Rationale: There are limited data examining subjective influences on medication adherence among older persons with schizophrenia. The subjective reasons for adherence to antipsychotic medication and associated clinical and psychosocial factors in this population are examined.
Methods: The sample consisted of 198 community dwelling persons aged >or=55 who developed schizophrenia before age 45. Using the Rating of Medication Influences Scale (ROMI), a principal component factor analysis with varimax rotation yielded three subscales: Medication Affinity and Prevention, Influence of Others, and Impact of Authority. These subscales were dichotomized into high and low based on a median split. We also created an ordinal High Adherence measure based on the summed scores of each person's three dichotomized ROMI subscales. A modified Health Belief Model was used to examine the association between 18 predictor variables and the ROMI subscales and the adherence scale.
Results: The mean subscale rankings were Medication Affinity and Prevention > Impact of Authority > Influence of Others. In logistic regression, lower education, more side effects, higher depression scores, and more mental health services were associated with higher scores on Influence of Others subscale. More side effects and more entitlements were associated with higher scores on the Medication Affinity and Prevention subscale. The Impact of Authority subscale had no significant associations. More side effects and higher depression scores were associated with higher scores on High Adherence measure.
Conclusion: We identified a three-dimensional model for explaining the subjective reasons for medication adherence in older persons with schizophrenia. Our findings suggest that cognitive approaches and use of authority figures may be useful for promoting adherence in older adults. Independent variables associated with these subscales may provide guidance for improving adherence in this population.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2615578 | PMC |
| http://dx.doi.org/10.1016/j.schres.2008.09.004 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Gender Gap? A Survey among Plastic Surgeons in Germany.
J Surg Educ
January 2025
Department of Plastic Surgery, University Hospital Muenster, Muenster, Germany; Department of Plastic and Reconstructive Surgery, Institute of Musculoskeletal Medicine, University of Muenster, Muenster, Germany; Department of Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery, Fachklinik Hornheide, Muenster, Germany.
Introduction: There is an ongoing increase in the percentage of females in the field of Plastic Surgery in Germany. Currently, 29,1% of fellows and 46% of residents in Germany are female. Several studies have pointed out the various obstacles that female doctors, especially female plastic surgeons, are confronted with in their professional life.
View Article and Find Full Text PDFPharmacological and non-pharmacological interventions for pain control in outpatient hysteroscopy: A systematic review.
Eur J Obstet Gynecol Reprod Biol
January 2025
Discipline of Surgery, University of Galway, Galway, Ireland.
Background: Outpatient hysteroscopy (OPH) is an important diagnostic and therapeutic intervention in gynaecology. However, the most common reason for failure is pain. Currently, there is no consensus regarding analgesia for OPH amongst the literature.
View Article and Find Full Text PDFExploring the Mechanism for Increased Risk in Freeway Tunnel Approach Zones: A Perspective on Temporal-spatial Evolution of Driving Predictions, Tasks, and Behaviors.
Accid Anal Prev
January 2025
School of Transportation and Logistics Engineering, Wuhan University of Technology, Wuhan 430063, PR China.
Freeway tunnel approach zones, situated outside the tunnel, do not undergo the same sudden changes in luminous environment and visual references that entrance zones experience. Despite this, accident data indicates that approach zones present similar safety risks to entrance zones, both of which are significantly higher than other tunnel sections. The reasons for the heightened risks in approach zones remain unclear in existing research.
View Article and Find Full Text PDFLeisure activity and subjective well-being of older adults in Australia and Thailand: The impact of affiliation, restoration and meaning.
Australas J Ageing
January 2025
Chulalongkorn University, Bangkok, Thailand.
Objectives: To explore leisure activity types among older adults in Australia and Thailand and how psychological mechanisms of restoration, affiliation and meaning in leisure activities impact subjective well-being (SWB).
Methods: A survey was administered to 125 older adults aged 60 and above (65 from Australia and 60 from Thailand). The survey collected demographic information, self-rated health and SWB.
Optimizing Engagement: Factors Influencing Family Participation in a Positive Parenting Program among Vulnerable Households with Young Children.
Psychosoc Interv
January 2025
Instituto Universitario de Neurociencia Universidad de La Laguna Tenerife Spain Instituto Universitario de Neurociencia (IUNE), Universidad de La Laguna, Campus de Guajara, Tenerife, Spain.
This paper addresses a critical gap in family research by examining the risk of families with young children receiving the Minimum Living Income (MLI) in rejecting targeted social interventions, also known as non-take-up (NTU). We analyze recruting process data from the first invitation to participate in a social benefit including the "Growing Happily in the Family-2" program developed in Madrid, Spain, to their written consent prior to its implementation. Measurements of subjective factors reported as reasons for NTU and objective factors of sociodemographic characteristics and detailed household patterns of prior engagement with social services to study NTU response were based on official records and project data.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!