenon of polypharmacy and consequently to a higher risk of nonadherence. Thus, this paper aims to characterize the medication consumption profile and explore the relationship of beliefs and daily medication management on medication adherence by home-dwelling polymedicated elderly people. A questionnaire on adherence, managing, and beliefs of medicines was applied to polymedicated patients with ≥65 years old, in primary care centers of the central region of Portugal. Of the 1089 participants, 47.7% were considered nonadherent. Forgetfulness (38.8%), difficulties in managing medication (14.3%), concerns with side effects (10.7%), and the price of medication (9.2%) were pointed as relevant medication nonadherence-related factors. It was observed that patients who had difficulties managing medicines, common forgetfulness, concerns with side effects, doubting the need for the medication, considered prices expensive, and had a lack of trust for some medicines had a higher risk of being nonadherent. This study provides relevant information concerning the daily routine and management of medicines that can be useful to the development of educational strategies to promote health literacy and improve medication adherence in polymedicated home-dwelling elderly.
ISSN: 1660-4601
DOI: 10.3390/ijerph17010200
Rights: openAccess
Appears in Collections:I&D CEISUC - Artigos em Revistas Internacionais

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