Medication Adherence Among Geriatric Patients with Chronic Diseases in Riyadh, Saudi Arabia

Overview

Journal Patient Prefer Adherence

Date 2022 Aug 15

PMID 35966222

Authors

Mohammed Y Alhabib

Taha S Alhazmi

Saad M Alsaad

Alhanouf S AlQahtani

Aisha A Alnafisah

Affiliations

Soon will be listed here.

Abstract

Background: Medication non-adherence is a common and significant public health problem, especially among the geriatric population. This study's objective was to measure medication adherence and associated factors among geriatric patients with chronic diseases.

Methods: A cross-sectional study targeted outpatient geriatrics who suffer from chronic diseases at King Saud University Medical City (KSUMC), Riyadh, Saudi Arabia. Telephone interviews were utilized to collect data from participants using a structured questionnaire and the GMAS validated instrument scale (General Medication Adherence Scale) intended to measure important determinants impacting adherence: patient behaviour, cost, comorbidity, and pill burden.

Results: A total of 422 patients were assessed for medication adherence. The Mean overall score for GMAS was 29.9±3.1 out of 33. (64.9%) of the patients had a high level of medication adherence. The patients had a high adherence on the domain of patient behavior related non-adherence (PBNA) (13.5±1.9) out of 15, a high adherence on the domain of additional disease and pill burden (ADPB) (11.2±1.4) out of 12, and good to high adherence on the cost-related non-adherence (CRNA) (5.25±1.1) out of 6.

Conclusion: The geriatric population with chronic diseases in our study had a good level of adherence to medication if compared with other international figures. To promote better medication adherence, patients must have a good understanding of their disease and strong beliefs about the medications prescribed.

Citing Articles

Predictors to Poor Quality of Life Among Patients with Heart Failure and Its Correlation with Their Medication Adherence: Finding for Healthcare Improvement and Follow-Up.

Alkubati S, Aleyadah H, Alboliteeh M, Alharbi A, Alsaif B, Alshammari B Patient Prefer Adherence. 2024; 18:2545-2557.

PMID: 39703933 PMC: 11656328. DOI: 10.2147/PPA.S503087.

Evaluating Strategies for Enhancing Medication Adherence in the Kingdom of Saudi Arabia (KSA): A Cross-Sectional Study.

Alhomoud F, Alwohaibi L, Aljarrash K, Alhomoud F, Alamer K, Alsultan M Patient Prefer Adherence. 2024; 18:2469-2480.

PMID: 39669314 PMC: 11636242. DOI: 10.2147/PPA.S499795.

Patient satisfaction with Saudi community pharmacy services (Wasfaty System).

Alzahrani A, Felix H, Alzhrani A, Alharbi K, Arbaein T, Shahzad M J Taibah Univ Med Sci. 2024; 19(4):711-719.

PMID: 39006372 PMC: 11245964. DOI: 10.1016/j.jtumed.2024.05.008.

Barriers to Medication Adherence Among Patients with Non-Communicable Disease in North Wollo Zone Public Hospitals: Socio-Ecologic Perspective, 2023.

Fenta E, Ayal B, Kidie A, Anagaw T, Mekonnen T, Bogale E Patient Prefer Adherence. 2024; 18:733-744.

PMID: 38533490 PMC: 10964781. DOI: 10.2147/PPA.S452196.

Prevalence of Nonadherence to Medications among Geriatric Patients in Al-Madinah Al-Munawara City's Hospitals, Kingdom of Saudi Arabia.

Fadil H, Sammman W, Elshafie R Int J Clin Pract. 2023; 2023:3312310.

PMID: 37942085 PMC: 10630004. DOI: 10.1155/2023/3312310.

References

Naqvi A, Alshayban D, Azizullah Ghori S, Mahmoud M, Haseeb A, Faidah H . Validation of the General Medication Adherence Scale in Saudi Patients With Chronic Diseases. Front Pharmacol. 2019; 10:633. PMC: 6558415. DOI: 10.3389/fphar.2019.00633. View

Naqvi A, Hassali M, Rizvi M, Zehra A, Iffat W, Haseeb A . Development and Validation of a Novel General Medication Adherence Scale (GMAS) for Chronic Illness Patients in Pakistan. Front Pharmacol. 2018; 9:1124. PMC: 6189444. DOI: 10.3389/fphar.2018.01124. View

SeyedAlinaghi S, Abbasian L, Solduzian M, Ayoobi Yazdi N, Jafari F, Adibimehr A . Predictors of the prolonged recovery period in COVID-19 patients: a cross-sectional study. Eur J Med Res. 2021; 26(1):41. PMC: 8100933. DOI: 10.1186/s40001-021-00513-x. View

Poirier S . Optimizing adherence to pharmaceutical care plans. J Am Pharm Assoc (Wash). 2000; 40(4):475-85. View

