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Health literacy: A community-based m...

Deupree, Joy P.

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Health literacy: A community-based mixed methods study of prescription medication self-managment among community dwelling older adults.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Health literacy: A community-based mixed methods study of prescription medication self-managment among community dwelling older adults./
Author:	Deupree, Joy P.
Description:	332 p.
Notes:	Source: Dissertation Abstracts International, Volume: 72-08, Section: A, page: .
Contained By:	Dissertation Abstracts International72-08A.
Subject:	Health Sciences, Aging. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3457144
ISBN:	9781124671857

Health literacy: A community-based mixed methods study of prescription medication self-managment among community dwelling older adults.
Deupree, Joy P.

Health literacy: A community-based mixed methods study of prescription medication self-managment among community dwelling older adults. - 332 p.

Source: Dissertation Abstracts International, Volume: 72-08, Section: A, page: .

Thesis (Ph.D.)--The University of Alabama at Birmingham, 2011.

During the next decade, it is estimated that 7,918 Americans will turn 60 years old every day. This increase is expected to impact future health care costs. The aging population must be knowledgeable about health care needs to self-manage chronic conditions requiring multiple medications.

ISBN: 9781124671857Subjects--Topical Terms:

1669845
Health Sciences, Aging.

Health literacy: A community-based mixed methods study of prescription medication self-managment among community dwelling older adults.
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020 $a 9781124671857
035 $a (UMI)AAI3457144
035 $a AAI3457144
040 $a UMI $c UMI
100 1 $a Deupree, Joy P. $3 1678387
245 1 0 $a Health literacy: A community-based mixed methods study of prescription medication self-managment among community dwelling older adults.
300 $a 332 p.
500 $a Source: Dissertation Abstracts International, Volume: 72-08, Section: A, page: .
500 $a Adviser: Brian F. Geiger.
502 $a Thesis (Ph.D.)--The University of Alabama at Birmingham, 2011.
520 $a During the next decade, it is estimated that 7,918 Americans will turn 60 years old every day. This increase is expected to impact future health care costs. The aging population must be knowledgeable about health care needs to self-manage chronic conditions requiring multiple medications.
520 $a Nearly half of all American adults have limited literacy skills. Adults at the lowest literacy levels may misunderstand instructions from a health care professional. Confusion about health care instructions can put patients at risk for adverse drug events.
520 $a The purpose of this two-phase, explanatory mixed methods study was to explore how community dwelling adults ages 60 to 74 self-manage five or more daily prescription medications. Multiple levels of support and influences were examined within the community to determine how each impacted individual health literacy. Adverse drug events from the past 12 months, barriers, and facilitators to medication self-administration were also explored using the Social Ecological Model as the framework for the study.
520 $a Using the maximal variation strategy for purposive sample selection, quantitative data were used to compose three distinct cases stratified by health literacy scores. Nine English-speaking community dwelling adults ages 60 to 74 participated in the follow-up, in-depth, qualitative phase. Three themes emerged during the analysis of each case; accuracy of self-administration of five or more daily prescribed medications, issues related to prescription medication adherence, and resources for assistance with medication administration. Further, 13 sub-themes emerged; the most prominent sub-themes were community support, patient-provider communication, pharmacy support, confusion related to generic substitutions, medication side effects, self-efficacy and family and friends.
520 $a Analysis revealed regardless of health literacy level or the number of daily prescribed medications, participants demonstrated high accuracy of self-management for their medications. A likely explanation for these findings may be attributed to a community resource program which provides multiple levels of support for the senior within the community of interest.
520 $a In 2007, limited health literacy was documented to add up to $2 38 billion of unnecessary costs to an already overburdened health care system. Future research and interventions should examine factors that influence relationships between health literacy and positive health outcomes.
590 $a School code: 0005.
650 4 $a Health Sciences, Aging. $3 1669845
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Education, Health. $3 1017668
690 $a 0493
690 $a 0569
690 $a 0573
690 $a 0680
710 2 $a The University of Alabama at Birmingham. $b Health Education/Promotion (Education). $3 1678388
773 0 $t Dissertation Abstracts International $g 72-08A.
790 1 0 $a Geiger, Brian F., $e advisor
790 1 0 $a Brown, Kathleen C. $e committee member
790 1 0 $a Hammonds, Phillip B. $e committee member
790 1 0 $a Ivankova, Nataliya $e committee member
790 1 0 $a Kohler, Connie $e committee member
790 $a 0005
791 $a Ph.D.
792 $a 2011
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3457144