Assessing adherence to multiple medications and in daily life among patients with multimorbidity

TitleAssessing adherence to multiple medications and in daily life among patients with multimorbidity
Publication TypeJournal Article
Year of Publication2017
AuthorsInauen, J, Bierbauer, W, Lüscher, J, König, C, Tobias, R, Ihle, A, Zimmerli, L, Holzer, B, Battegay, E, Siebenhüner, K, Kliegel, M, Scholz, U
JournalPsychology & Health
Volume32
Issue10
Pagination1233–1248
Date Published10/2017
ISSN0887-0446
Keywordselectronic medication adherence, multimorbidity, multiple chronic conditions, multiple medications, polypharmacy, self-report
Abstract

Objective: Chronic conditions often require multiple medication intake. However, past research has focused on assessing overall adherence or adherence to a single index medication only. This study explored adherence measures for multiple medication intake, and in daily life, among patients with multiple chronic conditions (i.e. multimorbidity). Design: Eighty-four patients with multimorbidity and multiple-medication regimens completed three monthly panel questionnaires. A randomly assigned subsample additionally completed a 30-day daily diary. Main outcome measure: The Non-Adherence Report; a brief self-report measure of adherence to each prescribed medication (NAR-M), and in daily life. We further assessed the Medication Adherence Report Scale (MARS), and a subsample of participants were randomised to electronic adherence monitoring. Results: The NAR-M indicated M = 94.7% adherence at Time 1 (SD = 9.3%). The NAR-M was significantly correlated with the MARS (rt1 = .52, rt2 = .57, and rt3 = .65; p

URLhttps://www.tandfonline.com/doi/full/10.1080/08870446.2016.1275632
DOI10.1080/08870446.2016.1275632
PubMed ID28043163