[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-426448-en":3,"detail-sidebar-cat-0-en-105":30,"doc-seo-426448-105":79},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":20},426448,2336478945519,"Franzy","https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45",7,"Healthcare","POLYPHARMACY AND MEDICATION SELF-EFFICACY IN OLDER EMERGENCY DEPARTMENT PATIENTS","Over 50% of older adults in the US take at least five medications, and prevalence reaches 76.8% in the emergency department (ED). Medication self-efficacy—understanding and following regimens—may shape adherence and adverse drug events when ED visits lead to new prescriptions. A logistic regression using 5-site multicenter ED survey data linked to electronic health records (age ≥65; baseline ED visits 2019-2021) tested polypharmacy and potentially inappropriate medication (PIM) effects on low self-efficacy at the ED visit.","Innovation in Aging, 2025, Vol. 9, No. S2 1249  \nAbstract citation ID: igaf122.4175  \nPOLYPHARMACY AND MEDICATION SELF-EFFICACY IN OLDER EMERGENCY DEPARTMENT PATIENTS  \nInessa Cohen1, Natalia Sifnugel2, Ling Han3, Daniella Meeker4, Christopher Carpenter5, William Hung6, Debra Tomasino7, and Ula Hwang8, 1. Yale University, Yale University, Connecticut, United States, 2. NYU Langone Medical Center, New York, New York, United States, 3. Yale School of Medicine, New Haven, Connecticut, United States, 4. Yale School of Medicine, Yale University, Connecticut, United States, 5. Mayo Clinic, Rochester, Minnesota, United States, 6. James J. Peters Department of Veterans Affairs Medical Center, New York, New York, United States, 7. New York University, New York, New York, United States, 8. NYU Grossman School of Medicine, New York, New York, United States  \nOver 50% of older adults in the US take ≥5 medications, with prevalence reaching 76.8% in the emergency department (ED) setting. However, little is known about their medication self-efficacy (the ability to understand and follow medication regimens), which may influence adherence and adverse drug events when new prescriptions are added during ED visits. Our objective was to determine whether polypharmacy and potentially inappropriate medication (PIM) are associated with  \n1250 Innovation in Aging, 2025, Vol. 9, No. S2  \nself-efficacy. We performed a logistic regression analysis using 5-site multicenter ED survey data linked to electronic health records from patients aged ≥65 years with baseline ED visits during 2019-2021. The predictors were polypharmacy (≥5 medications) and PIM use (≥1 high-risk medication, GEMRx criteria) of prescriptions taken within 1 year of the ED visit. The outcome was low medication self-efficacy (\u003C 11 points MUSE-taking score) assessed at the ED visit. Covariates included insurance, education, marital status, race/ethnicity, caregiver support, dementia status, and frailty. Among 921 patients, 249 (27.0%) had polypharmacy and 66 (7.2%) had PIM use. Low medication self-efficacy was reported by 76 (37.8%) with polypharmacy and  \n26 (12 .9%) with PIM use versus 125 (62 .2%) and 40 (5 .6%) without. Both polypharmacy (aOR 6.12, 95% CI 2.05-18.22, p = 0.001) and PIM use (aOR 33.65, 95% CI 5.81-214.35, p \u003C 0.001) were associated with greater adjusted odds of low medication self-efficacy. Frailty modified this association, with weaker effects in more frail patients (OR 5.51, 95% CI 2.57-11.8, p = 0.003) . These findings suggest that the ED is an important setting to identify older adults who may struggle with medication use.","cbCairqbEkRmff3P","https://ap.wps.com/l/cbCairqbEkRmff3P","pdf",2152621,5,1,2,"English","en",105,"# Abstract\n## Background\n## Objective and Methods\n## Results\n## Conclusion","[{\"question\":\"What setting and population were studied?\",\"answer\":\"The study analyzed older adults (age ≥65) using 5-site multicenter ED survey data linked to electronic health records, focusing on baseline ED visits from 2019–2021.\"},{\"question\":\"How were polypharmacy, PIM, and low medication self-efficacy defined?\",\"answer\":\"Polypharmacy was defined as taking at least five medications. PIM use required at least one high-risk medication based on GEMRx criteria. Low medication self-efficacy was defined as a low score on the MUSE-taking scale (\\u003c11 points) assessed at the ED visit.\"},{\"question\":\"What factors were associated with low medication self-efficacy?