Tools to measure barriers to medication management capacity in older adults: a scoping review
Abstract Background Medication management capacity is a crucial component of medication adherence, particularly among older adults. Various factors, including physical abilities, cognitive functions, sensory capabilities, motivational, and environmental factors, influence older adults' ability...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-024-04893-7 |
| _version_ | 1797233231876063232 |
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| author | Bincy Baby Annette McKinnon Kirk Patterson Hawa Patel Rishabh Sharma Caitlin Carter Ryan Griffin Catherine Burns Feng Chang Sara JT Guilcher Linda Lee Sara Abu Fadaleh Tejal Patel |
| author_facet | Bincy Baby Annette McKinnon Kirk Patterson Hawa Patel Rishabh Sharma Caitlin Carter Ryan Griffin Catherine Burns Feng Chang Sara JT Guilcher Linda Lee Sara Abu Fadaleh Tejal Patel |
| author_sort | Bincy Baby |
| collection | DOAJ |
| description | Abstract Background Medication management capacity is a crucial component of medication adherence, particularly among older adults. Various factors, including physical abilities, cognitive functions, sensory capabilities, motivational, and environmental factors, influence older adults' ability to manage medications. It is, therefore, crucial to identify appropriate tools that allow clinicians to determine which factors may impact medication management capacity and, consequently, nonadherence to medications. Purpose 1)To identify tools that measure physical, cognitive, sensory (vision, hearing, touch), motivational, and environmental barriers to medication self-management in older adults, and 2) to understand the extent to which these tools assess various barriers. Methods The scoping review was conducted using Arksey and O'Malley's scoping review framework and the PRISMA Extension for Scoping Reviews checklist. In June 2022, the relevant literature was identified by searching PubMed (MEDLINE), Ovid Embase, Ovid IPA, EBSCOhost CINAHL, APA PsycINFO, and Scopus. Results and discussion In total, 7235 studies were identified. Following the removal of duplicates, 4607 articles were screened by title and abstract, of which 4253 did not meet the inclusion criteria. Three reviewers reviewed the full texts of the remaining 354 articles; among them, 41 articles, 4 theses and 1 conference abstract met the inclusion criteria. From the included studies, 44 tools were identified that measured a combination of physical, cognitive, sensory, motivational, and environmental barriers (n=19) or only cognition (n=13), vision (n=5), environmental factors (n=3), auditory (n=1), and motivational factors (n=1). The review also examined the psychometric properties of the identified tools and found that most of them had reported validity and reliability data. Several tools have demonstrated promise in assessing a combination of barriers with validity and reliability. These tools include the Self-Medication Assessment Tool (SMAT), ManageMed Screening (MMS), Self-Medication Risk Assessment Tool (RAT), HOME-Rx revised, and Medication Management Ability Assessment (MMAA). Conclusion This scoping review identified 44 validated tools to measure various challenges that older adults encounter with medication management. However, no tool measures all five barriers (physical, cognitive, sensory, motivational, and environmental) to medication-taking at home. Therefore, utilizing a combination of tools would be most appropriate to measure these different aspects comprehensively. Further research is needed to develop a new comprehensive tool that simultaneously measures various barriers to medication self-management. |
| first_indexed | 2024-04-24T16:12:53Z |
| format | Article |
| id | doaj.art-1a55e5dc2c2b4ba19f49a4fa90572002 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-24T16:12:53Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-1a55e5dc2c2b4ba19f49a4fa905720022024-03-31T11:34:32ZengBMCBMC Geriatrics1471-23182024-03-0124114010.1186/s12877-024-04893-7Tools to measure barriers to medication management capacity in older adults: a scoping reviewBincy Baby0Annette McKinnon1Kirk Patterson2Hawa Patel3Rishabh Sharma4Caitlin Carter5Ryan Griffin6Catherine Burns7Feng Chang8Sara JT Guilcher9Linda Lee10Sara Abu Fadaleh11Tejal Patel12School of Pharmacy, University of WaterlooPatient Advisor’s NetworkPatient Advisor’s NetworkSchool of Pharmacy, University