Assessment of knowledge, attitude and practices of self-medication among the geriatric population of the Wardha district in central India: A cross-sectional study

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It is a widely used method across advanced and developing nations worldwide. Self-medication is taking pharmaceuticals without seeking physician advice for a diagnosis or treatment. This study will evaluate geriatrics’ knowledge, attitudes, and practices regarding self-medication. The objectives of the current study are to examine the practice of self-medication and assess the knowledge and attitude toward the same in the senior population, as well as the socio-demographic aspects influencing its usage and the reasons for its use. We also aim to test the correlation between demographic issues and self-medication. Methods A cross-sectional study will be conducted in the rural community area of the Wardha district. A survey will be used to evaluate the entire sample of geriatric age groups to determine the socio-demographic characteristics and associated risk factors for practicing self-medication. A semi-structured, pre-validated questionnaire Self-Medication Scale (SMS) will be used to understand the participants’ practice and attitudes regarding self-medication. The frequency and percentages of descriptive statistics will be determined. The correlation among variables will be discovered using the Chi-Square Test. Tables, graphs, and charts will present the data analysed. Study implications The present study will help formulate guidelines on medicine access and reinforce them with strong policy implementation mechanisms. The study will also help provide medical insurance or free consultations for populations in need. 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F1000Research 2024, 13 :57 ( https://doi.org/10.12688/f1000research.142500.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. Close Copy Citation Details Export Export Citation Sciwheel EndNote Ref. Manager Bibtex ProCite Sente EXPORT Select a format first Track Share ▬ ✚ Study Protocol Assessment of knowledge, attitude and practices of self-medication among the geriatric population of the Wardha district in central India: A cross-sectional study [version 1; peer review: 1 approved with reservations] Khushal Ghodkhande https://orcid.org/0009-0003-8191-7039 1 , Dr. Abhay Gaidhane https://orcid.org/0000-0002-4814-2695 2 Khushal Ghodkhande https://orcid.org/0009-0003-8191-7039 1 , Dr. Abhay Gaidhane https://orcid.org/0000-0002-4814-2695 2 PUBLISHED 12 Jan 2024 Author details Author details 1 School of Epidemiology and Public Health, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, 442001, India 2 Department of Community Medicine and Public Health, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, 442001, India Khushal Ghodkhande Roles: Conceptualization, Formal Analysis, Visualization, Writing – Review & Editing Dr. Abhay Gaidhane Roles: Supervision, Validation OPEN PEER REVIEW DETAILS REVIEWER STATUS This article is included in the Datta Meghe Institute of Higher Education and Research collection. Abstract Background The incidence of self-medication varies greatly for each country. It is a widely used method across advanced and developing nations worldwide. Self-medication is taking pharmaceuticals without seeking physician advice for a diagnosis or treatment. This study will evaluate geriatrics’ knowledge, attitudes, and practices regarding self-medication. The objectives of the current study are to examine the practice of self-medication and assess the knowledge and attitude toward the same in the senior population, as well as the socio-demographic aspects influencing its usage and the reasons for its use. We also aim to test the correlation between demographic issues and self-medication. Methods A cross-sectional study will be conducted in the rural community area of the Wardha district. A survey will be used to evaluate the entire sample of geriatric age groups to determine the socio-demographic characteristics and associated risk factors for practicing self-medication. A semi-structured, pre-validated questionnaire Self-Medication Scale (SMS) will be used to understand the participants’ practice and attitudes regarding self-medication. The frequency and percentages of descriptive statistics will be determined. The correlation among variables will be discovered using the Chi-Square Test. Tables, graphs, and charts will present the data analysed. Study implications The present study will help formulate guidelines on medicine access and reinforce them with strong policy implementation mechanisms. The study will also help provide medical insurance or free consultations for populations in need. READ ALL READ LESS Keywords geriatric people, self-medication, drug, o-morbidities, attitude, knowledge Corresponding Author(s) Khushal Ghodkhande ( [email protected] ) Close Corresponding author: Khushal Ghodkhande Competing interests: No competing interests were disclosed. Grant information: The author(s) declared that no