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http://dx.doi.org/10.5953/JMJH.2018.25.1.30

Effects of Health Literacy, Self-efficacy, and Social Support on Medication Adherence in the Elderly  

Park, Youngrye (Department of Nursing, Kunsan National University)
Jang, Eun Hee (Department of Nursing, Incheon Catholic University)
Kim, Sun Hwa (Gunsan Medical Center)
Park, So Hee (Gunsan Medical Center)
Oh, Hee Sook (Gunsan Medical Center)
Publication Information
Journal of muscle and joint health / v.25, no.1, 2018 , pp. 30-38 More about this Journal
Abstract
Purpose: The purposes of this study were to examine the relationships between health literacy, self-efficacy, social support, and medication adherence and to determine its impact on medication adherence in the elderly. Methods: This study was a descriptive research study. Structured questionnaires were used for survey with a convenience sample of 220 elderly in a community. Data were analyzed using descriptive statistics, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression with IBM SPSS 18.0. Results: The mean scores of health literacy, self-efficacy, social support, and medication adherence were $35.89{\pm}19.39$, $55.34{\pm}7.44$, $86.54{\pm}15.90$ and $4.82{\pm}1.83$, respectively. There were significant correlations between health literacy, self-efficacy, social support, and medication adherence. Social support (${\beta}=.23$, p=.001) and health literacy (${\beta}=.21$, p=.002) were significantly associated factors with medication adherence. Conclusion: This finding showed that nursing interventions to promote medication adherence in the elderly group should focus on social support program and health literacy intervention.
Keywords
Medication adherence; Health literacy; Self-efficacy; Social support; Elderly;
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1 Baker, D. W., Wolf, M. S., Feinglass, J., Thompson, J. A., Gazma- rarian, J. A., & Huang, J. (2007). Health literacy and mortality among elderly persons. Archives of Internal Medicine, 167, 1503-1509. https://doi.org/10.1001/archinte.167.14.1503   DOI
2 Bosworth, H. B., Granger, B. B., Mendys, P., Brindis, R., Burkhol- der, R., Czajkowski, S., et al. (2011). Medication adherence: A call for action. American Heart Journal, 162(3), 412-424. https://doi.org/10.1016/j.ahj.2011.06.007   DOI
3 Cho, E. H., Lee, C. Y., Kim, I. S., Lee, T. W., Kim, G. S., Lee, H. K., et al. (2013). Factors influencing medication adherence in patients with hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey. Journal of Korean Academy of Community Health Nursing, 24(4), 419-426. https://doi.org/10.12799/jkachn.2013.24.4.419   DOI
4 Davis, T. C., Long, S. W., Jackson, R. H., Mayeaux, E. J., George, R. B., Murphy P. W., et al. (1993). Rapid estimate of adult literacy in medicine: A shortened screening instrument. Family Medicine, 25(6), 391-395.
5 Gellad, W. F., Gernard, J. L., & Marcum, Z. A. (2011). A systematic review of barriers to medication adherence in the elderly: Looking beyond cost and regimen. American Journal of Geriatric Pharmacotherapy, 9(1), 11-23. https://doi.org/10.1016/j.amjopharm.2011.02.004   DOI
6 Hong, J. W. (1999). The effect of self-esteem and social support on the mental health of the elderly. Unpublished master's thesis, Ewha Womans University, Seoul.
7 Jeon, H. O., Kim, B. R., Kim, H. S., Chae, M. O., Kim, M. A., & Kim, A. R. (2017). Factors influencing medication adherence and status of medication use of the elderly with chronic disease taking non-opioid analgesics. Journal of Korean Biological Nursing Science, 19(1), 18-29. https://doi.org/10.7586/jkbns.2017.19.1.18   DOI
8 Kim, J. S., & Kang, H. C. (2013). Prediction model for drug misuse and abuse behavior in elderly people. Journal of Korean Gerontological Nursing, 15(1), 32-42.
9 Kim, M. Y. (2009). Depression and self-efficacy according to medication adherence in patients with coronary artery disease. Unpublished master's thesis, Soonchunhyang University, Cheonan.
10 Kim, S. S., Kim, S. H., & Lee, S. Y. (2005). Health literacy: Development of a Korean health literacy assessment tool. Korean Journal of Health Education and Promotion, 22(4), 215-227.
