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Journal of Aging and Health
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The Negative Association of Independent Personality and Medication Adherence

Kathleen C. Insel

University of Arizona, insel{at}nursing.arizona.edu

Sheryl L. Reminger

University of Illinois, Springfield

Chao-Pin Hsiao

University of Arizona

Objectives: This investigation examines the association of personality factors and medication adherence among older adults. Method: The Six-Factor Personality Questionnaire was mailed to participants involved in a medication adherence investigation. Medication adherence was monitored with an electronic monitoring cap for 8 weeks for one prescribed daily medication. Results: Sixty older adults, mean age 77 years (range 67 to 93 years), returned the questionnaire (69% response rate). Stepwise regression analysis demonstrates that when age and level of education are controlled, independence predicts medication adherence. This factor demonstrates a negative relationship with adherence suggesting that higher levels of independence may be related to lower adherence to prescribed medication. The facet component self-reliance is predictive of poor medication adherence. Discussion: The finding that higher self-reliance is associated with lower adherence in an older population deserves further investigation and clinical consideration.

Key Words: older adults • personality • medication adherence

Journal of Aging and Health, Vol. 18, No. 3, 407-418 (2006)
DOI: 10.1177/0898264306286200
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