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Outcomes of a Problem-Solving Medication Management Intervention for Informal Caregivers.

Judith A Erlen1, Susan M Sereika1, Ran Sun1

  • 1University of Pittsburgh, PA, USA.

Western Journal of Nursing Research
|February 8, 2019
PubMed
Summary

A problem-solving intervention improved medication management for older adults but did not enhance caregiver skills or patient healthcare use. Caregiver self-efficacy and mental health declined, while physical health varied by group.

Keywords:
caregivinghealth-related quality of lifemedication adherencememory lossproblem solving

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Area of Science:

  • Gerontology
  • Health Services Research
  • Psychology

Background:

  • Older adults with memory loss frequently need caregiver support for medication management.
  • Effective interventions are crucial to improve medication adherence and reduce caregiver burden.

Purpose of the Study:

  • To evaluate a problem-solving intervention for caregivers of older adults with memory loss.
  • To assess the intervention's impact on caregiver medication management, problem-solving skills, self-efficacy, daily hassles, and health-related quality of life (HRQoL).
  • To examine secondary outcomes including patient healthcare utilization.

Main Methods:

  • A randomized controlled trial involving 83 older adult patients and their informal caregivers.
  • Data collection at baseline and at 8, 16, and 24 weeks.
  • Linear mixed modeling was used for data analysis.

Main Results:

  • The intervention significantly reduced medication deficiencies, with sustained effects over time.
  • No significant changes were observed in caregiver problem-solving, daily hassles, or patient healthcare utilization between groups.
  • Caregiver self-efficacy and mental HRQoL decreased in both intervention and usual care groups.
  • Physical HRQoL decreased in the intervention group but increased in the usual care group.

Conclusions:

  • The problem-solving intervention effectively improved medication management in older adults but did not yield expected benefits in caregiver-related outcomes or patient healthcare utilization.
  • Further research with larger, diverse samples is recommended to explore these complex effects.