Polypharmacy and health beliefs in older outpatients

The American Journal of Geriatric Pharmacotherapy
Michelle I RossiJoseph T Hanlon

Abstract

Polypharmacy is a significant problem among older adults. Patient-related characteristics and beliefs have not been the focus of prior research in this area, which has primarily evaluated the effects of patients' health status and health care system factors. The goal of this research was to determine the prevalence and predictors of unnecessary drug use in older veteran outpatients, with a focus on patient-related factors and health beliefs. Community-dwelling veterans aged > or =60 years, with > or =5 self-administered medications per day, not cognitively impaired, able to speak and/or write English, and receiving primary care and medications from a large urban Veterans Affairs Medical Center were eligible for study. Assessment of unnecessary drug use was determined by clinical pharmacists applying the criteria of the Medication Appropriateness Index to each regularly scheduled medication. Those drugs that received an inappropriate rating for indication, effectiveness, or therapeutic duplication were defined as unnecessary. Health beliefs regarding medication use were assessed with decisional balance, self-efficacy, and health locus of control scales. A total of 128 veterans (mean [SD] age, 72.0 [8.9] years; 93.0% white; 93.0%...Continue Reading

References

Jan 1, 1978·Health Education Monographs·K A WallstonR DeVellis
Oct 1, 1992·Journal of Clinical Epidemiology·J T HanlonJ R Feussner
May 23, 1998·Journal of Neurology, Neurosurgery, and Psychiatry·D R RoyallM Polk
Dec 20, 2003·Journal of Health Psychology·Simon Murphy, Paul Bennett
Sep 3, 2005·Journal of the American Geriatrics Society·Emily R HajjarKenneth E Schmader
Dec 27, 2005·Journal of Health Communication·Amy E LatimerPeter Salovey
Jan 21, 2006·American Journal of Health Promotion : AJHP·C Shannon Griffin-Blake, David M DeJoy
Feb 14, 2006·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Shirley M MooreMichael Rocco
Apr 21, 2006·AIDS Patient Care and STDs·Mallory O JohnsonUNKNOWN NIMH Healthy Living Project Team
May 2, 2006·Journal of the American Dietetic Association·Linda M DelahantyUNKNOWN Diabetes Prevention Program Research Group
May 2, 2006·Journal of Aging and Health·Kathleen C InselChao-Pin Hsiao
May 9, 2006·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Michelle KooParisa Aslani
May 12, 2006·Journal of the American Geriatrics Society·Anne SpinewineChristian Swine
Jun 10, 2006·Health Education Research·E F HovingH de Vries
Jul 25, 2006·The American Journal of Geriatric Pharmacotherapy·Gerda G Fillenbaum, Joseph T Hanlon
Oct 4, 2006·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Austin S BaldwinHarry A Lando
Oct 14, 2006·Journal of the American Geriatrics Society·Michael A SteinmanPeter J Kaboli
Oct 19, 2006·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Barbara Ann Fowler
Dec 2, 2006·Research in Social & Administrative Pharmacy : RSAP·Jingdong ChaoStephanie D Taylor

❮ Previous
Next ❯

Citations

Mar 29, 2011·International Journal of Clinical Pharmacy·Melanie Isabelle Brulhart, Joel Pierre Wermeille
Nov 20, 2012·Journal of Nutrition in Gerontology and Geriatrics·Roschelle Heuberger
Jan 29, 2013·Daru : Journal of Faculty of Pharmacy, Tehran University of Medical Sciences·Aurima StankunieneJutta Lindert
Nov 26, 2009·Drugs & Aging·Johanna JyrkkäSirpa Hartikainen
Dec 14, 2011·The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists·Joseph A WoelfelMichelle M Amaral
Oct 1, 2013·Expert Opinion on Drug Safety·Robert L MaherEmily R Hajjar
Apr 17, 2012·Clinics in Geriatric Medicine·Ravi P Ruberu, Stephen P Fitzgerald
Apr 17, 2012·Clinics in Geriatric Medicine·Bo Hovstadius, Göran Petersson
May 5, 2010·The American Journal of Geriatric Pharmacotherapy·Lucy A GizziCarl H Palmer
Mar 14, 2009·The American Journal of Geriatric Pharmacotherapy·Erin M SuhrieSherrie L Aspinall
Nov 17, 2011·Journal of Gerontological Nursing·Mary T DierichBonnie L Westra
Mar 10, 2011·The International Journal of Pharmacy Practice·Yousif A Asiri, Mohamed N Al-Arifi
Mar 2, 2010·Pharmacoepidemiology and Drug Safety·Bo HovstadiusGöran Petersson
Mar 24, 2016·Journal of the American Geriatrics Society·Claire BodenezArmelle Gentric
Aug 5, 2014·Zeitschrift für Gerontologie und Geriatrie·M GogolA Simm
Jul 28, 2016·Maturitas·Amy Theresa PageChristopher Etherton-Beer
Aug 31, 2011·Revista latino-americana de enfermagem·Ligiane Paula da CruzAdriana Inocenti Miasso
Jan 19, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Anil NandaSharmilee M Nyenhuis
Nov 28, 2008·Clinical Pharmacology and Therapeutics·H M Holmes
Jun 6, 2009·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·David W Bates
May 9, 2019·International Journal of Environmental Research and Public Health·Mohsen BazarganShervin Assari
Jun 21, 2017·Journal of Aging Research·Mohsen BazarganGail Orum
Apr 11, 2017·Ergonomics·Robin Sue Mickelson, Richard J Holden
Jun 23, 2019·International Journal of Environmental Research and Public Health·Shervin AssariMohsen Bazargan
Oct 23, 2020·Arthritis Care & Research·Rand Nashi, Devyani Misra
Jan 11, 2021·Seminars in Cell & Developmental Biology·Annelise A Madison, Janice K Kiecolt-Glaser
Mar 11, 2021·Journal of the American Geriatrics Society·Mark J HuffmyerDaniela C Moga

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Clinical Epidemiology
Joseph T HanlonJohn R Feussner
Journal of the American Geriatrics Society
Michael A SteinmanPeter J Kaboli
Journal of the American Geriatrics Society
Joseph T HanlonMorris Weinberger
Journal of the American Geriatrics Society
Emily R HajjarKenneth E Schmader
© 2021 Meta ULC. All rights reserved