Medication management and adherence among cognitively impaired older adults

Victoria Cotrell, Katharine Wild, Theresa Bader

Research output: Contribution to journalArticlepeer-review

50 Scopus citations

Abstract

This study examined the relationship between patients' cognitive status, deficit awareness, medication management skills, and actual medication adherence. Twenty-seven persons with Alzheimer's disease and 20 healthy controls were evaluated for their predicted and objective performance on tasks related to medication management. Caregivers were also evaluated for their prediction of the care recipient's management abilities. A pill count was taken at the initial interview and 30 days later. MMSE and deficit awareness were related to amount of help received from a family member, suggesting that caregivers tend to accurately assess their relatives' medication management abilities. Adherence rates were acceptable, but some intervention strategies selected by caregivers were not effective in assuring adequate adherence. Additional study is needed to determine the effectiveness of various strategies adopted by informal caregivers.

Original languageEnglish (US)
Pages (from-to)31-46
Number of pages16
JournalJournal of Gerontological Social Work
Volume47
Issue number3-4
DOIs
StatePublished - Oct 31 2006

Keywords

  • Alzheimer's disease
  • Awareness
  • Caregiver
  • Medication adherence

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Nursing (miscellaneous)

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