Adherence Challenges Contributors to Non-Adherence with Medication Regimen: Complex or frequently changing schedule Large number of medications (>8) Adverse reactions Difficult-to-open containers Expensive medications Rectal, vaginal, SQ modes of administration Confusion about brand name/trade name and duplicates Prevalence of Medication Nonadherence in Older Adults: Rates estimated at 25-50% Intentional about 75% of the time but usually not spontaneously reported Changes in regimen made by patients to increase convenience, reduce adverse effects, or decrease refill expense Simplification of regimen, pre-filled medication boxes, and legible instructions reduce the extent of nonadherence Proceed to Medication Reduction Back to Module Content