Journal of Clinical Psychology in Medical Settings

, Volume 11, Issue 4, pp 275–282

Support Groups and Treatment Adherence in a Geriatric Outpatient Clinic

  • Stephen C. KogosJr.
Article

Abstract

The misuse of prescription medication costs America between $30.1 and 136.8 billion each year through sickness, hospitalization, and death (M. J. Johnson, M. Williams, & E. S. Marshall, 1999). Despite the efforts of many researchers to address the issue of nonadherence, few validated solutions have been developed. The current study assessed the existing medication adherence rates of 30 male participants and subsequently assigned them to one of the two conditions. The experimental condition was a 5-week multicomponent treatment adherence support group, whereas the control condition was a 5-week attention control group. All members of both conditions were compared on the measures of pill count, Seniors' Lifestyle Inventory, and Symptom Checklist-90-R. Members of the treatment adherence support groups demonstrated a significant increase in their medication adherence rate over the 5-week course of intervention.

treatment adherence support groups geriatrics 

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REFERENCES

  1. Ascione, F. (1994). Medication compliance in the elderly. Genera-tions, 18, 28–33.Google Scholar
  2. Balkrishnan, R. (1998). Predictors of medication adherence in the elderly. Clinical Therapeutics, 20(4), 764–771.Google Scholar
  3. Becker, M. H. (1985). Patient adherence to prescribed therapies. Medical Care, 23, 539–555.Google Scholar
  4. Capuzzi, D., Gross, D., & Friel, S. E. (1990). Recent trends in group work with elders. Generations, 14, 43–48.Google Scholar
  5. Corlett, A. J. (1996). Aids to compliance with medication. British Medical Journal, 313, 926–929.Google Scholar
  6. Derogatis, L. R. (1994). SCL-90-R: Symptom Checklist-90-R administration, scoring, and procedures manual (3rd ed.). Minneapolis, MN: National Computer Systems.Google Scholar
  7. DiMatteo, M. R., Sherbourne, C. D., Hays, R. D., Ordway, L., Kravitz, R. L., McGlynn, E. A., et al.(1993). Physicians' char-acteristics influence patients' adherence to medical treatment: Results from the medical outcomes study. Health Psychology, 12, 93–102.Google Scholar
  8. Doherty, W. J., Schrott, H. G., Metcalf, L., & Iasiello-Vailas, L. (1983). Effect of spouse support and health beliefs on med-ication adherence. Journal of Family Practice, 17(5), 837–841.Google Scholar
  9. Donovan, J. L., & Blake, D. R. (1992). Patient non-compliance: Deviance or reasoned decision-making? Social Science and Medicine, 34, 507–513.Google Scholar
  10. Elliott, T. R., Rivera, P., & Tucker, E. (2004). Groups in behav-ioral health and medical settings. In J. L. DeLucia-Waack, D. Gerrity, C. Kalodner, & M. Riva (Eds.), Handbook of group counseling and psychotherapy (pp. 32–47). New York: Sage.Google Scholar
  11. German, P. S., Klein, L. E., & McPhee, S. J. (1982). Knowledge of and compliance with drug regimens in the elderly. Journal of the American Geriatrics Society, 30, 568–571.Google Scholar
  12. Halter, J. B. (1999). The challenge of communicating health infor-mation to elderly patients: A view from geriatric medicine. In D. C. Park, R. W. Morrell, & K. Shifren (Eds.), Processing of medical information in aging patients: Cognitive and human factors perspectives (pp. 23–28). Mahwah, NJ: Erlbaum.Google Scholar
  13. Horne, R., & Weinman, J. (1999). Patients' beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness. Journal of Psychosomatic Research, 47, 555–567.Google Scholar
  14. Hussey, L. C. (1994). Minimizing effects of low literacy on medi-cation knowledge and compliance among the elderly. Clinical Nursing Research, 3, 132–145.Google Scholar
  15. Issac, L. M., Tamblyn, R. M., & the McGill-Calgary Drug Research Team. (1993). Compliance and cognitive function: A method-ological approach to measuring unintentional errors in med-ication compliance in the elderly. The Gerontologist, 33(6), 772–781.Google Scholar
  16. Johnson, M. J., Williams, M., & Marshall, E. S. (1999). Adherent and nonadherent medication-taking in elderly hypertensive patients. Clinical Nursing Research, 8, 318–335.Google Scholar
  17. Kendrick, R., & Bayne, J. R. (1982). Compliance with prescribed medication by elderly patients. Journal of the Canadian Medi-cal Association, 127, 961.Google Scholar
