An exploratory study of factors influencing glaucoma treatment adherence.

An exploratory study of factors influencing glaucoma treatment adherence.
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DOI:
10.1097/ijg.0b013e31819c4679
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发表时间:
2010-01
影响因子:
2
通讯作者:
Glanz K
Glanz K
中科院分区:
医学3区
文献类型:
--
作者:
Stryker JE;Beck AD;Primo SA;Echt KV;Bundy L;Pretorius GC;Glanz K

文献摘要

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To understand the factors that influence glaucoma treatment adherence with medication taking, prescription refills, and appointment keeping in order to develop an intervention for a specific population. In-depth interviews were conducted with 80 individuals diagnosed with open angle glaucoma, glaucoma suspect, or ocular hypertension. Additional eligibility requirements were that all participants were: between the ages of 18–80; White or African American; spoke and understood English; and were taking daily doses of topical glaucoma treatments for at least the past year. Cross-tabulations and Chi-square tests were conducted to compare adherent and non-adherent individuals, classified as such based on self-report and medical chart/pharmacy data. Compared to adherent participants, non-adherent participants were less likely to: believe their eye doctors spent sufficient time with them; ask their eye doctor if they had any questions; know of benefits to taking their glaucoma medication regularly; and have someone help them take their glaucoma medications or drive them to eye appointments. Conversely, compared to adherent individuals, non-adherent participants were more likely to have difficulty remembering to take their medications and to believe their glaucoma would affect their eye sight in the future. Non-adherent glaucoma patients struggle with a variety of issues related to consistent use of glaucoma medicine and routine eye care. Interventions are needed to address these modifiable factors related to glaucoma treatment adherence.