Department of Behavioral and Community Health Sciences, University of Pittsburgh, Pennsylvania.
School of Packaging, Michigan State University, Lansing.
Gerontologist. 2014 Dec;54(6):909-18. doi: 10.1093/geront/gnu034. Epub 2014 May 20.
Research on the ways older people use prescription medications (Rx) is a mainstay of the gerontological literature because use of Rx medications is common, and appropriate use is central to effective management of chronic disease. But older adults are also major consumers of over-the-counter (OTC) medications, which can be equally significant for self-care. Nearly half of older adults aged 75-85, for example, are regular users of an OTC product. Ensuring that consumers safely and effectively use OTC products is critical in order to minimize potential drug-drug interactions and unintentional misuse. Yet we know surprisingly little about the ways older adults select OTC medications and decide when to start or stop use, how older people actually take these medications, or how involved clinicians and family members are in older adult OTC behavior. Research in this area is critical for developing interventions to help ensure safe and appropriate OTC use. For this reason, The Gerontological Society of America (GSA), in partnership with the Consumer Healthcare Products Association (CHPA), convened a summit of experts to set an agenda for research in OTC behaviors among older adults. The panel suggested a need for research in 5 key areas: Health literacy and OTC behavior, decision making and OTC use, the role of clinicians in OTC medication behavior, older adult OTC behavior and family care, and technologies to promote optimal use of OTC medications.
研究老年人使用处方药物(Rx)的方式是老年学文献的主要内容,因为 Rx 药物的使用很普遍,而正确使用是有效管理慢性病的关键。但是,老年人也是非处方(OTC)药物的主要消费者,这些药物对于自我护理也同样重要。例如,近一半的 75-85 岁老年人是 OTC 产品的常规使用者。为了尽量减少潜在的药物相互作用和意外滥用,确保消费者安全有效地使用 OTC 产品至关重要。然而,我们对老年人选择 OTC 药物的方式以及何时开始或停止使用的决定、老年人实际服用这些药物的方式,或者临床医生和家庭成员在老年人 OTC 行为中的参与程度知之甚少。该领域的研究对于制定干预措施以确保安全和适当的 OTC 使用至关重要。出于这个原因,美国老年学学会(GSA)与消费者医疗保健产品协会(CHPA)合作,召集了专家峰会,为老年人的 OTC 行为研究制定了议程。该小组建议在 5 个关键领域进行研究:健康素养和 OTC 行为、决策和 OTC 使用、临床医生在 OTC 药物行为中的作用、老年人的 OTC 行为和家庭护理,以及促进 OTC 药物最佳使用的技术。