Ana Lilia Lozada-Tequeanes, Cynthia Rosas Magallanes, Kathryn L Spielman, Anabelle Bonvecchio Arenas
Massive open online course on breastfeeding during the COVID-19 pandemic in Mexico
Global health promotion
medication nonadherence common problem among elderlyto conduct systematic review published literature describing potential nonfinancial barriers medication adherence among elderlythe pubmed psychinfo databases searched articles published english january 1998 january 2010 1 described predictors facilitators determinants medication adherence 2 examined relationship specific barrier adherence elderly patients ie 65 years age united states manual search reference lists identified articles authors files recent review articles conducted search included articles 1 reviewed specific barriers medication adherence solely describe nonmodifiable predictors adherence eg demographics marital status 2 interventions designed address adherence 3 defined adherence compliance specified method measurement 4 involved us participants nonsystematic reviews excluded studies focused specifically people homeless substance abusers patients psychotic disorders tuberculosis hiv infection unique circumstances surround medication adherence populationsnine studies met inclusion criteria review four studies used pharmacy records claims data assess adherence 2 studies used pill count electronic monitoring 3 studies used methods assess adherence substantial heterogeneity existed among populations studied well among measures adherence barriers addressed significant findings potential barriers ie factors associated nonadherence identified studies including patientrelated factors diseaserelated knowledge health literacy cognitive function drugrelated factors adverse effects polypharmacy factors including patientprovider relationship various logistical barriers obtaining medications none reviewed studies examined primary nonadherence nonpersistencemedication nonadherence elderly well described literature despite major cause morbidity thus difficult draw systematic conclusion potential barriers based current literature future research focus standardizing medication adherence measurements among elderly gain better understanding important issue