Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population

Objectives. The aim of the study was to assess self-reported medication adherence measure in patients selected during a health education and health promotion focused event held in the Campania region. The study also assessed sociodemographic determinants of adherence. Methods. An interviewer assiste...

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Main Authors: Enrica Menditto, Francesca Guerriero, Valentina Orlando, Catherine Crola, Carolina Di Somma, Maddalena Illario, Donald E. Morisky, Annamaria Colao
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.1155/2015/682503
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author Enrica Menditto
Francesca Guerriero
Valentina Orlando
Catherine Crola
Carolina Di Somma
Maddalena Illario
Donald E. Morisky
Annamaria Colao
author_facet Enrica Menditto
Francesca Guerriero
Valentina Orlando
Catherine Crola
Carolina Di Somma
Maddalena Illario
Donald E. Morisky
Annamaria Colao
author_sort Enrica Menditto
collection DOAJ
description Objectives. The aim of the study was to assess self-reported medication adherence measure in patients selected during a health education and health promotion focused event held in the Campania region. The study also assessed sociodemographic determinants of adherence. Methods. An interviewer assisted survey was conducted to assess adherence using the Italian version of the 8-item Morisky Medication Adherence Scale (MMAS-8). Participants older than 18 years were interviewed by pharmacists while waiting for free-medical checkup. Results. A total of 312 participants were interviewed during the Health Campus event. A total of 187 (59.9%) had low adherence to medications. Pearson’s bivariate correlation showed positive association between the MMAS-8 score and gender, educational level and smoking (P<0.05). A multivariable analysis showed that the level of education and smoking were independent predictors of adherence. Individuals with an average level of education (odds ratio (OR), 2.21, 95% confidence interval (CI), 1.08–4.52) and nonsmoker (odds ratio (OR) 1.87, 95% confidence interval (CI), 1.04–3.35) were found to be more adherent to medication than those with a lower level of education and smoking. Conclusion. The analysis showed very low prescription adherence levels in the interviewed population. The level of education was a relevant predictor associated with that result.
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spelling doaj-art-2634444dfebd47fa88604c4a76e8435a2025-02-03T05:47:26ZengWileyJournal of Aging Research2090-22042090-22122015-01-01201510.1155/2015/682503682503Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling PopulationEnrica Menditto0Francesca Guerriero1Valentina Orlando2Catherine Crola3Carolina Di Somma4Maddalena Illario5Donald E. Morisky6Annamaria Colao7Center of Pharmacoeconomics (CIRFF), Federico II University, 80131 Naples, ItalyCenter of Pharmacoeconomics (CIRFF), Federico II University, 80131 Naples, ItalyCenter of Pharmacoeconomics (CIRFF), Federico II University, 80131 Naples, ItalyResearch and Development Board, Federico II University Hospital, 80131 Naples, ItalyIRCCS SDN, 80131 Naples, ItalyResearch and Development Board, Federico II University Hospital, 80131 Naples, ItalyDepartment of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA 90095-1772, USADepartment of Clinical Medicine and Surgery, Federico II University, 80131 Naples, ItalyObjectives. The aim of the study was to assess self-reported medication adherence measure in patients selected during a health education and health promotion focused event held in the Campania region. The study also assessed sociodemographic determinants of adherence. Methods. An interviewer assisted survey was conducted to assess adherence using the Italian version of the 8-item Morisky Medication Adherence Scale (MMAS-8). Participants older than 18 years were interviewed by pharmacists while waiting for free-medical checkup. Results. A total of 312 participants were interviewed during the Health Campus event. A total of 187 (59.9%) had low adherence to medications. Pearson’s bivariate correlation showed positive association between the MMAS-8 score and gender, educational level and smoking (P<0.05). A multivariable analysis showed that the level of education and smoking were independent predictors of adherence. Individuals with an average level of education (odds ratio (OR), 2.21, 95% confidence interval (CI), 1.08–4.52) and nonsmoker (odds ratio (OR) 1.87, 95% confidence interval (CI), 1.04–3.35) were found to be more adherent to medication than those with a lower level of education and smoking. Conclusion. The analysis showed very low prescription adherence levels in the interviewed population. The level of education was a relevant predictor associated with that result.http://dx.doi.org/10.1155/2015/682503
spellingShingle Enrica Menditto
Francesca Guerriero
Valentina Orlando
Catherine Crola
Carolina Di Somma
Maddalena Illario
Donald E. Morisky
Annamaria Colao
Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
Journal of Aging Research
title Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
title_full Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
title_fullStr Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
title_full_unstemmed Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
title_short Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
title_sort self assessment of adherence to medication a case study in campania region community dwelling population
url http://dx.doi.org/10.1155/2015/682503
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