"Psychosocial Predictors of Glaucoma Medication Adherence among the Sup" by Mariam Salman, Chris Andrews et al.
 

Psychosocial Predictors of Glaucoma Medication Adherence among the Support, Educate, Empower (SEE) Personalized Glaucoma Coaching Pilot Study Participants

Document Type

Article

Publication Date

2-19-2020

Publication Title

American journal of ophthalmology

Abstract

PURPOSE: To evaluate the association between baseline psychosocial milieu and subsequent glaucoma medication adherence among participants in the Support, Educate, Empower (SEE) personalized glaucoma coaching program pilot study.

DESIGN: Prospective cohort study.

PARTICIPANTS: University of Michigan glaucoma patients ≥ age 40, taking ≥ 1 glaucoma medication, who self-reported poor adherence.

METHODS: Participants completed a baseline survey that assessed: 1) Demographics; 2) Social network; 3) Perceived Stress; 4) Consideration of future consequences; 5) Glaucoma-related distress and 6) Social support. Medication adherence was then monitored electronically (AdhereTech, New York, NY) for 3 months and the percentage of prescribed doses taken was calculated. The relationship between baseline factors and medication adherence was assessed using univariate and multivariate analysis.

MAIN OUTCOME MEASURES: Median percent adherence over three months.

RESULTS: Of the 95 study participants, 63% had graduated from college, 55% were white, 35% were African-American, and 97% had insurance. Median adherence over three months was 74% + 21% (+ standard deviation, SD). Higher income and more education were significantly associated with better adherence (p<0.0001, p = 0.03). Glaucoma related distress (mean score 5.6, SD = 3.0) was inversely associated with medication adherence on univariate (p<0.0001) and multivariate analysis (p=0.0002). Every one-point increase in glaucoma related distress score predicted a 2.4 percentage-point decrease in medication adherence.

CONCLUSIONS: Lower income, lower educational attainment and a higher level of glaucoma-related distress all predicted lower adherence to glaucoma medications. Additional glaucoma self-management support resources should be directed towards patients with such risk factors for poor adherence.

PubMed ID

32087145

ePublication

ePub ahead of print

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