of WaterlooSchool of Pharmacy, University of WaterlooSchool of Pharmacy, University of WaterlooNational Research Council CanadaFaculty of Engineering, University of WaterlooSchool of Pharmacy, University of WaterlooLeslie Dan Faculty of Pharmacy, University of TorontoDepartment of Family Medicine, McMaster UniversitySchool of Pharmacy, University of WaterlooSchool of Pharmacy, University of WaterlooAbstract Background Medication management capacity is a crucial component of medication adherence, particularly among older adults. Various factors, including physical abilities, cognitive functions, sensory capabilities, motivational, and environmental factors, influence older adults' ability to manage medications. It is, therefore, crucial to identify appropriate tools that allow clinicians to determine which factors may impact medication management capacity and, consequently, nonadherence to medications. Purpose 1)To identify tools that measure physical, cognitive, sensory (vision, hearing, touch), motivational, and environmental barriers to medication self-management in older adults, and 2) to understand the extent to which these tools assess various barriers. Methods The scoping review was conducted using Arksey and O'Malley's scoping review framework and the PRISMA Extension for Scoping Reviews checklist. In June 2022, the relevant literature was identified by searching PubMed (MEDLINE), Ovid Embase, Ovid IPA, EBSCOhost CINAHL, APA PsycINFO, and Scopus. Results and discussion In total, 7235 studies were identified. Following the removal of duplicates, 4607 articles were screened by title and abstract, of which 4253 did not meet the inclusion criteria. Three reviewers reviewed the full texts of the remaining 354 articles; among them, 41 articles, 4 theses and 1 conference abstract met the inclusion criteria. From the included studies, 44 tools were identified that measured a combination of physical, cognitive, sensory, motivational, and environmental barriers (n=19) or only cognition (n=13), vision (n=5), environmental factors (n=3), auditory (n=1), and motivational factors (n=1). The review also examined the psychometric properties of the identified tools and found that most of them had reported validity and reliability data. Several tools have demonstrated promise in assessing a combination of barriers with validity and reliability. These tools include the Self-Medication Assessment Tool (SMAT), ManageMed Screening (MMS), Self-Medication Risk Assessment Tool (RAT), HOME-Rx revised, and Medication Management Ability Assessment (MMAA). Conclusion This scoping review identified 44 validated tools to measure various challenges that older adults encounter with medication management. However, no tool measures all five barriers (physical, cognitive, sensory, motivational, and environmental) to medication-taking at home. Therefore, utilizing a combination of tools would be most appropriate to measure these different aspects comprehensively. Further research is needed to develop a new comprehensive tool that simultaneously measures various barriers to medication self-management.https://doi.org/10.1186/s12877-024-04893-7Older adultsMedication managementSelf-managementAdherenceBarriers |
| spellingShingle | Bincy Baby Annette McKinnon Kirk Patterson Hawa Patel Rishabh Sharma Caitlin Carter Ryan Griffin Catherine Burns Feng Chang Sara JT Guilcher Linda Lee Sara Abu Fadaleh Tejal Patel Tools to measure barriers to medication management capacity in older adults: a scoping review BMC Geriatrics Older adults Medication management Self-management Adherence Barriers |
| title | Tools to measure barriers to medication management capacity in older adults: a scoping review |
| title_full | Tools to measure barriers to medication management capacity in older adults: a scoping review |
| title_fullStr | Tools to measure barriers to medication management capacity in older adults: a scoping review |
| title_full_unstemmed | Tools to measure barriers to medication management capacity in older adults: a scoping review |
| title_short | Tools to measure barriers to medication management capacity in older adults: a scoping review |
| title_sort | tools to measure barriers to medication management capacity in older adults a scoping review |
| topic | Older adults Medication management Self-management Adherence Barriers |
| url | https://doi.org/10.1186/s12877-024-04893-7 |
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