A comparison of medication management between older and younger adults living with HIV

J Assoc Nurses AIDS Care. 2014 Sep-Oct;25(5):414-26. doi: 10.1016/j.jana.2013.11.006. Epub 2014 Feb 20.

Abstract

The aims of this study were to examine differences in medication management between older and younger adults living with HIV and to examine the relationship between age and cognitive ability, depressive symptoms, and self-efficacy on medication management. This research utilized a descriptive-correlational, cross-sectional design to compare medication management between older and younger adults living with HIV and to describe differences in predictive factors of cognition, depressive symptoms, and self-efficacy on medication management. Results indicated that both older and younger adults had poor medication management skills and high rates of mild cognitive impairment. While older adults performed worse on the medication management test than younger adults, the results were not statistically significant. In both older and younger adults, cognitive ability and depressive symptoms were predictors of medication management, with cognitive ability being the strongest predictor for both groups. Cognitive ability was a stronger predictor for older adults than for younger adults.

Keywords: adherence; aging; cognitive ability; depression; medication management; self-efficacy.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Adult
  • Age Factors
  • Aged
  • Aging
  • Analysis of Variance
  • Cognition*
  • Cognitive Dysfunction / complications
  • Cognitive Dysfunction / psychology*
  • Cross-Sectional Studies
  • Depression / complications
  • Depression / psychology*
  • Female
  • HIV Infections / complications
  • HIV Infections / drug therapy*
  • HIV Infections / psychology
  • Humans
  • Male
  • Medication Adherence / psychology*
  • Medication Adherence / statistics & numerical data
  • Middle Aged
  • Regression Analysis
  • Self Efficacy*
  • Socioeconomic Factors
  • Surveys and Questionnaires