Prevalence of Nonadherence to Medications among Geriatric Patients in Al-Madinah Al-Munawara City’s Hospitals, Kingdom of Saudi Arabia

Introduction. Medication adherence is a major component in the treatment of chronic patients, especially the older adults. It acts as an essential part of a successful therapeutic outcome, increasing treatment benefits, and decreasing hospital admissions, health care utilization, and cost. Limited r...

Full description

Bibliographic Details
Main Authors: Haifa Abdulrahman Fadil, Waad Abdulkareem Sammman, Riham Mohamed Elshafie
Format: Article
Language:English
Published: Hindawi-Wiley 2023-01-01
Series:International Journal of Clinical Practice
Online Access:http://dx.doi.org/10.1155/2023/3312310
_version_ 1827009867114610688
author Haifa Abdulrahman Fadil
Waad Abdulkareem Sammman
Riham Mohamed Elshafie
author_facet Haifa Abdulrahman Fadil
Waad Abdulkareem Sammman
Riham Mohamed Elshafie
author_sort Haifa Abdulrahman Fadil
collection DOAJ
description Introduction. Medication adherence is a major component in the treatment of chronic patients, especially the older adults. It acts as an essential part of a successful therapeutic outcome, increasing treatment benefits, and decreasing hospital admissions, health care utilization, and cost. Limited research regarding medication adherence has been conducted nationwide; however, data among the older adults is sparse due to the lack of research on this topic. Therefore, this study aimed to determine the prevalence of medication nonadherence among older adults’ Saudi patients with chronic diseases living in Al-Madinah Al-Munawwarah city. Method. A cross-sectional study was conducted on outpatient older patients with chronic diseases who visited clinics at different hospitals in Al-Madinah Al-Munawwarah city, from March until December 2022. The questionnaire was published in a conversational Arabic dialect. The adherence level was measured by the Adherence to Refills and Medications Scale (ARMS) and the reasons for medication nonadherence were collected by using the Cluig scale. Results. 65.1% of females and 34.9% of males have participated in this study. According to the ARMS scale, 67.9% of patients had poor medication adherence and 32.1% had good medication adherence. Poor adherence was higher in females compared to males, with a p value = 0.018. For educational level, the ARMS score in graduates was higher than patients who finished middle school and illiterate patients. Based on the Cluig scale, the most common reasons for medication nonadherence were forgetfulness, feeling well, polypharmacy, and subsequent avoidance of side effects. The findings indicate the gender-based differences in the factors that associated with medication nonadherence among older adults. Conclusion. Medication adherence is crucial especially among older adults to improve clinical outcomes. The current results highlight the prevalence of medication adherence among the older adult population. This result shows the gender-based differences in the factors associated with medication nonadherence among the older adult population.
first_indexed 2024-03-11T12:02:38Z
format Article
id doaj.art-5fb55690554a4961b273bfb9c62efd83
institution Directory Open Access Journal
issn 1742-1241
language English
last_indexed 2025-02-18T12:55:43Z
publishDate 2023-01-01
publisher Hindawi-Wiley
record_format Article
series International Journal of Clinical Practice
spelling doaj.art-5fb55690554a4961b273bfb9c62efd832024-11-02T03:57:26ZengHindawi-WileyInternational Journal of Clinical Practice1742-12412023-01-01202310.1155/2023/3312310Prevalence of Nonadherence to Medications among Geriatric Patients in Al-Madinah Al-Munawara City’s Hospitals, Kingdom of Saudi ArabiaHaifa Abdulrahman Fadil0Waad Abdulkareem Sammman1Riham Mohamed Elshafie2Department of Clinical and Hospital PharmacyDepartment of PharmacologyDepartment of Clinical and Hospital PharmacyIntroduction. Medication adherence is a major component in the treatment of chronic patients, especially the older adults. It acts as an essential part of a successful therapeutic outcome, increasing treatment benefits, and decreasing hospital admissions, health care utilization, and cost. Limited research regarding medication adherence has been conducted nationwide; however, data among the older adults is sparse due to the lack of research on this topic. Therefore, this study aimed to determine the prevalence of medication nonadherence among older adults’ Saudi patients with chronic diseases living in Al-Madinah Al-Munawwarah city. Method. A cross-sectional study was conducted on outpatient older patients with chronic diseases who visited clinics at different hospitals in Al-Madinah Al-Munawwarah city, from March until December 2022. The questionnaire was published in a conversational Arabic dialect. The adherence level was measured by the Adherence to Refills and Medications Scale (ARMS) and the reasons for medication nonadherence were collected by using the Cluig scale. Results. 65.1% of females and 34.9% of males have participated in this study. According to the ARMS scale, 67.9% of patients had poor medication adherence and 32.1% had good medication adherence. Poor adherence was higher in females compared to males, with a p value = 0.018. For educational level, the ARMS score in graduates was higher than patients who finished middle school and illiterate patients. Based on the Cluig scale, the most common reasons for medication nonadherence were forgetfulness, feeling well, polypharmacy, and subsequent avoidance of side effects. The findings indicate the gender-based differences in the factors that associated with medication nonadherence among older adults. Conclusion. Medication adherence is crucial especially among older adults to improve clinical outcomes. The current results highlight the prevalence of medication adherence among the older adult population. This result shows the gender-based differences in the factors associated with medication nonadherence among the older adult population.http://dx.doi.org/10.1155/2023/3312310
spellingShingle Haifa Abdulrahman Fadil
Waad Abdulkareem Sammman
Riham Mohamed Elshafie
Prevalence of Nonadherence to Medications among Geriatric Patients in Al-Madinah Al-Munawara City’s Hospitals, Kingdom of Saudi Arabia
International Journal of Clinical Practice
title Prevalence of Nonadherence to Medications among Geriatric Patients in Al-Madinah Al-Munawara City’s Hospitals, Kingdom of Saudi Arabia
title_full Prevalence of Nonadherence to Medications among Geriatric Patients in Al-Madinah Al-Munawara City’s Hospitals, Kingdom of Saudi Arabia
title_fullStr Prevalence of Nonadherence to Medications among Geriatric Patients in Al-Madinah Al-Munawara City’s Hospitals, Kingdom of Saudi Arabia
title_full_unstemmed Prevalence of Nonadherence to Medications among Geriatric Patients in Al-Madinah Al-Munawara City’s Hospitals, Kingdom of Saudi Arabia
title_short Prevalence of Nonadherence to Medications among Geriatric Patients in Al-Madinah Al-Munawara City’s Hospitals, Kingdom of Saudi Arabia
title_sort prevalence of nonadherence to medications among geriatric patients in al madinah al munawara city s hospitals kingdom of saudi arabia
url http://dx.doi.org/10.1155/2023/3312310
work_keys_str_mv AT haifaabdulrahmanfadil prevalenceofnonadherencetomedicationsamonggeriatricpatientsinalmadinahalmunawaracityshospitalskingdomofsaudiarabia
AT waadabdulkareemsammman prevalenceofnonadherencetomedicationsamonggeriatricpatientsinalmadinahalmunawaracityshospitalskingdomofsaudiarabia
AT rihammohamedelshafie prevalenceofnonadherencetomedicationsamonggeriatricpatientsinalmadinahalmunawaracityshospitalskingdomofsaudiarabia