Background: The drug related problems are common among elderly especially those with multi
morbidity who are involved in complex drug regimen. So, there is greater focus on medication 
considerations that help them in proper medication use. Study design: A quasi-experimental 
study design was selected in this study. Study settings: This study was carried out at the Health 
Insurance Hospital outpatient clinics at Tanta city, Dar El Saada Geriatric Home in Tanta city and 
outpatient clinics of Tanta University (Medical, Orthopedic, Urology and Ophthalmology). 
Study subjects: A convenience sample of 75 elderly patients who attended the previously 
mentioned settings was included in the study. Study tools: Three tools were utilized in this 
study: Tool I: A structured interview schedule: Part 1: Socio-demographic characteristics of the 
studied elderly. Part 2: Medical history of the studied elderly. Tool II: BASNEF Model Based 
Questionnaire: Part 1: Beliefs about Medicines Questionnaire (BMQ). Part 2: Drug Attitude 
Inventory (DAI). Part 3: Assessment of Subjective Norms. Part 4: Assessment of Enabling 
Factors. Tool III: Medication Management Instrument for Deficiencies in Elderly 
(MEDMAIDE). Results: There was statistically significant improvement on elderly beliefs about 
medication, their attitude toward medication, overall influential motivator for appropriate 
medication use, the enabling factors and medication management deficiency in all phases of 
evaluation pre, immediately and three months follow up after program implementation. 
Conclusion and recommendations: The BASNEF model based educational program was 
effective in improving the elderly patients' beliefs and attitude toward medication, overall 
influential motivator and the enabling factors which support them. Therefore, the community 
health nurse should assess the multi-morbid elderly and organize health education programs 
based on BASNEF model about safe medication use among them.