Selected psychological predictors of medication adherence in the older adults with chronic diseases.
Magdalena Gruszczyńska, Julia Wyszomirska, Anna Daniel-Sielańczyk and 1 others
PMID 33318839WHAT IT FOUND
In older adults with chronic disease, higher medication adherence was linked to less focus on emotions under stress, stronger belief that medical staff influence health, and greater awareness of current experience.
The study did not test an intervention.
Key findings
01Emotion-oriented coping, belief that others influence health, and mindful attention were retained in the adherence model, which explained 12% of variation.
02Participants with high adherence had higher belief that medical staff influence health and higher mindful attention scores than those with low adherence.
03Adherence was low in 16.2% of respondents, medium in 51%, and high in 32.8%.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a cross-sectional survey, so it cannot show that psychological factors caused adherence. The regression model explained 12% of adherence variation. The authors note that generalizing results for the whole group requires caution because 74.5% were women. The authors caution that the number of children finding in men should be interpreted carefully because the number of men was relatively small. Adherence was measured with four self-report questions. The adherence questionnaire had moderate internal consistency (Cronbach's alpha 0.63). The study did not include clinical variables such as symptom severity or medication frequency. The authors used parametric tests, but most variables did not meet the normality test.
Declared interests
The authors reported no conflicts of interest. The article is listed as supported by non-U.S. government research.
The easy way to misread this
Do not read this as evidence that mindfulness training or changing coping style improves medication adherence. The study measured associations at one time point and did not test an intervention.