NDLI: Development and Content Validation of an Instrument to Measure Medication Self-Management in Older Adults

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Development and Content Validation of an Instrument to Measure Medication Self-Management in Older Adults

Content Provider	MDPI
Author	Patel, Tejal McDougall, Aidan Ivo, Jessica Carducci, Jillian Pritchard, Sarah Chang, Feng Faisal, Sadaf Lee, Catherine
Copyright Year	2021
Description	Background: For older adults, the capacity to self-manage medications may be limited by several factors. However, currently available tools do not permit a comprehensive assessment of such limitations. The Domain Specific Limitation in Medication Management Capacity (DSL-MMC) was developed to address this need. This study aimed to establish the face and content validity of the DSL-MMC. Methods: The DSL-MMC tool consisted of 4 domains and 12 sub-domains with 42 items including: 1. physical abilities (vision, dexterity, hearing); 2. cognition (comprehension, memory, executive functioning); 3. medication regimen complexity (dosing regimen, non-oral administration, polypharmacy); and 4. access/caregiver (prescription refill, new prescription, caregiver). Pharmacists assessed each item for relevance, importance, readability, understandability, and representation. Items with content validity index (CVI) scores of <0.80 for relevance were examined for revision or removal. Results: Twelve pharmacists participated in the study. CVI scores for relevance and importance of domains were 1.0; of the sub-domains, two were below 0.80. Among the 42 items, 35 (83%) and 30 (71%) maintained CVI scores above 0.80 for relevance and importance, respectively. Five items were removed, three were merged and seven were modified due to low CVI scores and/or feedback. Conclusion: The DSL-MMC has been validated for content.
Starting Page	78
e-ISSN	22264787
DOI	10.3390/pharmacy9020078
Journal	Pharmacy
Issue Number	2
Volume Number	9
Language	English
Publisher	MDPI
Publisher Date	2021-04-11
Access Restriction	Open
Subject Keyword	Pharmacy Gerontology Medication Adherence Medication Management Aged Elderly Validation Study
Content Type	Text
Resource Type	Article

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