Unnecessary complexity of home medication regimens among seniors
To determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity. Face-to-face interviews were conducted with 200 community-dwelling seniors >70 years in their homes. Subjects demonstrated how they took their medications in a typical day an...
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| Published in | Patient education and counseling Vol. 96; no. 1; pp. 93 - 97 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Ireland
Elsevier Ireland Ltd
01.07.2014
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0738-3991 1873-5134 1873-5134 |
| DOI | 10.1016/j.pec.2014.03.022 |
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| Abstract | To determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity.
Face-to-face interviews were conducted with 200 community-dwelling seniors >70 years in their homes. Subjects demonstrated how they took their medications in a typical day and the number of times a day patients would take medications was calculated. A pharmacist and physician blinded to patient characteristics examined medication regimens and determined the fewest number of times a day they could be taken by subjects.
Home medication regimens could be simplified for 85 (42.5%) subjects. Of those subjects not optimally consolidating their medications, 53 (26.5%) could have had the number of times a day medications were taken reduced by one time per day; 32 (16.0%) reduced by two times or more. The three most common causes of overcomplexity were (1) misunderstanding medication instructions, (2) concern over drug absorption (i.e. before meals), and (3) perceived drug–drug interactions.
Almost half of seniors had medication regimens that were unnecessarily complicated and could be simplified. This lack of consolidation potentially impedes medication adherence.
Health care providers should ask patients to explicitly detail when medication consumption occurs in the home. |
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| AbstractList | To determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity.
Face-to-face interviews were conducted with 200 community-dwelling seniors >70 years in their homes. Subjects demonstrated how they took their medications in a typical day and the number of times a day patients would take medications was calculated. A pharmacist and physician blinded to patient characteristics examined medication regimens and determined the fewest number of times a day they could be taken by subjects.
Home medication regimens could be simplified for 85 (42.5%) subjects. Of those subjects not optimally consolidating their medications, 53 (26.5%) could have had the number of times a day medications were taken reduced by one time per day; 32 (16.0%) reduced by two times or more. The three most common causes of overcomplexity were (1) misunderstanding medication instructions, (2) concern over drug absorption (i.e. before meals), and (3) perceived drug–drug interactions.
Almost half of seniors had medication regimens that were unnecessarily complicated and could be simplified. This lack of consolidation potentially impedes medication adherence.
Health care providers should ask patients to explicitly detail when medication consumption occurs in the home. Objective: To determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity. Methods: Face-to-face interviews were conducted with 200 community-dwelling seniors >70 years in their homes. Subjects demonstrated how they took their medications in a typical day and the number of times a day patients would take medications was calculated. A pharmacist and physician blinded to patient characteristics examined medication regimens and determined the fewest number of times a day they could be taken by subjects. Results: Home medication regimens could be simplified for 85 (42.5%) subjects. Of those subjects not optimally consolidating their medications, 53 (26.5%) could have had the number of times a day medications were taken reduced by one time per day; 32 (16.0%) reduced by two times or more. The three most common causes of overcomplexity were (1) misunderstanding medication instructions, (2) concern over drug absorption (i.e. before meals), and (3) perceived drug-drug interactions. Conclusion: Almost half of seniors had medication regimens that were unnecessarily complicated and could be simplified. This lack of consolidation potentially impedes medication adherence. Practice implications: Health care providers should ask patients to explicitly detail when medication consumption occurs in the home. Abstract Objective To determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity. Methods Face-to-face interviews were conducted with 200 community-dwelling seniors >70 years in their homes. Subjects demonstrated how they took their medications in a typical day and the number of times a day patients would take medications was calculated. A pharmacist and physician blinded to patient characteristics examined medication regimens and determined the fewest number of times a day they could be taken by subjects. Results Home medication regimens could be simplified for 85 (42.5%) subjects. Of those subjects not optimally consolidating their medications, 53 (26.5%) could have had the number of times a day medications were taken reduced by one time per day; 32 (16.0%) reduced by two times or more. The three most common causes of overcomplexity were (1) misunderstanding medication instructions, (2) concern over drug absorption (i.e. before meals), and (3) perceived drug–drug interactions. Conclusion Almost half of seniors had medication regimens that were unnecessarily complicated and could be simplified. This lack of consolidation potentially impedes medication adherence. Practice implications Health care providers should ask patients to explicitly detail when medication consumption occurs in the home. Objective: To determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity. Methods: