+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Medication adherence: is it a hidden drug-related problem in hidden elderly?



Medication adherence: is it a hidden drug-related problem in hidden elderly?



Geriatrics and Gerontology International 13(4): 978-985



The present study aimed to identify the health needs of the hidden elderly in Hong Kong, and to investigate the impacts of pharmacist and nursing interventions on medication management and well-being in hidden elderly. Participants were recruited by social workers if they were aged 65 years or older; did not have normal social life and network; did not have family support; and were not linked to the existing network of community support. Pharmacists identified drug-related problems. The health needs of participants were assessed by observations and interviews. Outcome measurements were scores of Morisky 8-item Medication Adherence Scale and EuroQoL (Quality of Life) 5-D Questionnaire. A total of 93 participants were recruited and 86 participants completed the study. The mean age was 81.46 ± 5.70 years, the mean number of chronic disease was 3.29 ± 1.45 and the mean number of chronic medications was 6.36 ± 2.96. The most commonly observed chronic diseases were hypertension, cardiac problems, diabetes, hyperlipidemia and arthritis. Drug non-adherence and storage problems were found in 61.63% and 69.77% of participants. The mean total EuroQoL score increased by 1.05 (P ≤ 0.001). The mean Morisky score decreased by 0.61, signifying improvement of medication adherence (P< 0.001). Female sex (P = 0.045), polypharmacy with more than nine concurrent medications (P = 0.013), arthritis (P = 0.006) and drug storage problems (P = 0.002) were identified as factors associated with poor medication adherence. The majority of hidden elderly suffered from multiple chronic diseases, and the prevalence of drug-related problems was high. Pharmacist and nursing interventions improved drug-related problems, drug compliance and quality of life in hidden elderly.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036790936

Download citation: RISBibTeXText

PMID: 23452137

DOI: 10.1111/ggi.12042


Related references

Medication non-adherence: the hidden problem in clinical practice. Journal of the European Academy of Dermatology and Venereology 31(6): 923-924, 2017

Hidden Oscillations in Dynamical Systems. 16 Hilberts Problem, Aizermans and Kalmans Conjectures, Hidden Attractors in Chuas Circuits. Journal of Mathematical Sciences 201(5): 645-662, 2014

The elderly agoraphobic: a hidden problem. Australian Family Physician 22(11): 2036-7, 2040-1, 2044-5, 1993

Abuse of the elderly. A hidden problem. Australian Family Physician 21(12): 1742-1748, 1992

Harmful drinking among the elderly--a hidden problem. Nursing New Zealand 21(10): 12-13, 2016

Alcoholism in the elderly. Uncovering a hidden problem. Postgraduate Medicine 93(2): 203-206, 1993

Hidden Workers, Hidden Women, Hidden Geographies. Antipode 34(5): 1001-1003, 2002

SP5-2 Identifying a hidden problem-dementia- in elderly people living in old-age homes. Journal of Epidemiology & Community Health 65(Suppl 1): A446-A446, 2011

Dietary choices, health, and freedom: hidden fats, hidden choices, hidden constraints. American Journal of Bioethics 10(3): 43-44, 2010

Impact of telephone medication therapy management on medication and health-related problems, medication adherence, and Medicare Part D drug costs: a 6-month follow up. American Journal of Geriatric PharmacoTherapy 9(5): 328-338, 2012

Countries face "hidden problem" of prescription drug misuse. BMJ 340: C1109, 2010

The Hidden Hitler and the Hidden Reader: Review of The Hidden Hitler by Lother Machtan. Studies in Gender and Sexuality 4(2): 140-149, 2003

Medication non-adherence in the elderly: how big is the problem?. Drugs and Aging 21(12): 793-811, 2004

Work-related bystander deaths in New Zealand: a significant hidden problem. New Zealand Medical Journal 119(1247): U2357, 2007

Hidden and un-hidden personalities and developments of soft clay behaviour in geotechnical engineering. Geotechnical Engineering 33(3): 161-165, 2002