Beliefs About Medication as a Mediator in the Relationship Between eHealth Literacy and Medication Adherence Among Older Adults With Multimorbidity: A Cross-Sectional Survey.
Yang Wenjing, Feng Xinxin, Sun Zhonghao, Wang Siqi, Wang Xia
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引用次数: 0
Abstract
Background: Medication nonadherence has long been a problem for older adults with multimorbidity. As more and more eHealth apps are being used to improve medication adherence, eHealth literacy (eHL) provides an opportunity for patients to benefit. Therefore, there is a need to identify the relationship between eHL and medication adherence.
Objective: To explore the relationship between eHL and medication adherence, and to clarify the role that beliefs about medication play in the relationship.
Methods: A cross-sectional survey was conducted in a community in Xuzhou, China, using a convenience sampling method. Information on eHL, beliefs about medication, and medication adherence were collected through questionnaires. Spearman correlation analysis and structural equation modeling were used to measure the relationship between eHL and adherence to medication, and the mediation effect of beliefs about medications.
Results: A total of 297 adults with multimorbidity were included in this study. The results showed that medication adherence was positively correlated with necessity beliefs (r = 0.321, P < .001) and negatively correlated with concerns (r = -0.644, P < .001). In addition to directly and favorably predicting medication adherence, eHL also had an impact on adherence through the mediating effects of necessity beliefs (β = 0.045, 95% CI: 0.011-0.086) and concerns about medication (β = 0.213, 95% CI: 0.165-0.273).
Conclusion: Our findings highlighted the importance of improving eHL, fostering positive recognition of polypharmacy, and alleviating concerns about medicine-taking to improve medication adherence among older adults with multimorbidity.
背景：长期以来，药物不依从性一直是患有多种疾病的老年人的一个问题。随着越来越多的电子健康应用程序被用于提高服药依从性，电子健康素养（eHL）为患者提供了一个受益的机会。因此，有必要确定eHL与药物依从性之间的关系。目的：探讨eHL与服药依从性的关系，并阐明服药信念在两者关系中的作用。方法：采用方便抽样法，在徐州市某社区进行横断面调查。通过问卷调查收集eHL、用药信念、药物依从性等信息。采用Spearman相关分析和结构方程模型，考察eHL与服药依从性的关系，以及服药信念的中介作用。结果：本研究共纳入297例多病成人。结果显示，服药依从性与必要性信念呈正相关（r = 0.321, P r = -0.644， P）。结论：改善eHL、培养对多药的积极认知、减轻服药担忧对提高老年多病患者的服药依从性具有重要意义。
期刊介绍：
Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).
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