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Developing a Medication Self-Management Program to Enhance Medication Adherence Among Older Adults With
Chen Yang1, Diana Tze Fan Lee1, Xiuhua Wang2
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
The Gerontologist
|May 18, 2022
Summary
This study developed a medication self-management program for older adults with multiple chronic conditions to improve medication adherence. The evidence-based program involved multiple stakeholders for tailored support.
Area of Science:
- Geriatric Medicine
- Health Psychology
- Intervention Science
Background:
- Suboptimal medication adherence is a significant issue in older adults with multimorbidity.
- Existing intervention programs for this population are limited.
- This study addresses the need for effective medication self-management support.
Approach:
- Employed a 4-step intervention mapping framework: needs assessment, outcome development, theory-based method selection, and program creation.
- Conducted literature reviews, systematic reviews, and a cross-sectional study for needs assessment.
- Integrated stakeholder feedback to refine the program protocol and materials.
Key Points:
- Identified key modifiable targets for adherence: information, motivation (personal and social), behavioral skills, and treatment experiences.
- Selected theory-based methods and practical applications to address identified targets.
- Developed a comprehensive, nurse-led medication self-management program.
Conclusions:
- The program is contextually and culturally appropriate, grounded in theory and empirical evidence.
- It was developed with extensive stakeholder engagement.
- Offers valuable strategies for healthcare professionals to enhance medication self-management in older adults with multimorbidity.
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