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

B. Sleath, D. M. Carpenter, S. J. Blalock, R. Sayner, K. W. Muir, C. Slota, A. L. Giangiacomo, M. E. Hartnett, G. Tudor, A. L. Robin

Research output: Contribution to journalArticlepeer-review

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 education and positive reinforcement, can improve patient adherence to glaucoma medications over an 8-month period.

Original languageEnglish (US)
Pages (from-to)693-705
Number of pages13
JournalHealth education research
Volume30
Issue number5
DOIs
StatePublished - Dec 4 2014

ASJC Scopus subject areas

  • Education
  • Public Health, Environmental and Occupational Health

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