Voils C, Steffens D, Flint E, Bosworth H . Social support and locus of control as predictors of adherence to antidepressant medication in an elderly population. Am J Geriatr Psychiatry. 2005; 13(2):157-65. DOI: 10.1176/appi.ajgp.13.2.157. View

Khoja A, Aljawadi M, Al-Shammari S, Mohamed A, Al-Manaa H, Morlock L . The health of Saudi older adults; results from the Saudi National Survey for Elderly Health (SNSEH) 2006-2015. Saudi Pharm J. 2018; 26(2):292-300. PMC: 6111452. DOI: 10.1016/j.jsps.2017.11.008. View

MacLaughlin E, Raehl C, Treadway A, Sterling T, Zoller D, Bond C . Assessing medication adherence in the elderly: which tools to use in clinical practice?. Drugs Aging. 2005; 22(3):231-55. DOI: 10.2165/00002512-200522030-00005. View

Bazargan M, Smith J, Yazdanshenas H, Movassaghi M, Martins D, Orum G . Non-adherence to medication regimens among older African-American adults. BMC Geriatr. 2017; 17(1):163. PMC: 5526276. DOI: 10.1186/s12877-017-0558-5. View

Alalaqi A, Lawson G, Obaid Y, Tanna S . Adherence to cardiovascular pharmacotherapy by patients in Iraq: A mixed methods assessment using quantitative dried blood spot analysis and the 8-item Morisky Medication Adherence Scale. PLoS One. 2021; 16(5):e0251115. PMC: 8121290. DOI: 10.1371/journal.pone.0251115. View

10.

AlQarni K, AlQarni E, Naqvi A, Mahdi AlShayban D, Azizullah Ghori S, Haseeb A . Assessment of Medication Adherence in Saudi Patients With Type II Diabetes Mellitus in Khobar City, Saudi Arabia. Front Pharmacol. 2019; 10:1306. PMC: 6856211. DOI: 10.3389/fphar.2019.01306. View

11.

Pasina L, Brucato A, Falcone C, Cucchi E, Bresciani A, Sottocorno M . Medication non-adherence among elderly patients newly discharged and receiving polypharmacy. Drugs Aging. 2014; 31(4):283-9. DOI: 10.1007/s40266-014-0163-7. View

12.

Lim J, Low K, Lin N, Lim C, Ong S, Tan W . Predictors for development of critical illness amongst older adults with COVID-19: Beyond age to age-associated factors. Arch Gerontol Geriatr. 2021; 94:104331. PMC: 7834606. DOI: 10.1016/j.archger.2020.104331. View

13.

Chisholm-Burns M, Spivey C . The 'cost' of medication nonadherence: consequences we cannot afford to accept. J Am Pharm Assoc (2003). 2012; 52(6):823-6. DOI: 10.1331/JAPhA.2012.11088. View

14.

Gast A, Mathes T . Medication adherence influencing factors-an (updated) overview of systematic reviews. Syst Rev. 2019; 8(1):112. PMC: 6511120. DOI: 10.1186/s13643-019-1014-8. View

15.

Shruthi R, Jyothi R, Pundarikaksha H, Nagesh G, Tushar T . A Study of Medication Compliance in Geriatric Patients with Chronic Illnesses at a Tertiary Care Hospital. J Clin Diagn Res. 2017; 10(12):FC40-FC43. PMC: 5296451. DOI: 10.7860/JCDR/2016/21908.9088. View

16.

Iuga A, McGuire M . Adherence and health care costs. Risk Manag Healthc Policy. 2014; 7:35-44. PMC: 3934668. DOI: 10.2147/RMHP.S19801. View

17.

Nachega J, Uthman O, Peltzer K, Richardson L, Mills E, Amekudzi K . Association between antiretroviral therapy adherence and employment status: systematic review and meta-analysis. Bull World Health Organ. 2015; 93(1):29-41. PMC: 4271680. DOI: 10.2471/BLT.14.138149. View

18.

Felix I, Henriques A . Medication adherence and related determinants in older people with multimorbidity: A cross-sectional study. Nurs Forum. 2021; 56(4):834-843. DOI: 10.1111/nuf.12619. View

19.

Yap A, Thirumoorthy T, Kwan Y . Systematic review of the barriers affecting medication adherence in older adults. Geriatr Gerontol Int. 2015; 16(10):1093-1101. DOI: 10.1111/ggi.12616. View

20.

Brundisini F, Vanstone M, Hulan D, DeJean D, Giacomini M . Type 2 diabetes patients' and providers' differing perspectives on medication nonadherence: a qualitative meta-synthesis. BMC Health Serv Res. 2015; 15:516. PMC: 4657347. DOI: 10.1186/s12913-015-1174-8. View