grants were involved in supporting this work. Copyright: © 2024 Ghodkhande K and Gaidhane DA. This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. How to cite: Ghodkhande K and Gaidhane DA. Assessment of knowledge, attitude and practices of self-medication among the geriatric population of the Wardha district in central India: A cross-sectional study [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :57 ( https://doi.org/10.12688/f1000research.142500.1 ) First published: 12 Jan 2024, 13 :57 ( https://doi.org/10.12688/f1000research.142500.1 ) Latest published: 12 Jan 2024, 13 :57 ( https://doi.org/10.12688/f1000research.142500.1 ) Introduction The World Health Organisation (WHO) states that self-medication involves the use of medicinal products by the consumer to treat self-recognized disorders or symptoms or the intermittent or continued use of a medication prescribed by a physician for chronic or recurring diseases or symptoms. 1 To lessen the load on healthcare service facilities, which are sometimes understaffed and difficult to reach in rural and isolated locations, and in order to manage symptoms effectively and quickly, the World Health Organisation encourages self-medication without consulting a doctor. 2 But regularly using over-the-counter medicines and self-medication can result in a wide range of serious side effects. The most frequent issue is the chance of adverse drug reactions (ARDs) with the drugs that are being given. 3 Self-medication is broadly used among urban and rural people worldwide and growing nations like India because it offers individuals a cheap alternative and allows for dispensing various pharmaceuticals without a prescription over the counter. 4 Several elements, including socioeconomic position, way of life, easy access to medications, and the larger accessibility of medications in developing nations, might cause self-medication. 5 As far as a person’s health is concerned, it is an essential health problem. Self-medication must be supported by valid medical knowledge to prevent unreasonable drug abuse; it can ultimately result in the waste of medicinal products and elevated pathogen resistance, leading to major health risks such as extended discomfort, adverse drug reaction, and medication dependency. 6 The incidence of self-medication varies greatly for each country. Prevalence rates in the evaluation of 140 study, which included 189,278 people of all ages, ranged from 0.1% to 100%. Various studies examined the high rate of self-medication, such as sixty-five percent in Finland, seventy-eight percent in Yemen, Saudi Arabia (S.A.), also Uzbekistan, 88-92% in Thailand, 7 and 60% in central India. 8 The worldwide elderly population is increasing, even in developing countries. By 2025, the number of older adults in the globe will increase to 1.2 billion, up from 550 million in 1996. 9 In India, the percentage of older individuals is predicted to climb from 8% in 2015 to 19% by 2050, with elderly individuals contributing to one-third of the overall population by the last decade of the century. Multi-morbidity becomes increasingly prevalent as people age and is more prevalent in older adults. According to reports, multi-morbidity affects older persons generally in a range between 24%to 83%. 10 Due to co-morbidities, the aging population is more likely to self-medicate. They are not conscious of the dangers of self-medication. 9 Elder people are more likely to experience adverse drug reactions (ADRs) due to physiologic variations in metabolism caused by ageing. 11 Rationale Most of the research was conducted on people from the general public, professionals, hospital visitors, or medical students. There are few investigations of elderly self-medication conducted in the community, especially from central India. The current study’s findings will help the government determine the scope of elderly self-medication and devise measures for boosting public awareness of the risks associated with self-medication overuse. Hence, this research project aims to assess people’s understanding, attitudes, and use of self-medication in the rural community area of Wardha District in the Indian state of Maharashtra. This study evaluates knowledge, attitude and practice of self-medication among the geriatric population in the Wardha district’s rural community region ( Table 1 ). Table 1. Important study parameters, their variables, source of data and data collection method. Important study parameters Variables Sources of data Method of data collection Socio-demographic profile • Name • Gender • Age • Highest level of education • Marital status • Chronic illness Geriatric people (60 yrs. and above) A survey using a Questionnaire Knowledge of geriatric people on ‘self-medication’ • Percentage of geriatric people aware of self-medication A survey using a Questionnaire The attitude of geriatric people toward ‘self-medication’ • Part of self-care • No need for training • Recommend self-medication to others • Easy access • Availability and belief in safety A survey using a Questionnaire Self-medication practice in geriatric people • Duration of last use • Frequency of self-medication use • Name of drug purchase • Indication of drug use • Source of information • Any side effects A survey using a Questionnaire Objectives 1) To assess the socio-demographic features influencing self-medication usage and the rationale for its use. 2) To assess elderly patients’ knowledge, attitudes, and self-medication practices. 