Positive experiences of medication self-management among older adults with chronic multimorbidities in Chinese city communities: a qualitative study.

Abstract

This study utilises the Positive Emotion, Engagement, Relationships, Meaning, Accomplishment (PERMA) framework to explore positive experiences in medication self-management among older adults with chronic multimorbidities from a positive psychology perspective. A descriptive phenomenological qualitative research method was adopted. Data were analysed using Colaizzi's seven-step method. Two community health service centres in Zhengzhou City, Henan Province, China. A total of 24 older adults with chronic multimorbidities were recruited and interviewed face-to-face between January and June 2025. Analysis of the collected data yielded five overarching themes: (1) positive emotional experiences in medication self-management; (2) proactive engagement in medication management; (3) perceived social support from multiple sources; (4) profound understanding of the intrinsic value of medication management; (5) personal growth and realisation of life value through medication self-management. Older adults with chronic multimorbidities demonstrate a wide range of positive experiences during medication self-management. This finding suggests that healthcare professionals may consider integrating positive psychology principles into clinical practice and consistently provide positive reinforcement for patients. This approach may help foster and sustain comprehensive and long-term medication management behaviours, thereby exerting a positive impact on their quality of life.