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August 31, 2023Journal of Korean Gerontological NursingOpen Access

Development and effectiveness of an integrated medication management program centered on senior welfare centers for older adults with hypertension: A cross-sectional study

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Key result

Integrated medication management improves hypertension knowledge and medication self-efficacy in older adults versus control.

  • P<0.001
  • n=57

Why the study?

The effects of an integrated online and offline medication management program for older adults with hypertension residing in the community were examined.

Does an integrated medication management program improve knowledge of hypertension and self-efficacy for appropriate medication in older adults with hypertension?

Population

57 older adults with hypertension (intervention group: 29, control group: 28)

Comparison

Integrated medication management program vs nonequivalent control group

Design

Nonequivalent control group pretest-posttest design

Follow-up

3 weeks

Authors

HMHeuijeong MoonDJDukyoo Jung

Discussion

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Member takes

Overview

May support integrated programs to boost hypertension knowledge in older adults; leaves open effects on adherence or outcomes.

Structured PICO

Does an integrated medication management program improve knowledge of hypertension and self-efficacy for appropriate medication in older adults with hypertension?

P
Population
57 older adults aged 65 and older with hypertension taking medication for over 1 year, who participated in a 3-week integrated medication management program.
I
Intervention
Integrated online and offline medication management program including verbal and video education, individual counseling, and using a medication note over 3 weeks
C
Comparator
Nonequivalent control group
O
Outcome
Knowledge of hypertension and self-efficacy for appropriate medicationpatient reported

Main Result

Absolute Event Rate: 30.82% vs 24.17%

p-value: p=<0.001

An integrated medication management program significantly improved hypertension knowledge and medication self-efficacy in older adults.

Limitations

  • Convenience sampling from two specific centers in one region limits generalizability.
  • Short intervention period of 3 weeks.
  • Did not include direct interventions like blood pressure measurement by nurses.
  • Potential for diffusion of treatment between the two nearby centers.
  • Did not consider multidimensional factors affecting medication adherence.
  • Requires more rigorous research methods in future studies

Cite This Study

Moon et al. (2023) studied Hypertension (n=57). Integrated medication management program (verbal/video education, individual counseling, medication note) vs. No intervention was evaluated on Knowledge of hypertension (Group x Time interaction) (p=<0.001). An integrated medication management program significantly improved knowledge of hypertension (p<0.001) and self-efficacy for appropriate medication (p=0.044) in older adults with hypertension compared to the control group.

synapsesocial.com/papers/6aaf8486f6bf3b8571de6d9dhttps://doi.org/10.17079/jkgn.2023.00052
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