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Improving medication adherence: moving from intention and motivation to a personal systems approach
Cynthia L Russell1, Todd M Ruppar, Michelle Matteson
1University of Missouri, Sinclair School of Nursing, University of Missouri, Columbia, MO 65211, USA. RussellC@missouri.edu
Abstract:
Medication nonadherence is a challenging and prevalent problem in older adults. Effective medication management involves successfully completing a complex group of behaviors. Meta-analyses and narrative review findings support limited benefits to medication adherence with interventions preoccupied with personal characteristics, intention, and motivation. Evidence supports a paradigm shift toward changing personal systems in which the person lives to improve and maintain medication adherence behavior. Personal-systems change systematically improves individual systems through collaboratively shaping routines, involving supportive-others in routines, and using medication self-monitoring to improve and maintain behavior. Other advances that support personal systems change are also presented.
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