Face-to-face interviews were conducted with 200 community-dwelling seniors >70 years in their homes. Subjects demonstrated how they took their medications in a typical day and the number of times a day patients would take medications was calculated. A pharmacist and physician blinded to patient characteristics examined medication regimens and determined the fewest number of times a day they could be taken by subjects. Results: Home medication regimens could be simplified for 85 (42.5%) subjects. Of those subjects not optimally consolidating their medications, 53 (26.5%) could have had the number of times a day medications were taken reduced by one time per day; 32 (16.0%) reduced by two times or more. The three most common causes of overcomplexity were (1) misunderstanding medication instructions, (2) concern over drug absorption (i.e. before meals), and (3) perceived drug-drug interactions. Conclusion: Almost half of seniors had medication regimens that were unnecessarily complicated and could be simplified. This lack of consolidation potentially impedes medication adherence. Practice implications: Health care providers should ask patients to explicitly detail when medication consumption occurs in the home. [Copyright Elsevier B.V.] To determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity.OBJECTIVETo determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity.Face-to-face interviews were conducted with 200 community-dwelling seniors >70 years in their homes. Subjects demonstrated how they took their medications in a typical day and the number of times a day patients would take medications was calculated. A pharmacist and physician blinded to patient characteristics examined medication regimens and determined the fewest number of times a day they could be taken by subjects.METHODSFace-to-face interviews were conducted with 200 community-dwelling seniors >70 years in their homes. Subjects demonstrated how they took their medications in a typical day and the number of times a day patients would take medications was calculated. A pharmacist and physician blinded to patient characteristics examined medication regimens and determined the fewest number of times a day they could be taken by subjects.Home medication regimens could be simplified for 85 (42.5%) subjects. Of those subjects not optimally consolidating their medications, 53 (26.5%) could have had the number of times a day medications were taken reduced by one time per day; 32 (16.0%) reduced by two times or more. The three most common causes of overcomplexity were (1) misunderstanding medication instructions, (2) concern over drug absorption (i.e. before meals), and (3) perceived drug-drug interactions.RESULTSHome medication regimens could be simplified for 85 (42.5%) subjects. Of those subjects not optimally consolidating their medications, 53 (26.5%) could have had the number of times a day medications were taken reduced by one time per day; 32 (16.0%) reduced by two times or more. The three most common causes of overcomplexity were (1) misunderstanding medication instructions, (2) concern over drug absorption (i.e. before meals), and (3) perceived drug-drug interactions.Almost half of seniors had medication regimens that were unnecessarily complicated and could be simplified. This lack of consolidation potentially impedes medication adherence.CONCLUSIONAlmost half of seniors had medication regimens that were unnecessarily complicated and could be simplified. This lack of consolidation potentially impedes medication adherence.Health care providers should ask patients to explicitly detail when medication consumption occurs in the home.PRACTICE IMPLICATIONSHealth care providers should ask patients to explicitly detail when medication consumption occurs in the home. |
| Author | Lindquist, Lee A. Lindquist, Lucy M. Zickuhr, Lisa Friesema, Elisha Wolf, Michael S. |
| AuthorAffiliation | 2 Walgreens Co., South Elgin, IL 3 Department of Medicine, Northwestern University Feinberg School of Medicine 1 Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL |
| AuthorAffiliation_xml | – name: 2 Walgreens Co., South Elgin, IL – name: 1 Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL – name: 3 Department of Medicine, Northwestern University Feinberg School of Medicine |
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| CitedBy_id | crossref_primary_10_1093_ajhp_zxz305 crossref_primary_10_1007_s00228_019_02818_7 crossref_primary_10_1111_jgs_19065 crossref_primary_10_1016_j_cptl_2016_08_039 crossref_primary_10_1080_13854046_2019_1694702 crossref_primary_10_1111_jgs_17337 crossref_primary_10_1080_13854046_2024_2447094 crossref_primary_10_1016_j_sapharm_2015_09_010 crossref_primary_10_1136_bmjopen_2023_077911 crossref_primary_10_1016_j_sapharm_2020_03_023 crossref_primary_10_1002_jppr_1668 crossref_primary_10_1016_j_jamda_2020_02_003 crossref_primary_10_3390_ijerph18168824 |
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| Snippet | To determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity.
Face-to-face interviews were... Abstract Objective To determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity. Methods... To determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity.OBJECTIVETo determine whether seniors... Objective: To determine whether seniors consolidate their home medications or if there is evidence of unnecessary regimen complexity. Methods: Face-to-face... |
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| SubjectTerms | Absorption Adherence Aged Aged, 80 and over Community living Consumption Elderly people Female Geriatrics Health care Health Knowledge, Attitudes, Practice Humans Internal Medicine Male Medication Adherence Older adults Patient Preference Pharmacists Physicians Prescription Drugs Professional-Family Relations Provider–patient communication |
| Title | Unnecessary complexity of home medication regimens among seniors |
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