Factors Related to Medication Self-Management in African American Older Women. Res Gerontol Nurs 2019 Mar 01;12(2):71-79
Date
03/21/2019Pubmed ID
30893443Pubmed Central ID
PMC6918485DOI
10.3928/19404921-20190206-01Scopus ID
2-s2.0-85063606243 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
Individuals with multiple chronic diseases are often prescribed medications for each condition and thus must manage a drug regimen. Medication self-management is challenging for most individuals with chronic diseases, but it can be especially difficult for African American older women. This study investigated how medical mistrust, caregiver role strain, and other relevant variables may be associated with medication self-management behaviors (MSMB) among African American older women, and whether goal congruence and self-efficacy mediated the relationship between the predictor variables and MSMB. A sample of 116 African American older (age >50 years) women from central Milwaukee participated in this correlational, cross-sectional study. Although goal congruence and self-efficacy were not found to act as mediators, the main finding was that goal congruence, self-efficacy, and age predicted 30% of the variance in MSMB. The results suggest that it is essential to strengthen individual self-efficacy, determine the goals that individuals have for their medication regimen, and develop support mechanisms to help patients attain these goals to better manage chronic disease. [Res Gerontol Nurs. 2019; 12(2):71-79.].
Author List
Ellis JL, Kovach CR, Fendrich M, Olukotun O, Baldwin VK, Ke W, Nichols BAuthor
Michael Fendrich PhD Professor in the Emergency Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedAged, 80 and over
Cross-Sectional Studies
Female
Humans
Medication Adherence
Middle Aged
Self-Management
Wisconsin