11 Kim, Y. H., Lee, M. K., Lee, S. J., Cho, M. S., & Hwang, M. S. (2011). Medication status and adherence of the elderly under home care nursing. Journal of Korean Academy of Community Health Nursing, 22(3), 290-301. https://doi.org/10.12799/jkachn.2011.22.3.290   DOI
12 Kim, Y. J., & Lee, G. E. (2014). Evaluation of readability of health leaflets and health literacy of elderly inpatients in a medical center. Journal of Korean Gerontological Nursing, 16(1), 9-17. https://doi.org/10.17079/jkgn.2014.16.1.9   DOI
13 Kwon, J. D., & Sohn, E. S. (2010). The Influences of self-perception and experiences of age discrimination upon the social participation among the elderly: A mediating effect of self-efficacy. Journal of Welfare for the Aged, 49, 81-106.
14 Lee, S. H. (2017). Moderating effects of interpersonal relation and social network on the relationship between depression and health behavior in elderly. Journal of Digital Convergence, 15(9), 397-406. https://doi.org/10.14400/JDC.2017.15.9.397   DOI
15 Min, S. H., & Kim, J. I. (2012). Construction of explanatory model for medication adherence in older people with chronic disease. Korean Journal of Fundamentals of Nursing, 19(4), 463-473. https://doi.org/10.7739/jkafn.2012.19.4.463   DOI
16 Lee, S. H., Choi, E. H. R., Je, M. J., Han, H. S., Park, B. K., & Kim, S. S. (2011). Comparison of two versions of KHLAT for improvement strategies. Korean Journal of Health Education and Promotion, 28(3), 57-65.
17 MacLaughlin, E. J., Raehl, C. L., Treadway, A. K., Sterling, T. L., Zoller, D. P., & Bond, C. A. (2005). Assessing medication adherence in the elderly. Drugs & Aging, 22(3), 231-255.   DOI
18 Miller, T. A. (2016). Health literacy and adherence to medical treat- ment in chronic and acute illness: A meta-analysis. Patient Education and Counseling, 99(7), 1079-1086. https://doi.org/10.1016/j.pec.2016.01.020   DOI
19 Ministry of Health and Welfare. (2015). Survey of the elderly, 2014. Retrieved Dec. 15, 2017, from http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=318359&page=1
20 Morisky, D. E., Ang, A., Krousel-Wood, M., & Ward, H. J. (2008). Predictive validity of a medication adherence measure in an outpatient setting. Journal of Clinical Hypertension, 10(5), 348-354. https://doi.org/10.1111/j.1751-7176.2008.07572.x   DOI
21 Oh, H. S. (1993). Health promoting behaviors and quality of life of Korean women with arthritis. Journal of Korean Academy of Nursing, 23(4), 617-630.
22 Park, J. W. (1985). A study to development a scale of social support. Unpublished doctoral dissertation, Yonsei University, Seoul.
23 Ratzan, S. C., & Parker, R. M. (2006). Health literacy: Identification and response. Journal of Health Communication, 11(8), 713-715. https://doi.org/10.1080/10810730601031090   DOI
24 Statistics Korea. (2016). The aged population statistics. Retrieved Dec. 15, 2017, from http://kosis.kr/statisticsList/statisticsList_01List
25 Ryu, K. H., & Son, Y. J. (2013). Impact of cognitive function and self-efficacy on medication adherence of elderly patients with chronic disease. Journal of Korean Biological Nursing Science, 15(3), 107-114. https://doi.org/10.7586/jkbns.2013.15.3.107   DOI
26 Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The self-efficacy scale: Construction and validation. Psychological Reports, 51(2), 663-671.   DOI
27 Son, Y. J., & Song, E. K. (2012). Impact of health literacy on disease-related knowledge and adherence to self-care in patients with hypertension. Journal of Korean Academy of Fundamentals of Nursing, 19(1), 6-15. https://doi.org/10.7739/jkafn.2012.19.1.006   DOI
28 Sung, C. H., Park, M. R., & Kim, Y. J. (2014). An analysis of the structural model of social support for drug knowledge, and drug abuse in the dwelling elderly. Journal of the Korea Academia-Industrial cooperation Society, 15(4), 2160-2169. https://doi.org/10.5762/kais.2014.15.4.2160   DOI
29 Vestbo, J., Anderson, J. A., Calverly, P. M., Celli, B., Ferrguson, G. T., Jenkins, C., et al. (2011). Bias due to withdrawal in long-term randomised trials in COPD: Evidence from the TORCH study. Clinical Respiratory Journal, 5(1), 44-49. https://doi.org/10.1111/j.1752-699x.2010.00198.x   DOI
30 Yu, S. H., & Kang, J. H. (2015). Review of studies about medication adherence in Korea. Journal of Korean Public Health Nursing, 29(2), 285-297. https://doi.org/10.5932/jkphn.2015.29.2.285   DOI