Medication Adherence in Older Renal Transplant Recipients

Cynthia L. Russell, Muammer Cetingok, Karen Q. Hamburger, Sarah Owens, Denise Thompson, Donna Hathaway, Rebecca P. Winsett, Vicki S. Conn, Richard Madsen, Lisa Sitler and Mark R. Wakefield
Additional contact information
Cynthia L. Russell: University of Missouri, Columbia, MO, USA, RussellC@missouri.edu
Muammer Cetingok: University of Tennessee, Knoxville, Memphis, TN, USA
Karen Q. Hamburger: Methodist University Hospital Transplant Institute, Memphis, TN, USA
Sarah Owens: Methodist University Hospital Transplant Institute, Memphis, TN, USA
Donna Hathaway: University of Tennessee, Memphis, TN, USA
Rebecca P. Winsett: University of Tennessee, Memphis, TN, USA
Vicki S. Conn: University of Missouri, Columbia, MO, USA
Richard Madsen: University of Missouri, Columbia, MO, USA
Lisa Sitler: University of Missouri, Columbia, MO, USA
Mark R. Wakefield: University of Missouri, Columbia, MO, USA

Clinical Nursing Research, 2010, vol. 19, issue 2, 95-112

Abstract: This project examined patterns, predictors, and outcomes of medication adherence in a convenience sample of 37 renal transplant recipients aged 55 years or older in a Mid-Southern U.S. facility using an exploratory, descriptive, longitudinal design. Electronic monitoring was conducted for 12 months using the Medication Event Monitoring System. An alarming 86% of the participants were nonadherent with medications. Four clusters of medication taking and timing patterns were identified with evening doses presenting particular challenges. Depression, self-efficacy, social support, and medication side effects did not predict medication adherence. There was no significant difference in medication adherence scores between those with and without infections. Medication adherence pattern data from electronic monitoring provides an opportunity for health care professionals to move away from blaming the patient by attempting to identify predictors for medication nonadherence. Medication dose taking and timing patterns could be explored with patients so that medication adherence interventions could target specific patient patterns.

Keywords: adherence; transplant; older adults (search for similar items in EconPapers)
Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:19:y:2010:i:2:p:95-112

DOI: 10.1177/1054773810362039

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