3) To evaluate the relationship between demographic factors and self-medication. Methods Study plan The current study will be descriptive and cross-sectional. Study setting/location The research will be conducted in the School of Epidemiology and Public Health field practice area, DMIHER, Wardha. Study duration The study will be carried out between August 2023 and May 2024. The review of the literature started in August 2023 and, currently, the study proposal has been submitted for the IEC approval. As soon as the ethical approval is received, we will start the study. Study participants/population Geriatric individuals aged 60 and above who live in Wardha district’s rural community areas. Inclusion criteria: 1) The study will comprise all people aged 60 years and above. 2) Those who will be able to give answers to the questions asked by the interviewer. 3) People who will be willing to participate in the study and give consent. 4) Geriatric people who understand at least one Marathi, English, or Hindi language. Exclusion criteria: 1) People below the age of 60 years will not be a part of this study. 2) The study will not include those who are hesitant or unwilling to participate. Sample size The prior research study, which was utilized as a mother research study, found that the majority had inadequate knowledge (88%) regarding consuming self-medication, the estimated proportion, i.e., P value is 0.88, and the following articles were used to estimate the number of participants for this investigation. 12 With the help of following formula, the sample size was calculated: n ≥ Z 1 − α / 2 2 × p 1 − p d 2 Estimated proportion (p): 0.88 Estimated error (d): 0.05 Alpha (α): 0.05 Sample size: 163 As the outcome of 163 sample size elderly peoples will be selected for the data collection. As a result, a sample size of 163 older people will be used to collect data and examine self-medication knowledge in senior adults living in rural locations. Sampling method The technique known as convenience sampling will be used to interview people. Variables The research will examine variables related with socio-demographic data, knowledge, attitude, and practice. Demographic characteristics of the sample such as age in year, sex, highest level of education, occupation, chronic illness, and health insurance. Study tools The study using the Self-medication scale (SMS) 13 and includes a semi-structured interview survey, employing inquiries in the local languages (Marathi/Hindi) and English to evaluate knowledge, attitude, and practice of self-medication among the geriatric age group. There are three sections in the structured questionnaire. Section A: Consists of 8 questions related to knowledge of self-medication. Section B: Consists of a five-point Likert scale scoring the attitude of the sample from 1 to 5 from strongly disagrees to strongly agrees respectively strongly. Section C: Comprises 13 questions that represent the practise of self-medication. Procedure of data collection Every home in the targeted zone will be visited until a sufficient sample size is reached. The purpose of the interview will be explained to the participants in their local language so they can understand the objectives of study properly and can decide if they are willing to participate in the study. House-to-house visits will be done and information will be obtained using interviews. The planned data recording technique will be used for each participant separately, in which the investigator asks the questions, provides the options as specified in the proforma, and ticks the responses provided by the participants. Bias Recall bias may influence results. The current study included a six-month memory span, which could have resulted in recall bias. We’ll reduce this prejudice by employing a well-made, straightforward, and basic questionnaire. Ethical issues The study will commence after receiving approval from the DMIHER (DU) Institutional Ethical Committee. Before our research, we will obtain written consent from the participants and explain the purpose of the survey to them. During the interview, using a questionnaire, we’ll ensure the interviewee is at ease and enjoys privacy during the conversation. Data analysis The data will be analysed using R Statistical software , a statistics program, after being imported into Microsoft Excel. The frequency and percentages of descriptive statistics will be determined. The correlation among variables will be discovered using the Chi-Square Test. Tables, graphs, and charts will present the data analysed. Study status The study is not yet started. The proposal of this study has been submitted