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The Impact of Resilience and Perceived Autonomy Support on Medication Adherence Among Rural Older Adults With
The Journal of Cardiovascular Nursing
|November 7, 2023
Summary
This study found that rural older adults with hypertension show high medication adherence. Perceived autonomy support and resilience are key factors influencing adherence in this population.
Area of Science:
- Gerontology
- Health Psychology
- Rural Health
Background:
- Previous studies on antihypertension medication adherence primarily focus on urban populations.
- There is a need to understand adherence factors in rural older adults managing hypertension.
- Motivational factors influencing self-management of hypertension in rural elderly require further exploration.
Purpose of the Study:
- To examine medication adherence in rural older adults with hypertension.
- To investigate the association between motivational factors (Self-Determination Theory) and adherence.
- To explore the role of resilience in medication adherence within this demographic.
Main Methods:
- Cross-sectional study of 80 older adults (≥65 years) in rural northwest areas managing hypertension.
- Data collection included demographic questionnaires, medication adherence measures, and validated scales for autonomy support, basic psychological needs, motivation, competence, and resilience.
- Correlational and multiple regression analyses were employed to identify predictors of adherence.
Main Results:
- High levels of medication adherence were observed among the participants.
- Perceived autonomy support, resilience, medication cost, and regimen complexity significantly predicted adherence.
- Resilience was found to mediate the relationship between perceived autonomy support and medication adherence.
Conclusions:
- Interventions aimed at enhancing perceived autonomy support and resilience may improve hypertension management in rural older adults.
- Findings highlight the importance of psychological and contextual factors in medication adherence for this population.
- Future research could focus on developing targeted interventions based on these findings.
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