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Medication Literacy and Medication Self-Management: A Cross-Sectional Study in Hospitalised Patients (65+) With
Laura Mortelmans1,2, Jenny Gentizon3, Tinne Dilles1
1Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Journal of Nursing Management
|April 14, 2025
Summary
Medication literacy strongly correlates with patients' ability to self-manage medications. The SelfMED tool effectively screens this capability, guiding tailored interventions for older adults with polypharmacy.
Area of Science:
- Geriatric Medicine
- Health Literacy
- Patient Self-Management
Background:
- Polypharmacy in older adults (65+) presents challenges for medication self-management.
- Assessing patients' medication literacy and self-management capabilities is crucial for effective healthcare.
- Understanding the relationship between medication literacy and self-management is key to improving patient outcomes.
Purpose of the Study:
- To examine the relationship between medication literacy and perceived medication self-management capability in hospitalized older adults with polypharmacy.
- To identify factors influencing this relationship and patients' self-management capabilities.
- To evaluate the utility of the MED-fLAG and SelfMED assessments.
Main Methods:
- A cross-sectional survey of 169 hospitalized patients (65+) with polypharmacy was conducted.
- Medication literacy was assessed using the MEDication Literacy Assessment of Geriatric patients and informal caregivers (MED-fLAG).
- Patient capability for medication self-management was evaluated using the SelfMED assessment, with Pearson's r and linear regression analyses employed.
Main Results:
- A strong positive correlation (r=0.630, p<0.001) was found between medication literacy and medication self-management capability.
- Patients rated their in-hospital self-management higher (8/10) than healthcare providers (6/10).
- Age, independent home medication management, number of chronic conditions, and medication literacy predicted self-management capability.
Conclusions:
- The SelfMED assessment is a reliable stand-alone tool for screening in-hospital medication self-management capability in older adults.
- MED-fLAG provides valuable insights for tailoring medication information and interventions for patients with lower self-management capabilities.
- Findings support targeted interventions to enhance medication self-management and literacy in geriatric populations.
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