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

2023-01-17Journal article Open access
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dc.contributor.authorDixe, Maria dos Anjos
dc.contributor.authorPinho, Joana
dc.contributor.authorPereira, Filipa
dc.contributor.authorVerloo, Henk
dc.contributor.authorMeyer-Massetti, Carla
dc.contributor.authorPereira, Sónia Gonçalves
dc.date.accessioned2023-03-31T16:27:40Z
dc.date.available2023-03-31T16:27:40Z
dc.date.issued2023-01-17
dc.date.updated2023-03-30T18:15:19Z
dc.descriptionFunding: 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).pt_PT
dc.description.abstractAgeing 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.pt_PT
dc.description.versionN/Apt_PT
dc.identifier.citationDixe 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/ijerph20031701pt_PT
dc.identifier.doihttps://doi.org/10.3390/ijerph20031701pt_PT
dc.identifier.eissn1660-4601
dc.identifier.issn1661-7827
dc.identifier.other1701
dc.identifier.slugcv-prod-3216429
dc.identifier.urihttp://hdl.handle.net/10400.8/8309
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relationNot Available
dc.relationCenter for Innovative Care and Health Technology
dc.relation.publisherversionhttps://www.mdpi.com/1660-4601/20/3/1701pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectOlder adultspt_PT
dc.subjectMedication managementpt_PT
dc.subjectPolypharmacypt_PT
dc.subjectMultimorbiditypt_PT
dc.subjectFrailtypt_PT
dc.subjectHome-dwellingpt_PT
dc.subjectMedication-related problemspt_PT
dc.titlePatterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleNot Available
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/CEEC INST 2018/CEECINST%2F00051%2F2018%2FCP1566%2FCT0001/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F05704%2F2020/PT
oaire.citation.issue3pt_PT
oaire.citation.titleInternational Journal of Environmental Research and Public Healthpt_PT
oaire.citation.volume20pt_PT
oaire.fundingStreamCEEC INST 2018
oaire.fundingStream6817 - DCRRNI ID
person.familyNameDixe
person.familyNameGonçalves Pereira
person.givenNameMaria dos Anjos
person.givenNameSónia
person.identifier794059
person.identifier461252
person.identifier.ciencia-idDB15-BD76-2B75
person.identifier.ciencia-idEB1F-4DB2-B0C9
person.identifier.orcid0000-0001-9035-8548
person.identifier.orcid0000-0001-8197-1850
person.identifier.ridB-9257-2018
person.identifier.ridM-7588-2017
person.identifier.scopus-author-id55885797900
person.identifier.scopus-author-id7202024712
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.cv.cienciaid8615-92D1-7858 | Sónia Gonçalves Pereira
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication591800d1-2c83-4227-af0a-b330a0acebac
relation.isAuthorOfPublication259ad2cc-f9ff-4c33-ad6d-10f5b3ff341a
relation.isAuthorOfPublication.latestForDiscovery591800d1-2c83-4227-af0a-b330a0acebac
relation.isProjectOfPublication79a941dc-2813-4f89-850b-4228ff5224cc
relation.isProjectOfPublicationd421b07d-3471-4026-aa43-def80b8e142b
relation.isProjectOfPublication.latestForDiscoveryd421b07d-3471-4026-aa43-def80b8e142b

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