Understanding the Factors Influencing Older Adults' Decision-Making about Their Use of Over-The-Counter Medications-A Scenario-Based Approach.

Understanding the Factors Influencing Older Adults' Decision-Making about Their Use of Over-The-Counter Medications-A Scenario-Based Approach.
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DOI:
10.3390/pharmacy8030175
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发表时间:
2020-09-18
期刊:
Pharmacy (Basel, Switzerland)
影响因子:
--
通讯作者:
Chui MA
Chui MA
中科院分区:
其他
文献类型:
--
作者:
Shah S;Gilson AM;Jacobson N;Reddy A;Stone JA;Chui MA

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非处方药(OTC)的潜在风险往往在老年人等弱势人群中加剧。老年人OTC药物使用模式的提高并不一定意味着对这些药物或其安全性影响的更好理解。本研究的目的是评估老年人的知识,信仰和态度如何告知他们关于OTC使用的决策。在三个社区药房进行了情境访谈,87名老年人参与者,以捕捉他们打算如何使用非处方药。访谈被转录和定性分析,产生七个关键主题:(1)药物使用问题;(2)遵循标签说明;(3)等待时间,直到药物效果;(4)对药物不起作用的反应;(5)停止药物治疗的决定;(6)信息来源;和(7)安全性影响。这项研究显示了老年人OTC药物使用的实质性变化,同时提供了对影响老年人适当OTC药物使用的因素的见解,以及在某些情况下,潜在的有害影响。
The potential risks of over-the-counter (OTC) medications are often aggravated in vulnerable populations, such as older adults. The elevated patterns of older-adult OTC medication use do not necessarily translate into a greater understanding of these medications or their safety implications. The objective of this study was to assess how older adults’ knowledge, beliefs, and attitudes inform their decision-making regarding OTC use. Situational interviews were conducted in three community pharmacies with 87 older-adult participants to capture how they intended to use an OTC medication. The interviews were transcribed and qualitatively analyzed, generating seven key themes: (1) medication use concerns; (2) following label instructions; (3) wait time until medication effect; (4) responses to medication not working; (5) decision to stop medication; (6) sources of information; and (7) safety implications. This study shows substantial variations in older-adult OTC medication use while providing insight on factors that influence older adults’ appropriate OTC medication use and, in some cases, the potential for harmful effects.
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