Factors Associated with Motivation to Medication Adherence and Medication Knowledge Among Medical Aid Beneficiaries in Korea

2.50
Hdl Handle:
http://hdl.handle.net/10755/304117
Category:
Abstract
Type:
Presentation
Title:
Factors Associated with Motivation to Medication Adherence and Medication Knowledge Among Medical Aid Beneficiaries in Korea
Author(s):
Ahn, Yang Heui; Ham, Ok-kyung
Lead Author STTI Affiliation:
Lamba Alpha
Author Details:
Yang Heui Ahn, PhD, RN, HCNS, ahn57@yonsei.ac.kr; Ok-kyung Ham, PhD, RN;
Abstract:

Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013

Purpose: The purpose of this study was to analyze factors related to medication adherence motivation and medication knowledge among medical aid beneficiaries who have multiple chronic diseases and overly utilized health care services.

Methods: Case managers in 253 local offices collected data through interview from 448 beneficiaries across Korea in March, 2011. The instrument included general characteristics, chronic disease categories, and medication adherence motivation and medication knowledge measured using the Modified Morisky Scale (MMS; Morisky et al., 1983). The MMS includes three questions on medication adherence motivation, and three questions on medication knowledge, and is measured with nominal scale (0=yes, 1=no). A score below 2 out of the 3 questions indicates low motivation and/or low knowledge. Decisional balance regarding medication adherence was measured with two pros and two cons questions, while general self-efficacy was measured with the instrument developed by Sherer et al. (1982). Decisional balance and self-efficacy were measured with 5 point Likert scales. Data were analyzed using descriptive analysis, chi-square test, t-test, and logistic regression analysis.

Results: The results indicated that 36.8% (n=165) of the beneficiaries were in their 70s, and 74.8% (335) were women. Thirty-five percent (n=155) and 26.8% (n=120) of the beneficiaries had low medication motivation and low medication knowledge. Logistic regression analysis illustrated that those with diabetes, and lower cons for medication adherence were more likely to have appropriate medication knowledge (p<.05), while divorced, those with higher cons for medication adherence, and lower self-efficacy were more likely to have low medication motivation (p<05).  

Conclusion: Case managers should be aware that one-third of the medical aid beneficiaries had low medication motivation and low medication knowledge, and try to bridge the gap in medication knowledge and enhance motivation through case management services considering factors of medication motivation and knowledge.

Keywords:
medical aid; medication; chronic disease
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleFactors Associated with Motivation to Medication Adherence and Medication Knowledge Among Medical Aid Beneficiaries in Koreaen_GB
dc.contributor.authorAhn, Yang Heuien_GB
dc.contributor.authorHam, Ok-kyungen_GB
dc.contributor.departmentLamba Alphaen_GB
dc.author.detailsYang Heui Ahn, PhD, RN, HCNS, ahn57@yonsei.ac.kr; Ok-kyung Ham, PhD, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304117-
dc.description.abstract<p>Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013</p><b>Purpose: </b>The purpose of this study was to analyze factors related to medication adherence motivation and medication knowledge among medical aid beneficiaries who have multiple chronic diseases and overly utilized health care services. <p><b>Methods: </b>Case managers in 253 local offices collected data through interview from 448 beneficiaries across Korea in March, 2011. The instrument included general characteristics, chronic disease categories, and medication adherence motivation and medication knowledge measured using the Modified Morisky Scale (MMS; Morisky et al., 1983). The MMS includes three questions on medication adherence motivation, and three questions on medication knowledge, and is measured with nominal scale (0=yes, 1=no). A score below 2 out of the 3 questions indicates low motivation and/or low knowledge. Decisional balance regarding medication adherence was measured with two pros and two cons questions, while general self-efficacy was measured with the instrument developed by Sherer et al. (1982). Decisional balance and self-efficacy were measured with 5 point Likert scales. Data were analyzed using descriptive analysis, chi-square test, t-test, and logistic regression analysis. <p><b>Results: </b>The results indicated that 36.8% (n=165) of the beneficiaries were in their 70s, and 74.8% (335) were women. Thirty-five percent (n=155) and 26.8% (n=120) of the beneficiaries had low medication motivation and low medication knowledge. Logistic regression analysis illustrated that those with diabetes, and lower cons for medication adherence were more likely to have appropriate medication knowledge (<i>p</i><.05), while divorced, those with higher cons for medication adherence, and lower self-efficacy were more likely to have low medication motivation (<i>p</i><05).   <p><b>Conclusion: </b>Case managers should be aware that one-third of the medical aid beneficiaries had low medication motivation and low medication knowledge, and try to bridge the gap in medication knowledge and enhance motivation through case management services considering factors of medication motivation and knowledge.en_GB
dc.subjectmedical aiden_GB
dc.subjectmedicationen_GB
dc.subjectchronic diseaseen_GB
dc.date.available2013-10-22T20:29:23Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:29:23Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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