  18. Klein, L. E., German, P. S., McPhee, S. J., Smith, C. R., & Levine, D. M. (1982). Aging and its relationship to health knowledge and medication compliance. The Gerontologist, 22, 384–387.Google Scholar
  19. Lorenc, L. & Branthwaite, A. (1993). Are older adults less compli-ant with prescribed medication than younger adults? British Journal of Clinical Psychology, 32, 485–492.Google Scholar
  20. Magen, R. H., & Glajchen, M. (1999). Cancer support groups: Client outcome and the context of group process. Research on Social Work Practice, 9, 541–554.Google Scholar
  21. Meichenbaum, D., & Turk, D. C. (1987). Facilitating treatment ad-herence: A practitioner's handbook. New York: Plenum.Google Scholar
  22. Monane, M., Bohn, R. L., Gurwitz, J. H., Glynn, R. J., Levin, R., & Avorn, J. (1996). Compliance with antihypertensive ther-apy among elderly medicaid enrollees: The roles of age, gen-der, and race. American Journal of Public Health, 86, 1805–1808.Google Scholar
  23. Oygard, L., Thuen, F., & Solvang, P. (2000). An evaluation of di-vorce support groups: A qualitative approach. Journal of Di-vorce and Remarriage, 32(3-4), 149–164.Google Scholar
  24. Richardson, J. L. (1986). Perspectives on compliance with drug reg-imens among the elderly. The Journal of Compliance in Health Care, 1, 33–45.Google Scholar
  25. Robbins, L. J., & Jahingen, D. W. (1984). Child resistant packaging and the geriatric patient. Journal of the American Geriatrics Society, 32, 450–452.Google Scholar
  26. Robison, F. F. (1993). A training and support group for elderly diabetics: Description and evaluation. Journal for Specialists in Group Work, 18, 127–136.Google Scholar
  27. Robison, F. F., Smaby, M. H., & Donovan, G. (1989). Influencing el-derly clients to participate in mental health counseling. Journal of Mental Health Counseling, 11, 259–272.Google Scholar
  28. Roter, D. L., Hall, J. A., Merisca, R., Nordstrom, B., Cretin, D., & Svarstad, B. (1998). Effectiveness of interventions to improve patient compliance. Medical Care, 36, 1138–1161.Google Scholar
  29. Roth, H. P. (1990). Problems with adherence in the elderly. In S. A. Shumaker, E. B. Schron, & J. K. Ockene (Eds.), The handbook of health behavior change (pp. 315–327). New York: Springer.Google Scholar
  30. Ryan, D., & Doubleday, E. (1995). Group work: A lifeline for iso-lated elderly. Social Work with Groups, 18, 65–78.Google Scholar
  31. Sandstrom, K. L. (1996). Searching for information, understanding, and value: The utilization of peer support groups by gay men with HIV AIDS. Social Work in Health Care, 23, 51–74.Google Scholar
  32. Schwirian, P. M. (1992). The seniors' lifestyle inventory: Assessing health behaviors in older adults. Behavior, Health and Aging, 2, 43–55.Google Scholar
  33. Skolnick, B. D., Eddy, J. M., & St. Pierre, R. W. (1984). Medication compliance and the aged: An educational challenge. Educa-tional Gerontology, 10, 307–315.Google Scholar
  34. Stewart, R. B. (1990). Polypharmacy in the elderly: Afait accompli? The Annals of Pharmacotherapy, 24, 321–323.Google Scholar
  35. Summers, J., Robinson, R., Capps, L., Zisook, S., Atkinson, J. H., McCutchan, J. A., et al. (2000). The influence of HIV-related support groups on survival in women who lived with HIV. Psy-chosomatics, 41, 262–268.Google Scholar
  36. Tellfair, J., & Gardner, M. M. (1999). African American adolescents with sickle cell disease: Support groups and psychological well being. Journal of Black Psychology, 25, 378–390.Google Scholar
  37. The Task Force for Compliance. (1994). Noncompliance with medications: An economic tragedy with important implications for health care reform. Baltimore, MD: Author.Google Scholar
  38. Thompson, S. (1996). Living with loss: A bereavement support group. Groupwork, 9(1), 5–14.Google Scholar
  39. Wassef, A., Mason, G., Collins, M. L., VanHaalen, J., & Ingham, D. (1998). Effectiveness of one-year participation in school-based volunteer-facilitated peer support groups. Adolescence, 33(129), 91–97.Google Scholar
  40. Yalom, I. D. (1995). The theory and practice of group psychotherapy. New York: Basic Books.Google Scholar

Copyright information

© Springer Science+Business Media, Inc. 2004

Authors and Affiliations

  • Stephen C. KogosJr.
    • 1
  1. 1.Department of Physical Medicine and RehabilitationUniversity of Alabama at BirminghamAlabamaUSA

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