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Medication Adherence in Chronic Older Patients: An Italian Observational Study Using Medication Adherence Report Scale (MARS-5I)

Author

Listed:
  • Gloria Liquori

    (Department of Biomedicine and Prevention, Tor Vergata University of Rome, 00133 Rome, Italy)

  • Aurora De Leo

    (Department of Biomedicine and Prevention, Tor Vergata University of Rome, 00133 Rome, Italy
    Nursing, Technical, Rehabilitation, Assistance and Research Direction, IRCCS Istituti Fisioterapici Ospitalieri—IFO, 00144 Rome, Italy)

  • Emanuele Di Simone

    (Nursing, Technical, Rehabilitation, Assistance and Research Direction, IRCCS Istituti Fisioterapici Ospitalieri—IFO, 00144 Rome, Italy)

  • Sara Dionisi

    (Department of Biomedicine and Prevention, Tor Vergata University of Rome, 00133 Rome, Italy)

  • Noemi Giannetta

    (UniCamillus—Saint Camillus International University of Health and Medical Sciences, 00131 Rome, Italy)

  • Elvira Ganci

    (Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy)

  • Sherly Pia Trainito

    (Department of Clinical and Molecular Medicine, Sapienza University of Rome, 00185 Rome, Italy)

  • Giovanni Battista Orsi

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Roma, Italy)

  • Marco Di Muzio

    (Department of Clinical and Molecular Medicine, Sapienza University of Rome, 00185 Rome, Italy)

  • Christian Napoli

    (Department of Surgical and Medical Sciences and Translational Medicine, Sapienza University of Rome, 00185 Rome, Italy)

Abstract

Background: the world population is aging, and the prevalence of chronic diseases is increasing. Chronic diseases affect the quality of life of patients and contribute toward increased healthcare costs if patients do not adhere to treatment. This study defines the medication adherence levels of patients with chronic diseases. Methods: an observational cross-sectional study was carried out. Patients aged 65 years and older with chronic diseases were included in this study. The medication adherence report scale was used. Results: overall, 98 patients aged 65 years and older were included. The mean age of responders was 78.65 years. Study population: 71.43% were always adherent; 9.79% often adherent; 14.89% sometimes adherent; 3.87% rarely adherent; and 1% never adherent. The internal consistency of the MARS-5I was good: Cronbach’s alfa value of 0.77. Conclusions: the MARS-5I is an effective self-report instrument to measure the medication adherence of patients. However, further studies are needed to explore factors affecting medication adherence to avoid clinical consequences for patients and high healthcare costs for healthcare facilities. Healthcare communication could be improved to ensure better transitional care.

Suggested Citation

  • Gloria Liquori & Aurora De Leo & Emanuele Di Simone & Sara Dionisi & Noemi Giannetta & Elvira Ganci & Sherly Pia Trainito & Giovanni Battista Orsi & Marco Di Muzio & Christian Napoli, 2022. "Medication Adherence in Chronic Older Patients: An Italian Observational Study Using Medication Adherence Report Scale (MARS-5I)," IJERPH, MDPI, vol. 19(9), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5190-:d:801398
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    References listed on IDEAS

    as
    1. Phaviga Thangsuk & Kanokporn Pinyopornpanish & Wichuda Jiraporncharoen & Nida Buawangpong & Chaisiri Angkurawaranon, 2021. "Is the Association between Herbal Use and Blood-Pressure Control Mediated by Medication Adherence? A Cross-Sectional Study in Primary Care," IJERPH, MDPI, vol. 18(24), pages 1-8, December.
    2. Carmen Valdés y Llorca & Ernesto Cortés Castell & José Manuel Ribera Casado & Pilar de Lucas Ramos & José Luis Casteig Ayestarán & Amaia Casteig Blanco & Vicente Francisco Gil Guillén & Mercedes Rizo , 2021. "Factors Associated with Non-Adherence to Drugs in Patients with Chronic Diseases Who Go to Pharmacies in Spain," IJERPH, MDPI, vol. 18(8), pages 1-9, April.
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