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Pharmacy 2017, 5(2), 20; doi:10.3390/pharmacy5020020

Quality of Life and Medication Adherence of Independently Living Older Adults Enrolled in a Pharmacist-Based Medication Management Program

1
St. Matthews Community Pharmacy, Louisville, KY 40207, USA
2
American Pharmacy Services Corporation, Frankfort, KY 40601, USA
3
Wheeler Pharmacy, Home Connection, Lexington, KY 40507, USA
4
General Dynamics Information Technology, Little Rock, AR 72205, USA
5
Department of Behavioral and Community Health, University of Maryland School of Public Health, College Park, MD 20742, USA
6
Department of Pharmacy Practice and Science, University of Kentucky College of Pharmacy Lexington, KY 40536, USA
*
Author to whom correspondence should be addressed.
Academic Editors: Karen B. Farris and Antoinette B. Coe
Received: 29 December 2016 / Revised: 7 March 2017 / Accepted: 29 March 2017 / Published: 6 April 2017
(This article belongs to the Special Issue Pharmacists’ Role in Improving Medication Use and Health Outcomes)
View Full-Text   |   Download PDF [814 KB, uploaded 6 April 2017]   |  

Abstract

This study sought to understand the medication adherence and quality of life (QOL) of recipients of a pharmacist-based medication management program among independently living older adults. Using a cross-sectional, quasi-experimental study design, we compared older adults enrolled in the program to older adults not enrolled in the program. Data were collected via face-to-face interviews in independent-living facilities and in participants’ homes. Independently living older adults who were enrolled in the medication management program (n = 38) were compared to older adults not enrolled in the program (control group (n = 41)). All participants were asked to complete questionnaires on health-related quality of life (QOL, using the SF-36) and medication adherence (using the four-item Morisky scale). The medication management program recipients reported significantly more prescribed medications (p < 0.0001) and were more likely to report living alone (p = 0.01) than the control group. The medication management program recipients had a significantly lower SF-36 physical functioning score (p = 0.03) compared to the control group, although other SF-36 domains and self-reported medication adherence were similar between the groups. Despite taking more medications and more commonly living alone, independent living older adults enrolled in a pharmacist-based medication management program had similar QOL and self-reported medication adherence when compared to older adults not enrolled in the program. This study provides initial evidence for the characteristics of older adults receiving a pharmacist-based medication management program, which may contribute to prolonged independent living and positive health outcomes. View Full-Text
Keywords: pharmacist roles; adherence; older adults; medication management; quality of life; medication use pharmacist roles; adherence; older adults; medication management; quality of life; medication use
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MDPI and ACS Style

Harlow, C.; Hanna, C.; Eckmann, L.; Gokun, Y.; Zanjani, F.; Blumenschein, K.; Divine, H. Quality of Life and Medication Adherence of Independently Living Older Adults Enrolled in a Pharmacist-Based Medication Management Program. Pharmacy 2017, 5, 20.

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