Toward a Medication Information Literacy Indicator System for Older Adults: A Delphi Study
作者全名：Zhou, Xiaoyu; Yi, Jia; Bai, Li; Jiang, Mengyao; Peng, Wei; Liao, Jing; Wang, Hang; Hou, Xiaorong
作者地址：[Zhou, Xiaoyu; Yi, Jia; Jiang, Mengyao; Liao, Jing; Wang, Hang; Hou, Xiaorong] Chongqing Med Univ, Coll Med Informat, Chongqing, Peoples R China; [Bai, Li] Hosp Zigong Mental Hlth Cent, Dept Sci & Educ, Zigong, Sichuan, Peoples R China; [Peng, Wei] Chongqing Med Univ, Affiliated Hosp 1, Dept Endocrinol, Chongqing, Peoples R China
通信作者：Hou, XR (通讯作者)，Chongqing Med Univ, Coll Med Informat, Chongqing, Peoples R China.
来源：HEALTH EXPECTATIONS
ESI学科分类：SOCIAL SCIENCES, GENERAL
WOS号：WOS:001258219700001
JCR分区：Q2
影响因子：3
年份：2024
卷号：27
期号：4
开始页：
结束页：
文献类型：Article
关键词：Delphi; indicator system; medication information literacy; older adults
摘要：Background The safety of medication use among older adults is a growing concern, given the aging population. Despite widespread attention, the exploration of medication literacy in older adults, particularly from the perspective of information literacy, is in its nascent stages. Methods This study utilized the existing literature to define medication information literacy (MIL) as a theoretical framework. A two-round Delphi survey was conducted to identify the essential components of a MIL indicator system for older adults. The analytic hierarchy process (AHP) was then used to assign weights to each indicator. Results The study observed relatively high response rates in both rounds of the questionnaire, which, along with expert authority coefficients (Cr) of 0.86 and 0.89, underscores the credibility and expertise of the panellists. Additionally, Kendall's coefficient of concordance (Kendall's W) ranging from 0.157 to 0.33 (p < 0.05) indicates a consensus among experts on the identified indicators. Utilizing the Delphi process, a MIL indicator system for older adults was developed, comprising five primary and 23 secondary indicators. These indicators were weighted, with medication information cognition and acquisition emerging as pivotal factors in enhancing medication literacy among older adults. Conclusions This study developed a MIL indicator system tailored for older adults using the Delphi approach. The findings can inform healthcare professionals in providing customized medication guidance and assist policymakers in crafting policies to enhance medication safety among older adults. Patient or Public Contribution Patient and public engagement played a pivotal role in the development of our medication information literacy indicator system for older adults. Their involvement contributed to shaping research questions, facilitating study participation, and enriching evidence interpretation. Collaborations with experts in geriatric nursing, medicine, and public health, along with discussions with caregivers and individuals with lived experience, provided invaluable insights into medication management among older adults. Their input guided our research direction and ensured the relevance and comprehensiveness of our findings.
基金机构：Project of Humanities and Social Sciences of the Ministry of Education of China [20YJCZH043]; Smart Medicine Project of Chongqing Medical University [ZHYX202209]; Chongqing Postgraduate Innovation Project of the Chongqing Municipal Education Commission of China [CYS22388]
基金资助正文：This work was supported by the Project of Humanities and Social Sciences of the Ministry of Education of China (Grant Number 20YJCZH043), the Smart Medicine Project of Chongqing Medical University (Grant number ZHYX202209), and the Chongqing Postgraduate Innovation Project of the Chongqing Municipal Education Commission of China (Approval No. CYS22388).
