Development of medication adherence assessment tool for elderly patients to autonomous medication self-management

2021 Fiscal Year Final Research Report

• Project/Area Number: 19K19497
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58050:Fundamental of nursing-related
• Research Institution: Shimane University
• Principal Investigator: Sakane Kanako 島根大学, 学術研究院医学・看護学系, 助教 (40559267)
• Project Period (FY): 2019-04-01 – 2022-03-31
• Keywords: 服薬アドヒアランス / 高齢者 / 服薬自己管理 / 評価ツール / 自律性

Outline of Final Research Achievements

The purpose of this study was to develop a medication adherence assessment tool for nurses to achieve greater understanding of autonomous medication self-management by older adults.
This study was conducted based on an exploratory sequential study design by the mixed study method. Based on the survey results, I created a modified medication adherence assessment tool containing 74 items. Then, questionnaires were sent to nurses working in randomly-selected acute care hospitals and in home-visit nursing stations.
A total of 747 responses were obtained. Through item analysis, 40 items were selected, and exploratory factor analysis was performed. As a result, I completed a "Medication Adherence Assessment Tool for Older Adults" consisting of a total of 40 items and 6 factors. This assessment tool was proven to show internal consistency based on Cronbach's α coefficient, criterion-related validity, and constructive concept validity.

Free Research Field

基礎看護学

Academic Significance and Societal Importance of the Research Achievements

「高齢者の服薬アドヒアランス評価ツール」は，在宅領域および急性期病院で勤務する看護師が，高齢者の服薬自己管理の状況や継続可能性を，服薬アドヒアランスの観点から多角的に査定し，他職種を含めた適切な支援につなげたいときに活用することができる。この評価ツールは，高齢者の服薬忘れの実態や自己調節の有無だけでなく，高齢者が服薬による疾患コントロールと生活を継続しながら，自律的に服薬自己管理を継続していく姿勢を査定することが可能であり，服薬アドヒアランス定義に基づく観点からアセスメントすることが可能である。