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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MDPI AG
2017-04-01
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Series: | Pharmacy |
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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. |
first_indexed | 2024-04-11T21:44:23Z |
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id | doaj.art-d4acbe42dafa4b0db7f4c5ba1ff42753 |
institution | Directory Open Access Journal |
issn | 2226-4787 |
language | English |
last_indexed | 2024-04-11T21:44:23Z |
publishDate | 2017-04-01 |
publisher | MDPI AG |
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series | Pharmacy |
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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