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Medication Management Strategies to Support Medication Adherence: Interview Study With Older Adults.

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Summary

Older adults often develop their own medication management strategies through trial and error, highlighting a need for healthcare provider guidance to improve adherence and reduce errors.

Keywords:
adherence appsadherence devicesagingaging in placeappdesignhome medication managementindependent livinginterviewinterview designmedicationmedication adherencemobile phoneolder adultspill casesprescriptionprescription drugs

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Area of Science:

  • Gerontology
  • Health Services Research
  • Behavioral Medicine

Background:

  • Home medication management in older adults is understudied, impacting adherence strategies.
  • Older adults often manage multiple medications and aim to age in place, necessitating effective strategies.

Purpose of the Study:

  • To understand how older adults develop medication management strategies.
  • To identify factors influencing the success or failure of these strategies.
  • To explore interventions for improving medication adherence in this population.

Main Methods:

  • Qualitative, semistructured interviews with 22 participants aged 50+ years.
  • Thematic analysis of recorded interviews to identify patterns and themes.
  • Systematic coding to quantify behaviors and perceptions of medication management.

Main Results:

  • Participants largely developed unique strategies independently, often using trial and error (59%).
  • Medication management encompassed both prescribed drugs and supplements, with varied recall methods (chemical name, appearance, purpose).
  • Pill cases were preferred for storage (77%), and strategy disruptions were linked to nonadherence.

Conclusions:

  • Older adults develop diverse, individualized medication management strategies.
  • Opportunities exist for pharmacists and physicians to offer adherence guidance.
  • Developing durable strategies and adherence aids that integrate with daily routines can improve outcomes.