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Younger-Old and Older-Old Adults' Recall of Medication Instructions*

Published online by Cambridge University Press:  31 March 2010

Leslie McDonald-Miszczak*
Affiliation:
Western Washington University
Shevaun D. Neupert
Affiliation:
North Carolina State University
Gloria Gutman
Affiliation:
Simon Fraser University
*
Requests for offprints should be sent to: / Les demandes de tirês-à-part doivent être addressêes à : Leslie McDonald-Miszczak, Associate Professor, Department of Psychology Western Washington University, 516 High Street, MS 9089, Bellingham, WA 98225. ([email protected])

Abstract

The present study was conducted to expand research showing that older adults' expectations that they will recall particular medication instructions do not coincide with their actual ability to do so. Seventy-one younger-old adults (M = 68.10 years, range = 57–74) and 62 older-old adults (M = 80.31 years, range = 75–89) made judgements about the likelihood of their recalling medication instructions and about their confidence in their recall. The results indicate that older-old adults recall fewer instructions than do younger-old adults and that both groups overestimate their ability to recall the instructions. This research suggests that problems remembering to take medication may be due, in part, to older adults' overestimating the ease with which they will remember medication instructions.

Résumé

La prêsente êtude a êtê menêe dans le but d'appuyer des recherches selon lesquelles les attentes des aînês, pour ce qui est de se rappeler des instructions relatives à certains mêdicaments, ne coïncidaient pas avec leurs aptitudes rêelles. Soixante et onze « jeunes aînês » (moyenne=68,10 ans, fourchette=57–74 ans), ainsi que soixante-douze aînês d'un âge plus avancê (moyenne=80,31 ans, fourchette=75–89 ans) ont êmis des jugements à l'êgard de la probabilitê qu'ils se rappellent des instructions relatives à un mêdicament ainsi que de leur confiance envers leur mêmoire. Les rêsultats indiquent que les aînês les plus âgês se sont souvenus des instructions moins frêquemment que les aînês moins âgês, et que les deux groupes ont surêvaluê leur aptitude à se souvenir des instructions. Cette recherche semble indiquer que les problèmes d'oubli de mêdicaments pourraient être dus, en partie, au fait que les aînês ont tendance à surestimer la facilitê avec laquelle ils vont se souvenir des instructions relatives aux mêdicaments.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2005

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Footnotes

*

This research was supported by a grant from the BC Health Research Foundation to Drs. McDonald-Miszczak and Gutman.

References

Devolder, P.A., Brigham, M.C., & Pressley, M. (1990). Memory performance awareness in younger and older adults. Psychology and Aging, 5, 291303.CrossRefGoogle ScholarPubMed
Gould, O.N., McDonald-Miszczak, L., & Gregory, J. (1999). Prediction accuracy and medication instructions: Will you remember tomorrow? Aging, Neuropsychology, and Cognition, 6, 141154.CrossRefGoogle Scholar
Gray, S.L., Mahoney, J.E., & Blough, D.K. (2001). Medication adherence in elderly patients receiving home health services following hospital discharge. Annals of Pharmacotherapy, 35, 539545.CrossRefGoogle ScholarPubMed
Ley, P. (1986). Cognitive variables and noncompliance. Journal of Compliance in Health Care, 1, 171188.Google Scholar
Ley, P., & Spelman, M.S. (1965). Communications in an outpatient setting. British Journal of Social and Clinical Psychology, 4, 114116.Google Scholar
Morrell, R.W., Park, D.C., Kidder, D.P., & Martin, M. (1997). Adherence to antihypertensive medications across the life span. Gerontologist, 37, 609619.Google Scholar
Morrow, D., Leirer, V., Altieri, P., & Tanke, E. (1991). Elders' schema for taking medication: Implications for instruction design. Journal of Gerontology, 46, P378P385.CrossRefGoogle ScholarPubMed
Morrow, D.G., Leirer, V.O., Andrassy, J.M., Hier, C.M., & Menard, W.E. (1998). The influence of list format and category headers on age differences in understanding medication instructions. Experimental Aging Research, 24, 231256.Google ScholarPubMed
Morrow, D., Leirer, V., & Sheikh, J. (1988). Adherence and medication instructions: Review and recommendations. Journal of the American Geriatrics Society, 36, 11471160.CrossRefGoogle Scholar
Murray, M.D., Morrow, D., Weiner, M., Clark, D.O., Tu, W., Deer, M.M. et al. (2004). A conceptual framework to study medication adherence in older adults. American Journal of Geriatric Pharmacotherapy, 2, 3643.CrossRefGoogle ScholarPubMed
Nelson, T.O. (1984). A comparison of current measures of the accuracy of feeling-of-knowing predictions. Psychological Bulletin, 95, 109133.CrossRefGoogle ScholarPubMed
Nelson, T.O. & Dunlosky, J. (1991). When people's judgments of learning (JOLs) are extremely accurate at predicting subsequent recall: The “delayed-JOL effect.” Psychological Science, 2, 267270.CrossRefGoogle Scholar
Neupert, S.D., & McDonald-Miszczak, L. (2004). Younger and older adults' delayed recall of medication instructions: The role of cognitive and metacognitive predictors. Aging, Neuropsychology, and Cognition, 11, 428442.CrossRefGoogle Scholar
O'Brien, M.K., Petrie, K., & Raeburn, J. (1992). Adherence to medication regimens: Updating a complex medical issue. Medical Care Review, 49, 435454.CrossRefGoogle ScholarPubMed
Park, D.C., & Jones, T.R. (1997). Medication adherence and aging. In Fisk, A.D., & Rogers, W.A. (Eds.), Handbook of human factors and the older adult (pp. 257287). San Diego, CA: Academic Press.Google Scholar
Park, D.C., Morrell, R.W., Frieske, D., & Kincaid, D. (1992). Medication adherence behaviors in older adults: Effects of external cognitive supports. Psychology and Aging, 7, 252256.CrossRefGoogle ScholarPubMed
Salthouse, T.A. (1991). Mediation of adult age differences in cognition by reductions in working memory and speed of processing. Psychological Science, 2, 179183.CrossRefGoogle Scholar
Salthouse, T.A., Babcock, R.L., & Shaw, R.J. (1991). Effects of adult age on structural and operational capacities in working memory. Psychology and Aging, 6, 118127.Google Scholar
Small, B.J., Dixon, R.A., Hultsch, D.F., & Hertzog, C. (1999). Longitudinal changes in quantitative and qualitative indicators of word and story recall in young-old and old-old adults. Journals of Gerontology: Psychological Sciences and Social Sciences, 54B, P107P115.CrossRefGoogle Scholar
Stine, E.A., & Wingfield, A. (1990). The assessment of qualitative age differences in discourse processing. In Hess, T.M. (Ed.), Aging and cognition: Knowledge organization and utiliziation (pp. 3392). Oxford, UK: North-Holland.CrossRefGoogle Scholar