Quality of Life and Medication Adherence of Independently Living Older Adults Enrolled in a Pharmacist-Based Medication Management Program

This study sought to understand the medication adherence and quality of life (QOL) of recipients of a pharmacist-based medication management program among independently living older adults. Using a cross-sectional, quasi-experimental study design, we compared older adults enrolled in the program to...

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Main Authors: Christopher Harlow, Catherine Hanna, Lynne Eckmann, Yevgeniya Gokun, Faika Zanjani, Karen Blumenschein, Holly Divine
Format: Article
Language:English
Published: MDPI AG 2017-04-01
Series:Pharmacy
Subjects:
Online Access:http://www.mdpi.com/2226-4787/5/2/20
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author Christopher Harlow
Catherine Hanna
Lynne Eckmann
Yevgeniya Gokun
Faika Zanjani
Karen Blumenschein
Holly Divine
author_facet Christopher Harlow
Catherine Hanna
Lynne Eckmann
Yevgeniya Gokun
Faika Zanjani
Karen Blumenschein
Holly Divine
author_sort Christopher Harlow
collection DOAJ
description This study sought to understand the medication adherence and quality of life (QOL) of recipients of a pharmacist-based medication management program among independently living older adults. Using a cross-sectional, quasi-experimental study design, we compared older adults enrolled in the program to older adults not enrolled in the program. Data were collected via face-to-face interviews in independent-living facilities and in participants’ homes. Independently living older adults who were enrolled in the medication management program (n = 38) were compared to older adults not enrolled in the program (control group (n = 41)). All participants were asked to complete questionnaires on health-related quality of life (QOL, using the SF-36) and medication adherence (using the four-item Morisky scale). The medication management program recipients reported significantly more prescribed medications (p < 0.0001) and were more likely to report living alone (p = 0.01) than the control group. The medication management program recipients had a significantly lower SF-36 physical functioning score (p = 0.03) compared to the control group, although other SF-36 domains and self-reported medication adherence were similar between the groups. Despite taking more medications and more commonly living alone, independent living older adults enrolled in a pharmacist-based medication management program had similar QOL and self-reported medication adherence when compared to older adults not enrolled in the program. This study provides initial evidence for the characteristics of older adults receiving a pharmacist-based medication management program, which may contribute to prolonged independent living and positive health outcomes.
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spelling doaj.art-d4acbe42dafa4b0db7f4c5ba1ff427532022-12-22T04:01:28ZengMDPI AGPharmacy2226-47872017-04-01522010.3390/pharmacy5020020pharmacy5020020Quality of Life and Medication Adherence of Independently Living Older Adults Enrolled in a Pharmacist-Based Medication Management ProgramChristopher Harlow0Catherine Hanna1Lynne Eckmann2Yevgeniya Gokun3Faika Zanjani4Karen Blumenschein5Holly Divine6St. Matthews Community Pharmacy, Louisville, KY 40207, USAAmerican Pharmacy Services Corporation, Frankfort, KY 40601, USAWheeler Pharmacy, Home Connection, Lexington, KY 40507, USAGeneral Dynamics Information Technology, Little Rock, AR 72205, USADepartment of Behavioral and Community Health, University of Maryland School of Public Health, College Park, MD 20742, USADepartment of Pharmacy Practice and Science, University of Kentucky College of Pharmacy Lexington, KY 40536, USADepartment of Pharmacy Practice and Science, University of Kentucky College of Pharmacy Lexington, KY 40536, USAThis study sought to understand the medication adherence and quality of life (QOL) of recipients of a pharmacist-based medication management program among independently living older adults. Using a cross-sectional, quasi-experimental study design, we compared older adults enrolled in the program to older adults not enrolled in the program. Data were collected via face-to-face interviews in independent-living facilities and in participants’ homes. Independently living older adults who were enrolled in the medication management program (n = 38) were compared to older adults not enrolled in the program (control group (n = 41)). All participants were asked to complete questionnaires on health-related quality of life (QOL, using the SF-36) and medication adherence (using the four-item Morisky scale). The medication management program recipients reported significantly more prescribed medications (p < 0.0001) and were more likely to report living alone (p = 0.01) than the control group. The medication management program recipients had a significantly lower SF-36 physical functioning score (p = 0.03) compared to the control group, although other SF-36 domains and self-reported medication adherence were similar between the groups. Despite taking more medications and more commonly living alone, independent living older adults enrolled in a pharmacist-based medication management program had similar QOL and self-reported medication adherence when compared to older adults not enrolled in the program. This study provides initial evidence for the characteristics of older adults receiving a pharmacist-based medication management program, which may contribute to prolonged independent living and positive health outcomes.http://www.mdpi.com/2226-4787/5/2/20pharmacist rolesadherenceolder adultsmedication managementquality of lifemedication use
spellingShingle Christopher Harlow
Catherine Hanna
Lynne Eckmann
Yevgeniya Gokun
Faika Zanjani
Karen Blumenschein
Holly Divine
Quality of Life and Medication Adherence of Independently Living Older Adults Enrolled in a Pharmacist-Based Medication Management Program
Pharmacy
pharmacist roles
adherence
older adults
medication management
quality of life
medication use
title Quality of Life and Medication Adherence of Independently Living Older Adults Enrolled in a Pharmacist-Based Medication Management Program
title_full Quality of Life and Medication Adherence of Independently Living Older Adults Enrolled in a Pharmacist-Based Medication Management Program
title_fullStr Quality of Life and Medication Adherence of Independently Living Older Adults Enrolled in a Pharmacist-Based Medication Management Program
title_full_unstemmed Quality of Life and Medication Adherence of Independently Living Older Adults Enrolled in a Pharmacist-Based Medication Management Program
title_short Quality of Life and Medication Adherence of Independently Living Older Adults Enrolled in a Pharmacist-Based Medication Management Program
title_sort quality of life and medication adherence of independently living older adults enrolled in a pharmacist based medication management program
topic pharmacist roles
adherence
older adults
medication management
quality of life
medication use
url http://www.mdpi.com/2226-4787/5/2/20
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