Sunil Kripalani|Laura E. Henderson|Ellen Y. Chiu|Rashanda Robertson|Paul Kolm|Terry A. Jacobson
Predictors of medication self-management skill in a low-literacy population
Emory University|Emory University|Emory University|Emory University|Christiana Care Health System|Emory University
background patients ability manage medications critical chronic disease control also known medication management capacity mmc includes ability correctly identify medications describe taken objective evaluate effects low literacy medication regimen complexity sociodemographic characteristics mmc design crosssectional analysis enrollment data participants randomized trial participants patients coronary heart disease innercity clinic measurements medication management capacity measured drug regimen unassisted grading scale drugs scores subjects ability identify open describe dose describe timing medications drugs overall component scores compared literacy mini mental state exam score regimen complexity number prescription medications sociodemographic characteristics results 152 participants elderly mean age 654 years women 546 african american 941 approximately half 507 inadequate literacy skills 289 marginal skills univariate analysis mmc significantly associated literacy p001 effect driven ability identify medications multivariable models patients inadequate literacy skills 10 18 times odds unable identify medications compared adequate literacy skills p05 conclusions adults inadequate literacy skills less ability identify medications techniques needed better educate lowliteracy patients medications potential strategy enhance adherence