Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal

Detalhes bibliográficos
Autor(a) principal: Dixe, Maria dos Anjos
Data de Publicação: 2023
Outros Autores: Pinho, Joana, Pereira, Filipa, Verloo, Henk, Meyer-Massetti, Carla, Pereira, Sónia Gonçalves
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.8/8309
Resumo: Funding: This research is funded by the Joint Swiss–Portuguese academic programme from the University of Applied Sciences and Arts Western Switzerland (HES-SO) and the Foundation for Science and Technology (FCT), grant number 105 995. S.G.P. is funded by Fundação para a Ciência e Tecnologia (FCT (CEECINST/00051/2018). M.d.A.D., J.P. and S.G.P. also acknowledge FCT funding for ciTechCare (UIDB/05704/2020).
id RCAP_9ad2052c210a653865e94ae9cf92e137
oai_identifier_str oai:iconline.ipleiria.pt:10400.8/8309
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central PortugalOlder adultsMedication managementPolypharmacyMultimorbidityFrailtyHome-dwellingMedication-related problemsFunding: This research is funded by the Joint Swiss–Portuguese academic programme from the University of Applied Sciences and Arts Western Switzerland (HES-SO) and the Foundation for Science and Technology (FCT), grant number 105 995. S.G.P. is funded by Fundação para a Ciência e Tecnologia (FCT (CEECINST/00051/2018). M.d.A.D., J.P. and S.G.P. also acknowledge FCT funding for ciTechCare (UIDB/05704/2020).Ageing is frequently associated with multimorbidity and polypharmacy. The present study aimed to identify the current medication management patterns and the profiles of homedwelling older adults and to find any association with their conditions, including frailty and cognitive impairment. Within the scope of this cross-sectional study, 112 older adults living in the community were assessed via face-to-face structured interviews. Frailty, cognitive status, medication management and clinical and sociodemographic variables were evaluated. Descriptive and inferential statistics were calculated. The mean participant age was 76.6 ± 7.1 years, 53.6% of participants were women, and 40.2% of participants lived alone. More than half were classified as having frailty (58.9%), almost one-fifth (19.6%) presented with a moderate cognitive impairment had more than one disease, and 60.7% were polymedicated. No associations were found between polymedication and medication self-management, the use of over-the-counter medications, living alone, having a poor understanding of pharmacological therapy and/or pathology, or having more than one prescriber. Self-management was associated with age, the number of medications, frailty and cognitive status. Binary logistic regressions showed that cognitive impairment had statistically significant differences with medication management, having a poor understanding of pharmacological therapy and/or pathology, having one prescriber and the use of medications not prescribed by physicians. Interventions to prevent medication-related problems in home-dwelling older adults are recommended.MDPIIC-OnlineDixe, Maria dos AnjosPinho, JoanaPereira, FilipaVerloo, HenkMeyer-Massetti, CarlaPereira, Sónia Gonçalves2023-03-31T16:27:40Z2023-01-172023-03-30T18:15:19Z2023-01-17T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.8/8309engDixe MdA, Pinho J, Pereira F, Verloo H, Meyer-Massetti C, Pereira SG. Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal. International Journal of Environmental Research and Public Health. 2023; 20(3):1701. https://doi.org/10.3390/ijerph200317011661-78271701cv-prod-3216429https://doi.org/10.3390/ijerph200317011660-4601info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-17T15:57:03Zoai:iconline.ipleiria.pt:10400.8/8309Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:51:03.972890Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal
title Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal
spellingShingle Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal
Dixe, Maria dos Anjos
Older adults
Medication management
Polypharmacy
Multimorbidity
Frailty
Home-dwelling
Medication-related problems
title_short Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal
title_full Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal
title_fullStr Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal
title_full_unstemmed Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal
title_sort Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal
author Dixe, Maria dos Anjos
author_facet Dixe, Maria dos Anjos
Pinho, Joana
Pereira, Filipa
Verloo, Henk
Meyer-Massetti, Carla
Pereira, Sónia Gonçalves
author_role author
author2 Pinho, Joana
Pereira, Filipa
Verloo, Henk
Meyer-Massetti, Carla
Pereira, Sónia Gonçalves
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv IC-Online
dc.contributor.author.fl_str_mv Dixe, Maria dos Anjos
Pinho, Joana
Pereira, Filipa
Verloo, Henk
Meyer-Massetti, Carla
Pereira, Sónia Gonçalves
dc.subject.por.fl_str_mv Older adults
Medication management
Polypharmacy
Multimorbidity
Frailty
Home-dwelling
Medication-related problems
topic Older adults
Medication management
Polypharmacy
Multimorbidity
Frailty
Home-dwelling
Medication-related problems
description Funding: This research is funded by the Joint Swiss–Portuguese academic programme from the University of Applied Sciences and Arts Western Switzerland (HES-SO) and the Foundation for Science and Technology (FCT), grant number 105 995. S.G.P. is funded by Fundação para a Ciência e Tecnologia (FCT (CEECINST/00051/2018). M.d.A.D., J.P. and S.G.P. also acknowledge FCT funding for ciTechCare (UIDB/05704/2020).
publishDate 2023
dc.date.none.fl_str_mv 2023-03-31T16:27:40Z
2023-01-17
2023-03-30T18:15:19Z
2023-01-17T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.8/8309
url http://hdl.handle.net/10400.8/8309
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Dixe MdA, Pinho J, Pereira F, Verloo H, Meyer-Massetti C, Pereira SG. Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal. International Journal of Environmental Research and Public Health. 2023; 20(3):1701. https://doi.org/10.3390/ijerph20031701
1661-7827
1701
cv-prod-3216429
https://doi.org/10.3390/ijerph20031701
1660-4601
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799137002307715072