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July 1, 2024Nigerian Journal of MedicineOpen Access

Cognitive impairment and diagnosis of medical condition independently predicted medication adherence (P = 0.026 and P < 0.001, respectively).

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Why the study?

A knowledge gap exists regarding the association between cognitive impairment and medication adherence in older adults with chronic medical conditions.

Is cognitive impairment associated with reduced medication adherence in older adults with chronic medical conditions?

Comparison

Association between cognitive impairment and medication adherence

Design

Cross-sectional study

Authors

YKYesiru Adeyemi KareemIAIsmail Olaiitan AdesinaAOAbayomi Olajide

Discussion

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Member takes

Overview

May consider cognition when evaluating nonadherence in older adults; leaves open causality and whether screening should change practice.

Structured PICO

Is cognitive impairment associated with reduced medication adherence in older adults with chronic medical conditions?

P
Population
327 older adults aged 60 and above with chronic medical conditions (hypertension, diabetes mellitus, and arthritis) in a Nigerian tertiary hospital.
O
Outcome
Association between cognitive impairment and medication adherence (measured by Morisky Medication Adherence Scale-8)patient reported

Cognitive impairment independently predicts lower medication adherence in older adults with chronic conditions, highlighting the need for proactive cognitive screening in geriatric care.

Cite This Study

Kareem et al. (2024) studied this question.

synapsesocial.com/papers/6a80ffef176d2ce03165f3a1https://doi.org/10.4103/njm.njm_22_24
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Relation between cognitive impairment and treatment adherence in elderly hypertensive patients2018 · 75 citations
  2. 2Medication Management Difficulty, Medication Nonadherence, and Risk of Hospitalization Among Cognitively Impaired Older Americans: A Nationally Representative Study2024 · 13 citations
  3. 3Barriers to medication adherence and links to cardiovascular disease risk factor control: the Framingham Heart Study2017 · 68 citations
  4. 4Patterns of Cognitive Impairment and Associated Factors Among Elderly Patients Attending a Primary Care Clinic in North-Central Nigeria: A Cross-Sectional Study2025
  5. 5Characteristics and clinical correlates of objective medication adherence in older adults with cognitive impairment2026