Jamie A Stone1, Cynthia H Phelan2, Richard J Holden3, Nora Jacobson4, Michelle A Chui5. 1. University of Wisconsin, Madison, USA. Electronic address: jamie.stone@wisc.edu. 2. Advocate Aurora Health and University of Wisconsin, Madison, USA. Electronic address: Cynthia.Phelan@aurora.org. 3. Indiana University School of Medicine and Indiana University Center for Aging Research, Regenstrief Institute, Inc, USA. Electronic address: rjholden@iupui.edu. 4. University of Wisconsin, Madison, USA. Electronic address: najacobson@wisc.edu. 5. University of Wisconsin, Madison, 777 Highland Avenue, Madison, WI, 53705, USA. Electronic address: michelle.chui@wisc.edu.
Abstract
BACKGROUND AND OBJECTIVES: Despite their availability without prescription, OTC medications pose a risk for significant harm for older adults due to higher likelihood of polypharmacy, drug interactions, and age-related physiological changes. The purpose of this study is to identify the individual decision factors that influence how older adults select and use over-the-counter medications. METHODS: A pilot study was conducted with 20 community-dwelling older adults. Older adults met the interviewer at a regional mass merchandise store where they were given both pain and insomnia standardized scenarios. Participants described how they would select and then hypothetically use a given medication to treat the problem described in the scenario. RESULTS: OTC medication selection and reported use were influenced by several person-level decision-making factors including: personal beliefs/knowledge about OTCs, assessment of the ailment, and medical constraints. CONCLUSION: The findings from this investigation provide direction for interventions to address unsafe OTC medication selection by older adults.
BACKGROUND AND OBJECTIVES: Despite their availability without prescription, OTC medications pose a risk for significant harm for older adults due to higher likelihood of polypharmacy, drug interactions, and age-related physiological changes. The purpose of this study is to identify the individual decision factors that influence how older adults select and use over-the-counter medications. METHODS: A pilot study was conducted with 20 community-dwelling older adults. Older adults met the interviewer at a regional mass merchandise store where they were given both pain and insomnia standardized scenarios. Participants described how they would select and then hypothetically use a given medication to treat the problem described in the scenario. RESULTS: OTC medication selection and reported use were influenced by several person-level decision-making factors including: personal beliefs/knowledge about OTCs, assessment of the ailment, and medical constraints. CONCLUSION: The findings from this investigation provide direction for interventions to address unsafe OTC medication selection by older adults.
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