The Effectiveness of Structured Teaching Program on Medication Compliance among Elderly People with Chronic Diseases

Abstract

Introduction: Medication compliance, also known as adherence, is the degree to which a patient complies with the provider's advice regarding the schedule, dosage, and frequency of their daily treatments. India, a rural nation, has particular issues with treatment compliance that carries a significant risk of both morbidity and death.

Objectives: The objectives of the study were to assess the medication compliance among elderly people with chronic diseases and to assess the effectiveness of Structured teaching program on medication compliance among elderly people with chronic diseases.

Materials and Methods: This study utilized a quantitative research approach with a one-group pre-test post-test design to evaluate the effectiveness of structured teaching program on medication compliance among elderly people with chronic. Non-probability convenience sampling was employed to select 100 elderly people with chronic diseases (Hypertension, diabetes mellitus, arthritis or thyroid disorder) from Waghodia Taluka Gujarat. Sociodemographic data and medication compliance were assessed using a self-structured questionnaire.

Results: The pre-test and post-test level of medication compliance among elderly people with chronic diseases Results revealed that in pretest majority (52%) had moderate compliance and (48%) had poor compliance where as in post-test maximum (83%) had good medication compliance and (17%) had moderate compliance among elderly people with chronic diseases. the effectiveness of Structured teaching program on medication compliance among elderly people with chronic diseases which was tested by using paired t test. Mean post-test score was 18.13±1.983 was higher than pretest mean score 8.53±3.013 with mean difference of 9.59 and obtained (t value=27.36, df=99, p=0.001) was found statistically highly significant at p<0.05 level. Findings indicate that Structured teaching program was effective in improving the medication compliance among elderly people with chronic diseases.

Additionally, no significant association was observed between demographic variables at p<0.05 level with pre-test level of medication compliance among elderly people with chronic diseases.

Conclusion: The study's findings led to the conclusion that elderly people had various degrees of ignorance in all areas related to medication compliance. The STP was successful in improving elderly people’s understanding of medication compliance. There is no significant association between pre-test knowledge scores and demographic variables.

Ethical approval: The research was completed with appropriate research guidelines, the study was proposed and submitted to the ethical committee, Parul University Institutional Ethical Committee for Human Research (PUIECHR/PIMSR/00/081734/6104), Limda, Vadodara, and expert of the committee approved the study.