Medication management and adherence among cognitively impaired older adults

Victoria Cotrell; Katharine Wild; Theresa Bader

doi:10.1300/J083v47n03_03

Medication management and adherence among cognitively impaired older adults

Victoria Cotrell
, Katharine Wild
, Theresa Bader

Research output: Contribution to journal › Article › peer-review

67 Scopus citations

Abstract

This study examined the relationship between patients' cognitive status, deficit awareness, medication management skills, and actual medication adherence. Twenty-seven persons with Alzheimer's disease and 20 healthy controls were evaluated for their predicted and objective performance on tasks related to medication management. Caregivers were also evaluated for their prediction of the care recipient's management abilities. A pill count was taken at the initial interview and 30 days later. MMSE and deficit awareness were related to amount of help received from a family member, suggesting that caregivers tend to accurately assess their relatives' medication management abilities. Adherence rates were acceptable, but some intervention strategies selected by caregivers were not effective in assuring adequate adherence. Additional study is needed to determine the effectiveness of various strategies adopted by informal caregivers.

Original language	English (US)
Pages (from-to)	31-46
Number of pages	16
Journal	Journal of Gerontological Social Work
Volume	47
Issue number	3-4
DOIs	https://doi.org/10.1300/J083v47n03_03
State	Published - 2006
Externally published	Yes

Funding

This research was supported in part by the Oregon-Greater Idaho Chapter of the Alzheimer’s Association and the Alzheimer’s Disease Core Center (NIH P30 AG08017) of the Oregon Health Sciences University and by NIA Grant F32 AG05810.

Funders	Funder number
University of Pennsylvania Alzheimer’s Disease Core Center
Author National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health The Bev Hartig Huntington's Disease Foundation National Institutes of Health	P30 AG08017
National Institute of Aging	F32AG005810
Alzheimer's Association
Oregon State University/Oregon Health and Science University

Keywords

Alzheimer's disease
Awareness
Caregiver
Medication adherence

ASJC Scopus subject areas

Social Sciences (miscellaneous)
Nursing (miscellaneous)

Access to Document

10.1300/J083v47n03_03

Cite this

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AB - This study examined the relationship between patients' cognitive status, deficit awareness, medication management skills, and actual medication adherence. Twenty-seven persons with Alzheimer's disease and 20 healthy controls were evaluated for their predicted and objective performance on tasks related to medication management. Caregivers were also evaluated for their prediction of the care recipient's management abilities. A pill count was taken at the initial interview and 30 days later. MMSE and deficit awareness were related to amount of help received from a family member, suggesting that caregivers tend to accurately assess their relatives' medication management abilities. Adherence rates were acceptable, but some intervention strategies selected by caregivers were not effective in assuring adequate adherence. Additional study is needed to determine the effectiveness of various strategies adopted by informal caregivers.

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Medication management and adherence among cognitively impaired older adults

Abstract

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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