Interactive effects of social support and social conflict on medication adherence in multimorbid older adults.

Warner, Lisa M;Schüz, Benjamin;Aiken, Leona;Ziegelmann, Jochen P;Wurm, Susanne;Tesch-Römer, Clemens;Schwarzer, Ralf;
Social science & medicine (1982) 2013 Vol. 87 pp. 23-30
350
warner2013interactivesocial

Abstract

With increasing age and multimorbidity, medication regimens become demanding, potentially resulting in suboptimal adherence. Social support has been discussed as a predictor of adherence, but previous findings are inconsistent. The study examines general social support, medication-specific social support, and social conflict as predictors of adherence at two points in time (6 months apart) to test the mobilization and social conflict hypotheses. A total of 309 community-dwelling multimorbid adults (65-85 years, mean age 73.27, 41.7% women; most frequent illnesses: hypertension, osteoarthritis and hyperlipidemia) were recruited from the population-representative German Ageing Survey. Only medication-specific support correlated with adherence. Controlling for baseline adherence, demographics, physical fitness, medication regimen, and attitude, Time 1 medication-specific support negatively predicted Time 2 adherence, and vice versa. The negative relation between earlier medication-specific support and later adherence was not due to mobilization (low adherence mobilizing support from others, which over time would support adherence). Social conflict moderated the medication-specific support to adherence relationship: the relationship became more negative, the more social conflict participants reported. Presence of social conflict should be considered when received social support is studied, because well-intended help might have the opposite effect, when it coincides with social conflict.

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0x95644003c57E6F55A65596E3D9Eac6813e3566dA
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85202
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10.1016/j.socscimed.2013.03.012
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