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Related Experiment Videos

Individualizing memory strategies to improve medication adherence.

Kathleen Collins Insel1, Lois Cole

  • 1College of Nursing, University of Arizona, Tucson, 85721-0203, USA. insel@nursing.arizona.edu

Applied Nursing Research : ANR
|November 22, 2005
PubMed
Summary

Older adults can improve medication adherence with memory strategy interventions. This study showed significant improvements in remembering to take medications as prescribed.

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Area of Science:

  • Gerontology
  • Cognitive Psychology
  • Health Management

Background:

  • Cognitive changes in healthy older adults can affect self-management of chronic conditions.
  • Impaired medication adherence is a significant issue in elderly populations.
  • Memory deficits can impact the ability to follow prescribed medication regimens.

Purpose of the Study:

  • To test an intervention aimed at improving medication adherence in older adults.
  • To enhance remembering to take medications and tracking of intake.
  • To assess the impact of memory strategies on medication management.

Main Methods:

  • Pilot study involving 27 community-dwelling older adults (ages 67-89).
  • Electronic monitoring of one prescribed medication over 8 weeks pre- and 8 weeks post-intervention.

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  • Wilcoxon's signed ranks test used for statistical analysis.
  • Main Results:

    • Medication adherence increased significantly from 64.5% to 78% of days.
    • Even after excluding participants with cognitive impairment, adherence improved from 70.6% to 86%.
    • The intervention demonstrated a positive effect on medication adherence.

    Conclusions:

    • Individualized memory strategies can improve medication adherence in older adults.
    • The intervention shows potential for enhancing self-management of chronic conditions.
    • Older adults, even those with mild cognitive changes, can benefit from memory-based adherence support.