\",\"answer\":\"Both polypharmacy and PIM use were associated with higher adjusted odds of low medication self-efficacy. Frailty modified the association, with weaker effects among more frail patients.\"}]","POLYPHARMACY AND MEDICATION SELF-EFFICACY IN OLDER EMERGENCY DEPARTMENT PATIENTS | PDF",1790640627,{"code":4,"msg":5,"data":31},[32,37,41,46,50,55,58,63,68,71,75],{"id":21,"doc_module":4,"doc_module_name":33,"category_name":34,"show_sort_weight":35,"slug":36},"Document","Story & Novel",90,"story-novel",{"id":22,"doc_module":4,"doc_module_name":33,"category_name":38,"show_sort_weight":39,"slug":40},"Literature",80,"literature",{"id":42,"doc_module":4,"doc_module_name":33,"category_name":43,"show_sort_weight":44,"slug":45},4,"Exam",70,"exam",{"id":20,"doc_module":4,"doc_module_name":33,"category_name":47,"show_sort_weight":48,"slug":49},"Comic",60,"comic",{"id":51,"doc_module":4,"doc_module_name":33,"category_name":52,"show_sort_weight":53,"slug":54},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":33,"category_name":12,"show_sort_weight":56,"slug":57},40,"healthcare",{"id":59,"doc_module":4,"doc_module_name":33,"category_name":60,"show_sort_weight":61,"slug":62},8,"Research & Report",30,"research-report",{"id":64,"doc_module":4,"doc_module_name":33,"category_name":65,"show_sort_weight":66,"slug":67},9,"Religion & Spirituality",20,"religion-spirituality",{"id":66,"doc_module":4,"doc_module_name":33,"category_name":69,"show_sort_weight":66,"slug":70},"World Cup","world-cup",{"id":72,"doc_module":4,"doc_module_name":33,"category_name":73,"show_sort_weight":72,"slug":74},10,"Lifestyle","lifestyle",{"id":76,"doc_module":4,"doc_module_name":33,"category_name":77,"show_sort_weight":20,"slug":78},19,"General","general",{"code":4,"msg":80,"data":81},"ok",{"site_id":25,"language":24,"slug":82,"title":13,"keywords":83,"description":14,"schema_data":84,"social_meta":138,"head_meta":140,"extra_data":142,"updated_unix":143},"polypharmacy-and-medication-self-efficacy-in-older-emergency-department-patients","",{"@graph":85,"@context":137},[86,100,120],{"@type":87,"itemListElement":88},"BreadcrumbList",[89,93,95,98],{"item":90,"name":91,"@type":92,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":94,"name":33,"@type":92,"position":22},"https://docshare.wps.com/document/",{"item":96,"name":12,"@type":92,"position":97},"https://docshare.wps.com/document/healthcare/",3,{"item":99,"name":13,"@type":92,"position":42},"https://docshare.wps.com/document/polypharmacy-and-medication-self-efficacy-in-older-emergency-department-patients/426448/",{"url":99,"name":13,"@type":101,"image":102,"author":107,"headline":13,"publisher":109,"fileFormat":112,"inLanguage":24,"description":14,"dateModified":113,"datePublished":114,"encodingFormat":112,"isAccessibleForFree":115,"interactionStatistic":116},"DigitalDocument",{"url":103,"@type":104,"width":105,"height":106},"https://docshare.wps.com/thumbnails/polypharmacy-and-medication-self-efficacy-in-older-emergency-department-patients/426448.png","ImageObject",300,407,{"name":9,"@type":108},"Person",{"url":90,"name":110,"@type":111},"DocShare","Organization","application/pdf","2026-10-19","2026-09-29",true,{"@type":117,"interactionType":118,"userInteractionCount":20},"InteractionCounter",{"@type":119},"ViewAction",{"@type":121,"mainEntity":122},"FAQPage",[123,129,133],{"name":124,"@type":125,"acceptedAnswer":126},"What setting and population were studied?","Question",{"text":127,"@type":128},"The study analyzed older adults (age ≥65) using 5-site multicenter ED survey data linked to electronic health records, focusing on baseline ED visits from 2019–2021.","Answer",{"name":130,"@type":125,"acceptedAnswer":131},"How were polypharmacy, PIM, and low medication self-efficacy defined?",{"text":132,"@type":128},"Polypharmacy was defined as taking at least five medications. PIM use required at least one high-risk medication based on GEMRx criteria. Low medication self-efficacy was defined as a low score on the MUSE-taking scale (\u003C11 points) assessed at the ED visit.",{"name":134,"@type":125,"acceptedAnswer":135},"What factors were associated with low medication self-efficacy?",{"text":136,"@type":128},"Both polypharmacy and PIM use were associated with higher adjusted odds of low medication self-efficacy. Frailty modified the association, with weaker effects among more frail patients.","https://schema.org",{"og:url":99,"og:type":139,"og:title":13,"og:site_name":110,"og:description":14},"article",{"robots":141,"canonical":99},"index,follow",{"doc_id":7,"site_id":25},1790762815]