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Publication
Validação da versão portuguesa do medication management ability assessment tool (MMAA-PT) para avaliação da capacidade de gestão da medicação da população idosa
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Authors
Abstract(s)
Este estudo teve como objetivos a validação do Medication Management Ability Assessment versão portuguesa (MMAA-PT), assim como determinar o nível de capacidade funcional dos idosos para gerir um regime terapêutico simulado, compreender as suas principais limitações perante alterações no regime medicamentoso habitual e determinar a relação entre a capacidade funcional de gestão da medicação e a capacidade cognitiva.
Para tal, foram entrevistados 100 idosos, com idades iguais ou superiores a 65 anos, cuja média foi de aproximadamente 75,44 (±6,68) [65,00-94,00] anos, dos quais 70 % era do sexo feminino e 30% do sexo masculino. Destes, 9% nunca foi à escola, 68% frequentou a mesma num período de 1 a 4 anos, 17 % num período de 5 a 9 anos, 2% num período de 10 ou 11 anos e 4% frequentou 12 ou mais anos.
Neste estudo recorreu-se a quatro instrumentos, o Mini-Mental State Examination (MMSE), o Teste do Relógio (TR), a avaliação das Atividades instrumentais da vida diária (IADL) e o MMAA-PT. As pontuações médias obtidas em cada um deles foram, respetivamente, 25,18 (±3,97) [11,00-30,00], 51,04 (±24,47) [0,00-83,00], 20,99 (±4,98) [6,00-24,00] e 18,75 (±8,72) [0,00-33,00].
Foi concluído que tanto a capacidade funcional de gestão da medicação como a capacidade cognitiva diminuem com a idade e aumentam com o nível de escolaridade, assim como a uma melhor capacidade funcional de gestão da medicação se encontra associada uma melhor capacidade cognitiva.
A validade do instrumento foi verificada com recurso ao coeficiente de Spearman, através da validade convergente entre o MMAA-PT e o MMSE e entre o MMAA e o TR, tendo sido nas duas correlações o valor r de aproximadamente 0,44 (p<0,01), tratando-se, portanto, de duas correlações significativas positivas de força moderada, o que indica que a melhores pontuações no MMAA-PT estão associadas melhores pontuações no MMSE e no TR.
This study aimed to validate the Medication Management Ability Assessment Portuguese version (MMAA-PT), and determine the level of functional capacity of the elderly to manage a simulated therapeutic regimen, understand its main limitations when facing alterations and determine the relation between functional ability to manage medication and cognitive ability. For this purpose, 100 elderly were interviewed, with ages between 65 years and older, whose average was approximately 75.44 (±6.68) [65.00-94.00] years, of which 70% were female. and 30% male. Amongst, 9% never went to school, 68% attended school in a period of 1 to 4 years, 17% in a period of 5 to 9 years, 2% in a period of 10 or 11 years and 4% attended 12 or more years. In this study, four instruments were used, the Mini-Mental State Examination (MMSE), the Clock Test (TR), the assessment of Instrumental Activities of Daily Living (IADL) and the MMAA-PT. The average scores obtained in each of them were, respectively, 25.18 (±3.97) [11.00-30.00], 51.04 (±24.47) [0.00-83.00], 20.99 (±4.98) [6.00-24.00] and 18.75 (±8.72) [0.00-33.00]. It was concluded that both the functional capacity of medication management and the cognitive capacity decrease with age and increase with the level of education, and a better functional capacity of medication management is associated with a better cognitive capacity. The validity of the instrument was verified using the Spearman coefficient, through the convergent validity between the MMAA-PT and the MMSE and between the MMAA-PT and the TR, with an r value of approximately 0.44 in both correlations (p<0.01), being, therefore, two significant positive correlations of moderate strength, which indicates that better scores on the MMAA-PT are associated with better scores on the MMSE and TR.
This study aimed to validate the Medication Management Ability Assessment Portuguese version (MMAA-PT), and determine the level of functional capacity of the elderly to manage a simulated therapeutic regimen, understand its main limitations when facing alterations and determine the relation between functional ability to manage medication and cognitive ability. For this purpose, 100 elderly were interviewed, with ages between 65 years and older, whose average was approximately 75.44 (±6.68) [65.00-94.00] years, of which 70% were female. and 30% male. Amongst, 9% never went to school, 68% attended school in a period of 1 to 4 years, 17% in a period of 5 to 9 years, 2% in a period of 10 or 11 years and 4% attended 12 or more years. In this study, four instruments were used, the Mini-Mental State Examination (MMSE), the Clock Test (TR), the assessment of Instrumental Activities of Daily Living (IADL) and the MMAA-PT. The average scores obtained in each of them were, respectively, 25.18 (±3.97) [11.00-30.00], 51.04 (±24.47) [0.00-83.00], 20.99 (±4.98) [6.00-24.00] and 18.75 (±8.72) [0.00-33.00]. It was concluded that both the functional capacity of medication management and the cognitive capacity decrease with age and increase with the level of education, and a better functional capacity of medication management is associated with a better cognitive capacity. The validity of the instrument was verified using the Spearman coefficient, through the convergent validity between the MMAA-PT and the MMSE and between the MMAA-PT and the TR, with an r value of approximately 0.44 in both correlations (p<0.01), being, therefore, two significant positive correlations of moderate strength, which indicates that better scores on the MMAA-PT are associated with better scores on the MMSE and TR.
Description
Keywords
Capacidade funcional Gestão da medicação Idosos MMAA-PT