Beliefs about Polypharmacy among Home-Dwelling Older Adults Living with Multiple Chronic Conditions, Informal Caregivers and Healthcare Professionals: A Qualitative Study
Although home-dwelling older adults are frequently assisted with polypharmacy management by their informal caregivers, they can still face medication-related problems. Identifying older adults’ and their informal caregivers’ beliefs about medication is a gateway to understanding and improving medica...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-09-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/9/1204 |
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| author | Marion Bieri María del Río Carral Marie Santiago-Delefosse Giorgia Miano Fanny Rosset Henk Verloo Filipa Pereira |
| author_facet | Marion Bieri María del Río Carral Marie Santiago-Delefosse Giorgia Miano Fanny Rosset Henk Verloo Filipa Pereira |
| author_sort | Marion Bieri |
| collection | DOAJ |
| description | Although home-dwelling older adults are frequently assisted with polypharmacy management by their informal caregivers, they can still face medication-related problems. Identifying older adults’ and their informal caregivers’ beliefs about medication is a gateway to understanding and improving medication adherence. This study aimed to analyse beliefs about polypharmacy among home-dwelling older adults with multiple chronic conditions and their informal caregivers, focusing on their daily medication practices. Semi-structured interviews were conducted with 28 older adults, 17 informal caregivers, but also 13 healthcare professionals. Based on an inductive methodological approach, data were analysed using thematic content analysis. Interviews revealed the different attitudes adopted by older adults and their informal caregivers in relation to the treatment information provided by healthcare professionals. A variety of beliefs were identified and linked to medication adherence by examining daily medication practices. Polypharmacy was experienced as a habit but also an obligation, highlighting some of the strategies and negotiations underlying medication use at home. Collecting viewpoints from multiple stakeholders is an innovative way of accessing and analysing beliefs about polypharmacy. Daily medication practices provided information about medication beliefs and may contribute to developing targeted professional interventions that improve medication adherence. |
| first_indexed | 2024-03-10T07:38:09Z |
| format | Article |
| id | doaj.art-db596d821b5d4d8999e6177044c111cf |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T07:38:09Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-db596d821b5d4d8999e6177044c111cf2023-11-22T13:18:31ZengMDPI AGHealthcare2227-90322021-09-0199120410.3390/healthcare9091204Beliefs about Polypharmacy among Home-Dwelling Older Adults Living with Multiple Chronic Conditions, Informal Caregivers and Healthcare Professionals: A Qualitative StudyMarion Bieri0María del Río Carral1Marie Santiago-Delefosse2Giorgia Miano3Fanny Rosset4Henk Verloo5Filipa Pereira6School of Health Sciences, HES-SO Valais/Wallis, 5 Chemin de l’Agasse, CH-1950 Sion, SwitzerlandResearch Center for the Psychology of Health, Aging and Sport Examination, Institute of Psychology, University of Lausanne, Quartier Mouline, CH-1015 Lausanne, SwitzerlandResearch Center for the Psychology of Health, Aging and Sport Examination, Institute of Psychology, University of Lausanne, Quartier Mouline, CH-1015 Lausanne, SwitzerlandInstitute of Psychology, University of Lausanne, Quartier Mouline, CH-1015 Lausanne, SwitzerlandInstitute of Psychology, University of Lausanne, Quartier Mouline, CH-1015 Lausanne, SwitzerlandSchool of Health Sciences, HES-SO Valais/Wallis, 5 Chemin de l’Agasse, CH-1950 Sion, SwitzerlandSchool of Health Sciences, HES-SO Valais/Wallis, 5 Chemin de l’Agasse, CH-1950 Sion, SwitzerlandAlthough home-dwelling older adults are frequently assisted with polypharmacy management by their informal caregivers, they can still face medication-related problems. Identifying older adults’ and their informal caregivers’ beliefs about medication is a gateway to understanding and improving medication adherence. This study aimed to analyse beliefs about polypharmacy among home-dwelling older adults with multiple chronic conditions and their informal caregivers, focusing on their daily medication practices. Semi-structured interviews were conducted with 28 older adults, 17 informal caregivers, but also 13 healthcare professionals. Based on an inductive methodological approach, data were analysed using thematic content analysis. Interviews revealed the different attitudes adopted by older adults and their informal caregivers in relation to the treatment information provided by healthcare professionals. A variety of beliefs were identified and linked to medication adherence by examining daily medication practices. Polypharmacy was experienced as a habit but also an obligation, highlighting some of the strategies and negotiations underlying medication use at home. Collecting viewpoints from multiple stakeholders is an innovative way of accessing and analysing beliefs about polypharmacy. Daily medication practices provided information about medication beliefs and may contribute to developing targeted professional interventions that improve medication adherence.https://www.mdpi.com/2227-9032/9/9/1204older adultsinformal caregivershome-dwellingpolypharmacymanagementdaily medication practices |
| spellingShingle | Marion Bieri María del Río Carral Marie Santiago-Delefosse Giorgia Miano Fanny Rosset Henk Verloo Filipa Pereira Beliefs about Polypharmacy among Home-Dwelling Older Adults Living with Multiple Chronic Conditions, Informal Caregivers and Healthcare Professionals: A Qualitative Study Healthcare older adults informal caregivers home-dwelling polypharmacy management daily medication practices |
| title | Beliefs about Polypharmacy among Home-Dwelling Older Adults Living with Multiple Chronic Conditions, Informal Caregivers and Healthcare Professionals: A Qualitative Study |
| title_full | Beliefs about Polypharmacy among Home-Dwelling Older Adults Living with Multiple Chronic Conditions, Informal Caregivers and Healthcare Professionals: A Qualitative Study |
| title_fullStr | Beliefs about Polypharmacy among Home-Dwelling Older Adults Living with Multiple Chronic Conditions, Informal Caregivers and Healthcare Professionals: A Qualitative Study |
| title_full_unstemmed | Beliefs about Polypharmacy among Home-Dwelling Older Adults Living with Multiple Chronic Conditions, Informal Caregivers and Healthcare Professionals: A Qualitative Study |
| title_short | Beliefs about Polypharmacy among Home-Dwelling Older Adults Living with Multiple Chronic Conditions, Informal Caregivers and Healthcare Professionals: A Qualitative Study |
| title_sort | beliefs about polypharmacy among home dwelling older adults living with multiple chronic conditions informal caregivers and healthcare professionals a qualitative study |
| topic | older adults informal caregivers home-dwelling polypharmacy management daily medication practices |
| url | https://www.mdpi.com/2227-9032/9/9/1204 |
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