Applying the resources and supports in self-management framework to examine ophthalmologist-patient communication and glaucoma medication adherence

Health Education Research
Betsy SleathAlan L Robin

Abstract

Little is known about how ophthalmologist-patient communication over time is associated with glaucoma patient long-term adherence. The purpose of our study was to examine the association between provider use of components of the resources and supports in self-management model when communicating with patients and adherence to glaucoma medications measured electronically over an 8-month period. In this longitudinal prospective cohort study, the main variables studied were ophthalmologist communication-individualized assessment, collaborative goal setting and skills enhancement. Patients with glaucoma who were newly prescribed or on glaucoma medications were recruited from six ophthalmology clinics. Patients' baseline and next follow-up visits were videotape-recorded. Patients were interviewed after their visits. Patients used medication event monitoring systems (MEMS) for 8 months after enrollment into the study, and adherence was measured electronically using MEMS for 240 days after their visits. Two hundred and seventy-nine patients participated. Patient race and regimen complexity were negatively associated with glaucoma medication adherence over an 8-month period. Provider communication behaviors, including providing educatio...Continue Reading

References

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Citations

Feb 25, 2017·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Betsy SleathAlan L Robin
Sep 12, 2018·Ophthalmic Epidemiology·Gordon T Barker, Steven L Mansberger
May 3, 2019·Optometry and Vision Science : Official Publication of the American Academy of Optometry·John E McDonald, Jane K Dickinson
Nov 30, 2016·Journal of Ophthalmology·Paul HarasymowyczRadmila Day
Jun 1, 2018·Journal of Ophthalmology·Xinbo GaoHuiming Xiao
Jul 23, 2020·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Betsy SleathDonald L Budenz
Oct 8, 2020·Current Opinion in Ophthalmology·Kerry K AssilMichael H Goldstein
Dec 5, 2020·Current Opinion in Ophthalmology·Kerry K AssilMichael H Goldstein
Aug 18, 2021·Seminars in Ophthalmology·Kristen L BuehneKelly W Muir

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