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Older Adult Medication Compliance: Integrated Review of Randomized Controlled Trials

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Abstract:

Objective: To examine interventions and outcomes of medication compliance studies in older adults. Methods: An integrated review of randomized controlled trials was completed. Results: Thirty-one of 57 studies reported significantly greater medication compliance in treatment subjects versus control subjects. Interventions included counseling, education, self-medication programs, cues and organizers, and decreasing dosing frequency. Decreasing dosing frequency and self-medication programs were successful, although not frequently evaluated. Conclusions: Future studies should address methodologic flaws (eg, small sample sizes, measurement validity issues), test theory-based interventions delivered by diverse providers, evaluate intervention dose, and examine persistence of compliance behavior changes.

Keywords: elderly; integrated review; interventions; medication compliance; randomized controlled trials

Document Type: Research Article

DOI: https://doi.org/10.5993/AJHB.30.6.10

Publication date: 2006-11-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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