背景:老年人使用药物的安全性日益受到关注,鉴于人口老龄化。尽管受到广泛关注,探索老年人的药物素养,特别是从信息素养的角度来看,正处于初级阶段。
方法:本研究利用现有文献将药物信息素养(MIL)定义为理论框架。进行了两轮Delphi调查,以确定老年人MIL指标系统的基本组成部分。然后使用层次分析法(AHP)为每个指标分配权重。
结果:该研究在两轮问卷中观察到相对较高的应答率,which,专家权威系数(Cr)为0.86和0.89,强调了小组成员的信誉和专业知识。此外,Kendall的一致性系数(Kendall'sW)在0.157至0.33之间(p<0.05),表明专家对已确定指标的共识。利用Delphi过程,开发了针对老年人的MIL指标系统,包括五个主要指标和23个次要指标。这些指标被加权,随着药物信息认知和获取成为提高老年人药物素养的关键因素。
结论:本研究使用Delphi方法开发了为老年人量身定制的MIL指标系统。这些发现可以为医疗保健专业人员提供定制的药物指导,并协助政策制定者制定政策以提高老年人的药物安全性。
■患者和公众参与在我们的老年人用药信息素养指标体系的发展中起着关键作用。他们的参与有助于塑造研究问题,促进学习参与,丰富的证据解释。与老年护理专家合作,医学,和公共卫生,随着与照顾者和有生活经验的人的讨论,为老年人的药物管理提供了宝贵的见解。他们的投入指导了我们的研究方向,并确保了我们研究结果的相关性和全面性。
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.
UNASSIGNED: 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.