Neupert Shevaun D, Patterson Taryn R, Davis Agnes A, Allaire Jason C
Department of Psychology, North Carolina State University, Raleigh, USA.
Exp Aging Res. 2011 Jul;37(4):435-48. doi: 10.1080/0361073X.2011.590757.
The present study examined age differences in the within-person daily associations of basic cognition, everyday cognition, and busyness with forgetting to take medication. The authors extend previous interindividual difference findings by conducting a daily diary study of a baseline assessment and 8 consecutive days of 40 older adults (age = 60-89 years, M = 74.86) and 31 younger adults (age = 18-20 years, M = 18.30) where basic cognition, everyday cognition, busyness, and forgetting medication were assessed each day and entered simultaneously into one model. Results from a logistic multilevel model indicated that performance on Letter Series was beneficial for both age groups, but the role of fluctuations in busyness on forgetting to take medications was opposite for younger and older adults. Younger adults remembered to take their medication the most on days when they had high everyday cognition and were busier. Older adults remembered to take their medication the most on days when they had high everyday cognition but were less busy. These findings highlight the importance of contextual variation in busyness in relation to daily medication adherence for younger and older adults.
本研究考察了基本认知、日常认知以及忙碌程度与忘记服药之间的个体内每日关联的年龄差异。作者通过对40名老年人（年龄 = 60 - 89岁，M = 74.86）和31名年轻人（年龄 = 18 - 20岁，M = 18.30）进行一项每日日记研究，扩展了先前关于个体间差异的研究结果。在该研究中，对基本认知、日常认知、忙碌程度和忘记服药情况进行每日评估，并将这些数据同时纳入一个模型。逻辑多水平模型的结果表明，字母系列测试的表现对两个年龄组都有益，但忙碌程度的波动对年轻人和老年人忘记服药的影响作用相反。年轻人在日常认知水平高且更忙碌的日子里最记得服药。老年人在日常认知水平高但不太忙碌的日子里最记得服药。这些发现凸显了忙碌程度的情境变化对于年轻人和老年人日常服药依从性的重要性。