for ethical approval to the IEC department of DMIHER (DU) and is under process. Expected outcomes/Results The knowledge, attitude, and self-medication practices of elderly individuals will be assessed in this study. Also, examine how socio-demographic factors impact the use of self-medication and the reasons for its use and test the association between demographic characteristics and self-medication. To raise awareness among the general public, this study will assist in the conduct of numerous studies, such as public awareness campaigns, education, and group discussions. Discussion A cross-sectional research was done in rural Sahaswan, Northern India, with the goals of studying the association between research factors and self-medication, identifying the kinds of medications used for self-medication, and identifying typical illnesses for self-medication, Indicated that men, those above 15 years individuals with a lesser education or illiteracy, and those with limited financial resources were more likely to self-medicate. 2 Al Ghofaili and Fatimah (2021) did a cross-sectional study on self-medication habits in Qassim Province, Saudi Arabia. The goals of this study are to investigate OTC medical practises in the general community, report on their quantity, most commonly purchased medications and reasons for purchase, and raise public awareness about self-medication. In the study region, there was a significant prevalence of non-prescribed drugs purchased from community pharmacies, according to the findings of this study. 3 Cross-sectional descriptive research was conducted in Kermanshah, Iran, by Faranak Jafari, Alireza Khatony, and Elham Rahmani (2015) to look into older people’s use of self-medication and the factors that may be associated with it. The study included 272 participants. According to this survey, 83% of people self-medicate. 11 Almalki et al. (2022) performed a cross-sectional study in western Saudi Arabia to assess knowledge, attitude, and practise of self-medication, determine its prevalence, and identify variables and sources of information impacting such practise. This survey included 647 respondents from three main cities: Jeddah, Makkah, and Taif. According to this study, around 67.7% of individuals use self-medication. 7 Varun Kumar et al. (2015) did a cross-sectional study on the ‘prevalence and trend of self-medication as practices in an urban region of Delhi, India’. This study aims to determine the prevalence and pattern of self-medication in metropolitan areas. According to this survey, 92.8% of individuals used self-medication, most of which were allopathic medications. 14 A cross-sectional study on self-medication in Saudi Arabia was carried out in 2019 by Yahya Ibrahim Mahzari et al. It intends to assess the prevalence and types of self-medication in the Saudi Arabian Kingdom. According to this survey, the frequency of self-medicating in KSA is dangerously high, with analgesics being the most commonly utilized drug with a prescription. 15 Study implications The present study will help formulate guidelines on medicine access and reinforce them with strong mechanisms to implement the policy. This could aid in preventing the widely accepted detrimental effects of self-medication among older adults. Also, it helps to provide medical insurance and free consultations for people in need. Limitations Data will be collected using interviews, which may affect the accuracy of the results. The study may be affected by selection bias, measurement bias, or confounding factors, distorting the impact and reducing their validity and generalizability. This study does not consider long-term changes or trends in knowledge, attitude, or self-medication practice because it only provides a one-time measurement of the variables. The results of the study may be affected by seasonal or cyclical variations. Dissemination This study protocol will be published in an indexed journal and will be presented in seminars and conferences. Data availability No data are associated with this article. References 1. World Health Organization: Guidelines for the regulatory assessment of medicinal products for use in self-medication. World Health Organization; 2000 [cited 2022 Oct 22]. Report No.: WHO/EDM/QSM/00.1. Reference Source 2. Ahmad A, Patel I, Mohanta G, et al. : Evaluation of Self Medication Practices in Rural Area of Town Sahaswan at Northern India. Ann. Med. Health Sci. Res. 2014; 4 (Suppl 2): S73–S78. PubMed Abstract | Publisher Full Text 3. AlGhofaili F: Patterns of self-medication in Qassim Province, Saudi Arabia: A cross-sectional study. Ann. Med. Surg. 2021 Mar 17; 64 : 102207. Publisher Full Text 4. Hussain S, Malik F, Hameed A, et al. : Exploring health seeking behavior, medicine use and self medication in urban and rural Pakistan. South Med. Rev. 2010 Oct 1; 3 : 32–34. 