الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Patients’, especially older patients’, knowledge about their medicines is generally poor. Adherence represents significant challenges especially among elderly with chronic diseases, polypharmacy, and cognitive disability.
The current study was carried out among 400 Egyptian elderly aged 60 years and older divided into two groups; one of them is consisting of 200 community dwelling (geriatric outpatient clinic and geriatric club) elderly and the other one is consisting of 200 elderlies from nursing homes.
This study was done to identify unsafe use of medication among a group of Egyptian elderly population and compare the adherence among the elderly in nursing homes and community dwelling. Then 50 elderlies livening in nursing homes had educational program about safe intake of medication and the results of that program were evaluated.
Three tools were used in the study, Medication management instrument for deficiencies in the elderly questionnaire (MedMaIDE), Medication Assessment Questionnaire (MAQ), and Beliefs about Medicines Questionnaire – Specific (BMQ-S).
It was found that medication management of the elderly in the 2 groups wasn’t different. How the elderly of community dwelling take their medications was better than that of the elderly of nursing homes, moreover getting their medications was better among elderly of nursing homes. Health education improved elderly’s medication management in general. Medication management was correlated to elderly educational level and their income. There was no correlation between the participants’ medication management and their adherence categories, nor their beliefs about medications
On assessing medication adherence, the majority of the elderly were medium adherent followed by low adherent and the least was high adherent. Medication adherence between the two groups wasn’t different. It was found that there was improvement in adherence among nursing homes elderly after health education sessions. It was also noted that the elderly in the age group 60-70 years old, females, widowed, ex-employee, participants who had university education, and with 3000-<4000 EP monthly income had better adherence.
Although elderly medication adherence was not high but their medications beliefs was. The medication beliefs were better among community dwelling elderly. Health education didn’t change participants’ beliefs about medications. The age of the elderly was found to be negatively associated with their beliefs about medications. Moreover, the specific concern about medications among the elderly was negatively correlated to their adherence, on the contrary, their specific-necessity beliefs was positively correlated to the adherence