Interactive effects of social support and social conflict on medication adherence in multimorbid older adults.

Clicks: 422
ID: 85202
2013
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Ranked #13 of 124 articles by views in Social science & medicine (1982)

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Abstract
With increasing age and multimorbidity, medication regimens become demanding, potentially resulting in suboptimal adherence. Social support has been discussed as a predictor of adherence, but previous findings are inconsistent. The study examines general social support, medication-specific social support, and social conflict as predictors of adherence at two points in time (6 months apart) to test the mobilization and social conflict hypotheses. A total of 309 community-dwelling multimorbid adults (65-85 years, mean age 73.27, 41.7% women; most frequent illnesses: hypertension, osteoarthritis and hyperlipidemia) were recruited from the population-representative German Ageing Survey. Only medication-specific support correlated with adherence. Controlling for baseline adherence, demographics, physical fitness, medication regimen, and attitude, Time 1 medication-specific support negatively predicted Time 2 adherence, and vice versa. The negative relation between earlier medication-specific support and later adherence was not due to mobilization (low adherence mobilizing support from others, which over time would support adherence). Social conflict moderated the medication-specific support to adherence relationship: the relationship became more negative, the more social conflict participants reported. Presence of social conflict should be considered when received social support is studied, because well-intended help might have the opposite effect, when it coincides with social conflict.
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warner2013interactivesocial Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Warner, Lisa M;Schüz, Benjamin;Aiken, Leona;Ziegelmann, Jochen P;Wurm, Susanne;Tesch-Römer, Clemens;Schwarzer, Ralf;
Journal Social science & medicine (1982)
Year 2013
DOI
10.1016/j.socscimed.2013.03.012
URL
Keywords
cognition working memory human rodent memory neuropsychological test

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