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December 06-07 , 2018
Amsterdam, Nether l ands
Journal of Neuropsychiatry
ISSN: 2471-8548
Alzheimer’s and Dementia 2018
1 3
t h
W o r l d c o n g r e s s o n
Alzheimer’s and Dementia
A
s the number of patients with high morbidity and medication burden increases, it is important to understand care patterns and
patient behaviors in complex populations. Few studies on confidence and medication adherence have been conducted among
older East Asian populations. The aim of this study was to investigate whether older adults who demonstrate care complexity
(multiple providers or outpatient healthcare visits) express varying levels of confidence in medication use and non-adherence.
Participants of a nationally representative survey of older Singaporeans were selected for analysis (N=1302). Associations of
interest were assessed using logistic regression, controlling for age, gender, ethnicity, education, medications and comorbidities.
Compared to participants who had no visits to a provider in the past 3 months, participants with one visit to a single provider
(OR=3.05, 95% CI 1.81-5.14), two visits-each to a different provider (OR=2.49, 95% CI 1.34-4.65) and multiple visits or providers
(OR=2.51, 95% CI 1.62-5.03) expressed lower confidence in medication use. There was no association between care complexity
and medication non-adherence. Among older Singaporeans, high care complexity was associated with lower confidence in
medication use, but not to medication non-adherence.
gy23@duke.eduHow is care complexity associated with medication
confidence and adherence? An analysis of the SAFE-
PHASE study in Singapore
Stacey Ying Guo
1,2
, Heather Whitson
1
, Truls Østbye
1
, Alison
Luciano
1
and Rahul Malhotra
2
1
Duke University, USA
2
Duke-NUS Medical School, Singapore
J Neurol Neurosci 2018, Volume: 2
DOI: 10.21767/2471-8548-C1-003