Medication Adherence in Chronic Older Patients: An Italian Observational Study Using Medication Adherence Report Scale (MARS-5I)

Gloria Liquori, Aurora De Leo, Emanuele Di Simone, Sara Dionisi, Noemi Giannetta, Elvira Ganci, Sherly Pia Trainito, Giovanni Battista Orsi, Marco Di Muzio and Christian Napoli
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Gloria Liquori: Department of Biomedicine and Prevention, Tor Vergata University of Rome, 00133 Rome, Italy
Aurora De Leo: Department of Biomedicine and Prevention, Tor Vergata University of Rome, 00133 Rome, Italy
Emanuele Di Simone: Nursing, Technical, Rehabilitation, Assistance and Research Direction, IRCCS Istituti Fisioterapici Ospitalieri—IFO, 00144 Rome, Italy
Sara Dionisi: Department of Biomedicine and Prevention, Tor Vergata University of Rome, 00133 Rome, Italy
Noemi Giannetta: UniCamillus—Saint Camillus International University of Health and Medical Sciences, 00131 Rome, Italy
Elvira Ganci: Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy
Sherly Pia Trainito: Department of Clinical and Molecular Medicine, Sapienza University of Rome, 00185 Rome, Italy
Giovanni Battista Orsi: Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Roma, Italy
Marco Di Muzio: Department of Clinical and Molecular Medicine, Sapienza University of Rome, 00185 Rome, Italy
Christian Napoli: Department of Surgical and Medical Sciences and Translational Medicine, Sapienza University of Rome, 00185 Rome, Italy

IJERPH, 2022, vol. 19, issue 9, 1-11

Abstract: Background: the world population is aging, and the prevalence of chronic diseases is increasing. Chronic diseases affect the quality of life of patients and contribute toward increased healthcare costs if patients do not adhere to treatment. This study defines the medication adherence levels of patients with chronic diseases. Methods: an observational cross-sectional study was carried out. Patients aged 65 years and older with chronic diseases were included in this study. The medication adherence report scale was used. Results: overall, 98 patients aged 65 years and older were included. The mean age of responders was 78.65 years. Study population: 71.43% were always adherent; 9.79% often adherent; 14.89% sometimes adherent; 3.87% rarely adherent; and 1% never adherent. The internal consistency of the MARS-5I was good: Cronbach’s alfa value of 0.77. Conclusions: the MARS-5I is an effective self-report instrument to measure the medication adherence of patients. However, further studies are needed to explore factors affecting medication adherence to avoid clinical consequences for patients and high healthcare costs for healthcare facilities. Healthcare communication could be improved to ensure better transitional care.

Keywords: medication adherence; MARS; polypharmacy; communication; chronic disease (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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