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Determinants affecting medication adherence in the elderly: A qualitative study
Peivand Bastani1, Parisa Bikineh2, Ramin Ravangard1
1Health Human Resources Research Center School of Management and Medical Informatics Shiraz University of Medical Sciences Shiraz Iran.
Aging Medicine (Milton (N.S.W))
|March 19, 2021
Summary
Medication adherence in older Iranian adults is influenced by individual and external factors. Understanding these determinants is crucial for improving medication management and overall community health.
Area of Science:
- Gerontology
- Pharmacology
- Sociology
Background:
- High rates of irrational medicine use and low medication adherence are prevalent among older Iranian patients.
- Medication adherence is a critical factor in managing chronic conditions and ensuring treatment efficacy in the elderly population.
Purpose of the Study:
- To explore the key determinants influencing medication adherence among elderly individuals in Iran.
- To identify factors contributing to both adherence and non-adherence in this demographic.
Main Methods:
- A qualitative study employing 20 semi-structured interviews with elderly patients and healthcare personnel.
- Purposeful sampling was utilized to select participants.
- Thematic analysis, supported by MAXQDA software, was applied to analyze interview transcripts and develop a thematic map.
Main Results:
- Two primary themes emerged: individual determinants and external determinants of medication adherence.
- Six sub-themes were identified, including consumption disorder, consumption acceptance, delinquency, forgetfulness, sociocultural factors, and the impact of others.
- A total of 23 main categories were identified within these themes.
Conclusions:
- Medication adherence in the elderly is multifactorial, influenced by both personal and environmental factors.
- Positive changes in managing medication adherence require strategic planning, targeted interventions, and interdisciplinary collaboration within the healthcare system.
- Addressing these determinants is essential for improving the health outcomes of older adults and the wider community.
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