Main Article Content
Background: Self-regulating medication adherence is important, especially among the elderly suffering from non-communicable diseases (NCDs). In the COVID-19 pandemic situation, health services are limited. The study of structural factors of self-regulating medication adherence will, therefore, reveal overall relating factors of self-regulating medication adherence in order to plan for effective education in medication use for the elderly.
Objective: To investigate the concordance of the structural factors of self-regulating medication adherence among the elderly at elderly schools in Chonburi province.
Methods: The sample was composed of 147 elderly people in elderly schools in Ban-Suan Municipality who had been diagnosed with at least one NCD and had been receiving oral medication for at least one year. Data was collected using a questionnaire. The statistics used for data analysis were mean, percentage, and goodness-of-fit index.
Results: The goodness of fit index consisting of chi-square value 2 was 70.53 at p = .145 and the relative chi-square value (2/df) was 1.195. The comparative fit index (CFI), goodness-of-fit index (GFI), and root mean square error of approximation (RMSEA) were 0.958, 0.936 and 0.036, respectively.
Conclusion: Factors affecting self-regulating medication adherence among the elderly were knowledge and comprehension of NCDs and consequences of medication adherence; knowledge of medication check and proper storage; and attitude towards self-medication for additional medications, herbs and food supplements.
Department of Older Persons. Situation of the Thai Elderly. [internet]. 2021 [cited 2021 May 9]; Available from: http://www. dop.go.th/th/know/side/1/1/323. (in Thai).
Aekplakorn W. Report of Thai Health Survey by Physical Examination, 5th Edition. Bangkok: Aksorn Graphic and Design Publishing Limited Partnership; 2016. (in Thai).
Chaichanawirote U, Vithayachockitikhun N. Medication use behaviors among older Thai adults. Journal of Nursing and Health Science. 2015;9(1):32-46 (in Thai).
Wongboonnak P, Wongtrakul P, Mahamongkol H, Neimkhum W. The survey of medicine, food supplement and herbal products used problems among elderly: a case study at the community of Tumbon Srisa Chorakhe Noi, Samut Prakan province. HCU. Journal. 2016; 20(39):97-108 (in Thai).
Ruangritchankul S. Polypharmacy in the elderly.Ramathibodi Medical Journal. 2018;41(1):95-104. (in Thai).
Suwannapong K, Thanasilp S, Chaiyawat W. Medication adherence in persons with coronary artery disease: A delphi study. J Health Res. 2016;30(3):149-54. doi: 10. 14456/jhr.2016.21.
Gonzalez JS, Tanenbaum ML, Commissariat PV. Psychosocial factors in medication adherence and diabetes self-management: Implications for research and practice. Am Psychol. 2016;71(7):539-51. doi: 10.1037/a0040388.
Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, N.J: Prentice-Hall; 1995.
Gorsuch RL. Factor analysis. 2nd Edition. Hillsdale NJ: Lawrence Erlbaum Associates; 1983.
Kline RB. Principles and practice of structural equation modeling. 4th Edition. New York: Guilford Press; 2016.
Wongsuwan P. Development of instrument for keep taking medicine and motivation in taking medicine among elderly hypertension in community. Journal of Nursing and Education. 2017;10(1):90-104. (in Thai).
Kanglee K. Factors predicting medication use behaviors of patients with type II diabetes mellitus at Phramongkutklao Hospital. Journal of the Royal Thai Army Nurses. 2018;19(2):170-82. (in Thai).
Srisaart B. Basics of Research. 7th Edition. Bangkok: Suweeriyasanti; 2011 (in Thai).
Browne MW, Cudeck R. Alternative ways of assessing model fit. In Bollen KA, Long JS. editors. Testing structural equation models. Newbury Park, CA: Sage; 1993. p.136-162.
Chaimeekhieo N, Srisaenpang P. Medication self-management among older persons with multimorbidity in community. Journal of Nursing and Health Care. 2017;35(2): 148-57. (in Thai).
Roy NT, Sajith M, Bansode MP. Assessment of factors associated with low adherence to pharmacotherapy in elderly patients. J Young Pharm. 2017; 9(2):272-6. doi: 10.5530/jyp.2017.9.53.
Tipkanjanaraykha K, Saleekul S. Role of nurses in prevention and management of inappropriate medication use in older adults. Journal of the Royal Thai Army Nurses. 2019;20(1):31-9. (in Thai).
Kunlanit S, Powwattana A, Thiangthum W. The effects of self-regulation with home health care on fasting blood sugar among patients with uncontrolled diabetes and hypertension. Journal of Health Science Research. 2019;13(2):73-82. (in Thai).
Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008;67(12):2072-8. doi: 10.1016/j.socscimed.2008.09.050.