Quantitative Analysis

Topics: Randomized controlled trial, Evidence-based medicine, Pharmacology Pages: 4 (2035 words) Published: October 29, 2014

Quantitative Studies on Medication Adherence
Maleah Perdue
University of South Alabama
Introduction
Medication adherence is a significant issue in the health systems of today. Low medication adherence can unnecessarily increase cost of health care and the amount of admissions. According to Conn et al., inadequate medication adherence may account for up to 10% of older adult hospital admissions and may cause up to $100 billion in annual health care cost (2009). Increased medication adherence is likely linked to improved health outcomes while poor medication adherence can lead to exacerbations of disease or even fatality. Area of Interest

The area of interest is medication adherence in adults that are living in the community. Specifically, older adults that are on multiple medications were looked at because of the increased medication adherence difficulties. There is an increased number of barriers to medication adherence with older adults including poly-pharmacy, comorbidities, vision impairment, hearing loss, and memory deficits among others. Impact to Practice

Medication non-adherence impacts practice on a daily basis. The studies in these articles are looking to find methods that older adults use to increase medication adherence. Many different methods have a possibility of increasing medication compliance and if these methods could increase adherence the positive effect could be huge in the medical field. There would be less patients returning to the hospital for preventable complications, which would decrease the amount of admissions, reduce health care costs, and increase the quality of life for patients. Reason for Choosing Articles

The article, Intervention to Improve Medication Adherence Among Older Adults: Meta-Analysis of Adherence Outcomes Among Randomized Controlled Trials was found on the CINAHL Database using the search term ‘medication adherence in older adults systematic review’. The search was further narrowed down to articles...

References: Boron, J., Rogers, W., Fisk, A. (2013). Everyday Memory Strategies for Medication Adherence. Geriatric Nursing, 34(5), 395-401. doi:10.1016/j.gerinurse.2013.05.010
Conn, V., Hafdahl A., Cooper P., Ruppar T., Mehr D., Russell C. (2009). Intervention to Improve Medication Adherence Among Older Adults: Meta-Analysis of Adherence Outcomes Among Randomized Controlled Trials. The Gerontologist, 49(4), 447-62. HYPERLINK "http://dx.doi.org.libproxy.usouthal.edu/10.1093/geront/gnp037" o "http://dx.doi.org.libproxy.usouthal.edu/10.1093/geront/gnp037" "10.1093/geront/gnp037" http://dx.doi.org.libproxy.usouthal.edu/10.1093/geront/gnp037 
GRADE Working Group. (2004). Grading Quality of Evidence and Strength of Recommendations. BMJ, 328(7454), 1490. doi:  HYPERLINK "http://dx.doi.org/10.1136%2Fbmj.328.7454.1490" "_blank" 10.1136/bmj.328.7454.1490
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