5. World Health Organization: The Role of the pharmacist in self-care and self-medication: report of the 4th WHO Consultative Group on the Role of the Pharmacist, The Hague, The Netherlands, 26-28 August 1998. World Health Organization; 1998 [cited 2022 Nov 3]. Report No.: WHO/DAP/98.13. Reference Source 6. Kasulkar AA, Gupta M: Self medication practices among medical students of a private institute. Indian J. Pharm. Sci. 2015; 77 (2): 178–182. PubMed Abstract | Publisher Full Text | Free Full Text 7. Almalki ME, Almuqati FS, Alotaibi MO, et al. : A Cross-Sectional Study of the Knowledge, Attitude, and Practice of Self-Medication Among the General Population in the Western Region of Saudi Arabia. Cureus. 2022 Oct 5 [cited 2022 Nov 4]; 14 (10). Publisher Full Text Reference Source 8. Rathod P, Sharma S, Ukey U, et al. : Prevalence, Pattern, and Reasons for Self-Medication: A Community-Based Cross-Sectional Study From Central India. Cureus. 2023 Jan 18 [cited 2023 Jul 28]; 15 (1). Publisher Full Text Reference Source 9. Parmar Z, Malhotra S, Patel V: Prevalence and pattern of self-medication in elderly individuals. Int. J. Basic Clin. Pharmacol. 2015 Jan 1; 1095–1099. Publisher Full Text 10. Kshatri JS, Palo SK, Bhoi T, et al. : Prevalence and Patterns of Multimorbidity Among Rural Elderly: Findings of the AHSETS Study. Front. Public Health. 2020 [cited 2023 Aug 1]; 8 . PubMed Abstract | Publisher Full Text | Free Full Text 11. Jafari F, Khatony A, Rahmani E: Prevalence of Self-Medication Among the Elderly in Kermanshah-Iran. Global J. Health Sci. 2015 Mar; 7 (2): 360–365. PubMed Abstract | Publisher Full Text 12. Babu PS, Balu V, Maheswari BU, et al. : A Comparative Study to Assess the Prevalence, Knowledge of Impact, and Practice of Self-Medication Among Adults in Urban and Rural Communities in Bangalore. Cureus. 2023 May 29 [cited 2023 Jul 28]; 15 (5). Reference Source 13. Alduraibi RK, Altowayan WM: A cross-sectional survey: knowledge, attitudes, and practices of self-medication in medical and pharmacy students. BMC Health Serv. Res. 2022 Mar 17; 22 (1): 352. PubMed Abstract | Publisher Full Text | Free Full Text 14. Kumar V, Mangal A, Yadav G, et al. : Prevalence and pattern of self-medication practices in an urban area of Delhi, India. Med. J. Dr. Patil Self-Medicat Curr. Chall Self-Medicat Curr. Chall. 2015 Jan 1; 8 (1): 16. Publisher Full Text 15. Mahzari YI: Self-Medication in Saudi Arabia-A Cross Sectional Study.2019; 7 . Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 12 Jan 2024 ADD YOUR COMMENT Comment Author details Author details 1 School of Epidemiology and Public Health, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, 442001, India 2 Department of Community Medicine and Public Health, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, 442001, India Khushal Ghodkhande Roles: Conceptualization, Formal Analysis, Visualization, Writing – Review & Editing Dr. Abhay Gaidhane Roles: Supervision, Validation Competing interests No competing interests were disclosed. Grant information The author(s) declared that no grants were involved in supporting this work. Article Versions (1) version 1 Published: 12 Jan 2024, 13:57 https://doi.org/10.12688/f1000research.142500.1 Copyright © 2024 Ghodkhande K and Gaidhane DA. This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Download Export To Sciwheel Bibtex EndNote ProCite Ref. Manager (RIS) Sente metrics Views Downloads F1000Research - - PubMed Central info_outline Data from PMC are received and updated monthly. - - Citations open_in_new 0 open_in_new 0 open_in_new SEE MORE DETAILS CITE how to cite this article Ghodkhande K and Gaidhane DA. Assessment of knowledge, attitude and practices of self-medication among the geriatric population of the Wardha district in central India: A cross-sectional study [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :57 ( https://doi.org/10.12688/f1000research.142500.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS track receive updates on this article Track an article to receive email alerts on any updates to this article. TRACK THIS ARTICLE Share Open Peer Review Current Reviewer Status: ? Key to Reviewer Statuses VIEW HIDE Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Version 1 VERSION 1 PUBLISHED 12 Jan 2024 Views 0 Cite How to cite this report: Bardhan M. Reviewer Report For: Assessment of knowledge, attitude and practices of self-medication among the geriatric population of the Wardha district in central India: A cross-sectional study [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :57 ( https://doi.org/10.5256/f1000research.156055.r264630 ) The direct URL for this report is: https://f1000research.com/articles/13-57/v1#referee-response-264630 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 29 May 2024 Mainak Bardhan , Miami Cancer Institute, Miami, Florida, USA Approved with Reservations VIEWS 0 https://doi.org/10.5256/f1000research.156055.r264630 The manuscript does not provide details on the validity and reliability of the Self-Medication Scale (SMS) in the context of the geriatric population in India. It would be helpful to include information on whether the SMS has ... Continue reading READ ALL The manuscript does not provide details on the validity and reliability of the Self-Medication Scale (SMS) in the context of the geriatric population in India. It would be helpful to include information on whether the SMS has been validated for use in this population and setting. The authors mention using convenience sampling, which may introduce selection bias and limit the generalizability of the findings. If feasible, a more robust sampling method, such as random sampling, could be considered. The authors could consider including a qualitative component (e.g., in-depth interviews or focus group discussions) to explore the reasons, beliefs, and perceptions behind self-medication practices in the geriatric population. The manuscript does not mention strategies for handling missing data or dealing with potential confounding factors in the analysis. It would be beneficial to include a plan for addressing these issues. The limitations section could be expanded to include potential limitations specific to the study design, such as the cross-sectional nature of the study, which may not capture changes over time. Is the rationale for, and objectives of, the study clearly described? Yes Is the study design appropriate for the research question? Yes Are sufficient details of the methods provided to allow replication by others? Yes Are the datasets clearly presented in a useable and accessible format? Yes Competing Interests: No competing interests were disclosed. Reviewer Expertise: Neurology, Genetics, Internal medicine, Public Health, Infectious diseases, Epidemiology I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Bardhan M. Reviewer Report For: Assessment of knowledge, attitude and practices of self-medication among the geriatric population of the Wardha district in central India: A cross-sectional study [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :57 ( https://doi.org/10.5256/f1000research.156055.r264630 ) The direct URL for this report is: https://f1000research.com/articles/13-57/v1#referee-response-264630 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 12 Jan 2024 ADD YOUR COMMENT Comment keyboard_arrow_left keyboard_arrow_right Open Peer Review Reviewer Status info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Reviewer Reports Invited Reviewers 1 Version 1 12 Jan 24 read Mainak Bardhan , Miami Cancer Institute, Miami, USA Comments on this article All Comments (0) Add a comment Sign up for content alerts Sign Up You are now signed up to receive this alert Browse by related subjects keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2024 Bardhan M. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 29 May 2024 | for Version 1 Mainak Bardhan , Miami Cancer Institute, Miami, Florida, USA 0 Views copyright © 2024 Bardhan M. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved With Reservations info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions The manuscript does not provide details on the validity and reliability of the Self-Medication Scale (SMS) in the context of the geriatric population in India. It would be helpful to include information on whether the SMS has been validated for use in this population and setting. The authors mention using convenience sampling, which may introduce selection bias and limit the generalizability of the findings. If feasible, a more robust sampling method, such as random sampling, could be considered. The authors could consider including a qualitative component (e.g., in-depth interviews or focus group discussions) to explore the reasons, beliefs, and perceptions behind self-medication practices in the geriatric population. The manuscript does not mention strategies for handling missing data or dealing with potential confounding factors in the analysis. It would be beneficial to include a plan for addressing these issues. The limitations section could be expanded to include potential limitations specific to the study design, such as the cross-sectional nature of the study, which may not capture changes over time. Is the rationale for, and objectives of, the study clearly described? Yes Is the study design appropriate for the research question? Yes Are sufficient details of the methods provided to allow replication by others? Yes Are the datasets clearly presented in a useable and accessible format? Yes Competing Interests No competing interests were disclosed. Reviewer Expertise Neurology, Genetics, Internal medicine, Public Health, Infectious diseases, Epidemiology I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. reply Respond to this report Responses (0) Bardhan M. Peer Review Report For: Assessment of knowledge, attitude and practices of self-medication among the geriatric population of the Wardha district in central India: A cross-sectional study [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :57 ( https://doi.org/10.5256/f1000research.156055.r264630) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/13-57/v1#referee-response-264630 Alongside their report, reviewers assign a status to the article: Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. 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