Adherence level and medication beliefs among care homes residents in Klang Valley / Hasnah Ismail ... [et al.]

Ismail, Hasnah and Wan Azmi, Wan Uswah Hasanah and Loganathan, Mathumalar and Usir, Ezlina (2021) Adherence level and medication beliefs among care homes residents in Klang Valley / Hasnah Ismail ... [et al.]. International Journal of Pharmaceutical, Nutraceutical and Cosmetic Science (IJPNaCS), 3. pp. 1-12. ISSN 2682-8146


Medication adherence is a growing problem in a healthcare system especially among elderly. Elderly are often associated with co-morbidities that exposed them to poly-pharmacy, this eventually leads to poor adherence to medication. Medication beliefs have influenced the way the patients perceive the effectiveness of the medications and its negative outcomes. It is projected to be a strong predictor of medication non-adherence among patients. The objectives of this study were to investigate the level of medication adherence and the relationship between medication adherence and medication beliefs among elderly residing in care homes. The study was a crosssectional study involving elderly aged 65 years and above, currently taking at least one medication for chronic illness and have stayed for at least one year in the care homes. Twenty-seven care homes in Klang Valley involving 258 respondents were involved in this study. A validated questionnaire consisted of demographic data of respondents, Belief about Medicine Questionnaire, and Medication Safety Alert Tool for Elderly (MeSATE) were utilized. More than half (59.7%) of the elderly were identified as having a low risk to medication non-adherence. Statistically significant correlations were reported in specific concern (r = 0.273, p<0.001), general harm (r = 0.327, p<0.001) and general overuse (r = 0.134, p = 0.032) where it was positively correlated with higher risk of medication non-adherence. In conclusion, specific-concern, general-harm, and general-overuse on medication beliefs strongly predict the adherence level to medication.


Item Type: Article
Email / ID Num.
Ismail, Hasnah
Wan Azmi, Wan Uswah Hasanah
Loganathan, Mathumalar
Usir, Ezlina
Subjects: H Social Sciences > HV Social pathology. Social and public welfare. Criminology > Protection, assistance and relief > Old age > Old age homes
R Medicine > RA Public aspects of medicine > Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing > Specialities in nursing > Other special types of nursing, A-Z > Home nursing
Divisions: Universiti Teknologi MARA, Selangor > Puncak Alam Campus > Faculty of Pharmacy
Journal or Publication Title: International Journal of Pharmaceutical, Nutraceutical and Cosmetic Science (IJPNaCS)
UiTM Journal Collections: UiTM Journal > International Journal of Pharmaceuticals, Nutraceuticals and Cosmetic Science (IJPNaCS)
ISSN: 2682-8146
Volume: 3
Page Range: pp. 1-12
Keywords: Medication adherence, medication beliefs, elderly, care homes
Date: 2021
Edit Item
Edit Item


[thumbnail of 70693.pdf] Text

Download (324kB)

ID Number




Statistic details