ERIC Number: EJ1077525
Record Type: Journal
Publication Date: 2015-Oct
Abstractor: As Provided
Applying the Resources and Supports in Self-Management Framework to Examine Ophthalmologist-Patient Communication and Glaucoma Medication Adherence
Sleath, B.; Carpenter, D. M.; Blalock, S. J.; Sayner, R.; Muir, K. W.; Slota, C.; Giangiacomo, A. L.; Hartnett, M. E.; Tudor, G.; Robin, A. L.
Health Education Research, v30 n5 p693-705 Oct 2015
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.
Descriptors: Physician Patient Relationship, Ophthalmology, Self Management, Intercultural Communication, Visual Impairments, Drug Therapy, Compliance (Psychology), Longitudinal Studies, Cohort Analysis, Cooperation, Goal Orientation, Skill Development, Progress Monitoring, Race, Difficulty Level, Patient Education, Positive Reinforcement
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
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