Ophthalmologist-patient communication, self-efficacy, and glaucoma medication adherence
Betsy Sleath, Susan J Blalock, Delesha M Carpenter, Robyn Sayner, Kelly W Muir, Catherine Slota, Scott D Lawrence, Annette L Giangiacomo, Mary Elizabeth Hartnett, Gail Tudor, Jason A Goldsmith, Alan L Robin, Betsy Sleath, Susan J Blalock, Delesha M Carpenter, Robyn Sayner, Kelly W Muir, Catherine Slota, Scott D Lawrence, Annette L Giangiacomo, Mary Elizabeth Hartnett, Gail Tudor, Jason A Goldsmith, Alan L Robin
Abstract
Objective: To examine the associations of provider-patient communication, glaucoma medication adherence self-efficacy, and outcome expectations with glaucoma medication adherence.
Design: Prospective, observational cohort study.
Participants: Two hundred seventy-nine patients with glaucoma who were newly prescribed or taking glaucoma medications were recruited at 6 ophthalmology clinics.
Methods: Patients' visits were video recorded and communication variables were coded using a detailed coding tool developed by the authors. Adherence was measured using Medication Event Monitoring Systems for 60 days after their visits.
Main outcome measures: The following adherence variables were measured for the 60-day period after their visits: whether the patient took 80% or more of the prescribed doses, percentage of the correct number of prescribed doses taken each day, and percentage of the prescribed doses taken on time.
Results: Higher glaucoma medication adherence self-efficacy was associated positively with better adherence with all 3 measures. Black race was associated negatively with percentage of the correct number of doses taken each day (β = -0.16; P < 0.05) and whether the patient took 80% or more of the prescribed doses (odds ratio, 0.37; 95% confidence interval, 0.16-0.86). Physician education about how to administer drops was associated positively with percentage of the correct number of doses taken each day (β = 0.18; P < 0.01) and percentage of the prescribed doses taken on time (β = 0.15; P < 0.05).
Conclusions: These findings indicate that provider education about how to administer glaucoma drops and patient glaucoma medication adherence self-efficacy are associated positively with adherence.
Conflict of interest statement
Drs. Sleath, Blalock, Carpenter, Muir, Sayner, Giangiacomo, and Slota indicate no conflict of interest.
Copyright © 2015 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.
Source: PubMed