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Lloyd J, Maresh S, Powers C, Shrank W, Alley D. How Much Does Medication Nonadherence Cost the Medicare Fee-for-Service Program? Med Care. 2019;57: 218–224. pmid:30676355 Kopelowicz A, Zarate R, Wallace CJ, Liberman RP, Lopez SR, Mintz J. Using the theory of planned behavior to improve treatment adherence in Mexican Americans with schizophrenia. J Consult Clin Psychol. 2015;83: 985–993. pmid:26030760 People often don't want to bother their doctor again after their appointment, but you're not wasting their time, you're helping in the long run by getting the info you need to take your medication properly," says Khan.
Two facilitators that were identified in this study include ease of use and ease of learning how to use of the product. Both of these facilitators impact a person’s decision to use the technology regularly. Although most of the study participants did not feel they needed the to use the product at this current time, they all identified the perceived usefulness of this product for patients with memory impairment or unintentional non-adherence due to forgetfulness. Additionally, participants showed their intention to use the product in the future if needed. NatWest, RBS and Ulster Bank to close at least 172 branches in 2023/24 – here's the full list, plus alternatives Statistics Canada. Smartphone use and smartphone habits by gender and age group. 2021. doi: https://doi.org/https://doi.org/10.25318/2210011501-eng. [cited 2020 Dec 25]. Available from: https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=2210011501 With an ageing population, an increasing number of patients are encountering concerns over juggling multiple medications for the multitude of conditions they have. In England, around 15% of peopleare currently taking five or more medicines a day, with 7% taking eight or more.
StatPearls [Internet].
Age-related physical and cognitive changes. The impact of aging was an emerging sub-theme which came about without a probing interview question. Participants mentioned both physical and cognitive age-related changes while discussing their medication intake routines in their homes. One participant described how, with age, they are experiencing deficits associated with vision and hearing: Ajzen I. The theory of planned behavior. In: Van LangeA P. A. Kruglanski W., & Higgins E. T.,editors. Handbook of Theories of Social Psychology: 2012. Volume 1 pp. 438–459. SAGE Publications Ltd. https://doi.org/10.4135/9781446249215.n22 Another participant discussed how accessing medications from the pharmacy is a difficult task to manage: If it was working—, obviously it was to an extent, if everything was the way it is I—would be very comfortable with it”-002-PT
Libby AM, Fish DN, Hosokawa PW, Linnebur SA, Metz KR, Nair K V., et al. Patient-Level Medication Regimen Complexity Across Populations With Chronic Disease. Clin Ther. 2013;35. pmid:23541707 While no gold standard exists and mixed-methods for adherence measurement are advised, 17 , 26 , 27 differences in dose-taking adherence levels as measured by pill counting, self-reported adherence, and EDP records were compared. The Kruskal–Wallis test was used, with the null hypothesis that there were no differences among the three measurement methods. As the EDP was hypothesized to report more granular data that might introduce less bias, differences of adherence estimates with pill counting and self-report were graphically displayed through Bland-Altman plots 28 using Analyse-it software (version 5.50, Leeds, UK) in Microsoft Excel (2016). All statistical analyses were performed using IBM ® SPSS ® Statistics 28.0 for Windows with p < 0.05 considered significant. I don’t need that now (ok). But if I had losing my memory or you know when you get older …. I would”- 013-PT The tragedy is that while motor vehicle deaths have been dropping, suicides and poisonings from medications have been steadily rising since 1999. About half of suicides are committed with firearms, and nearly 20 percent by poisoning. A good way to kill yourself is by overdosing on Tylenol or other pills. About 90 percent of the deaths from unintentional
Zapata BC, Fernández-Alemán JL, Idri A, Toval A. Empirical Studies on Usability of mHealth Apps: A Systematic Literature Review. J Med Syst. 2015;39: 1–19. pmid:25600193 With my own medicines, you can push them out in advance, and then put them all in one box to take with you, and that is not possible with this one either, so that makes it a bit difficult.” [ID 04/30 years] If you are an hour later than usual, you get a notification such as ‘remember, you have not pushed it out yet’.” [ID 03/46 years]
Goodson L, Vassar M. An overview of ethnography in healthcare and medical education research. J Educ Eval Health Prof. 2011;8: 4. pmid:21637319 Sino CGM, Sietzema M, Egberts TCG, Schuurmans MJ. Medication management capacity in relation to cognition and self-management skills in older people on polypharmacy. J Nutr Heal Aging. 2014;18: 44–49.
Why aren't people taking their medications correctly?
Wallace SE, Graham C, Saraceno A. Older Adults’ Use of Technology. Perspect Gerontol. 2013;18: 50–59. Khan suggests patients read the World Health Organization's (WHO) 5 moments for medication safety to ensure they are taking medications as they should and to manage ongoing adherence at home. The WHO pointers may be useful to discuss with your doctor. Write down what each medication is for and learn about why it's important to take - ensure you have a list of the medications you are on and that a friend or family member has the list in case of emergency (your repeat prescription form will list these).
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