%0 Journal Article
%T Medication Regimen Complexity and Low Adherence in Older Community
%A Arup K. Sinha
%A Jason Burnett
%A Kathleen Pace-Murphy
%A Leslie E. Clark
%A Renee J Flores
%A Rui Xia
%A Sharon Abada
%J Journal of Applied Gerontology
%@ 1552-4523
%D 2019
%R 10.1177/0733464817714565
%X Objective: Determine whether medication regimen complexity predicts medication adherence levels in a sample of community-dwelling adults 65 years and older with Adult Protective Services¨Csubstantiated self-neglect. Methods: A cross-sectional analysis of baseline data (N = 31 participants) from a pilot intervention to increase medication adherence among the target group was performed. The Medication Regimen Complexity Index (MRCI) and the 8-item Morisky Medication Adherence Scale (MMAS-8)£¿ were the primary independent and dependent measures, respectively. A multivariable linear regression analysis, adjusting for potential confounders, was conducted to estimate the association between complexity and adherence. Results: Regimen complexity was high (mean MRCI = 19.6) and adherence was low (mean MMAS = 5.1). Even after controlling for confounders, increased complexity was significantly associated with lower adherence. Discussion: Older community-dwelling adults who self-neglect have complex medication regimens that contribute to low medication adherence. Medication regimen complexity may be a modifiable contributor to low adherence that can be targeted by future interventions to reduce self-neglect and its consequences
%K self-neglect
%K older adults
%K medication regimen complexity
%K medication adherence
%U https://journals.sagepub.com/doi/full/10.1177/0733464817714565