Journal
SEMINARS IN OPHTHALMOLOGY
Volume 28, Issue 3, Pages 191-201Publisher
TAYLOR & FRANCIS INC
DOI: 10.3109/08820538.2013.771198
Keywords
Adherence; attitude; barriers; behavior; belief; compliance; education; glaucoma; medications; persistence
Categories
Funding
- Blue Cross Blue Shield of Michigan Foundation
- Heed Ophthalmic Foundation
- National Institute of Health
- Agency for Healthcare Research and Quality
- Robert Wood Johnson Foundation
- Veteran's Affairs Health Services Research Development
- Pfizer
- Quorum Consulting
- Genentech
- Alcon Research Institute
- National Eye Institute K23 Mentored Clinician Scientist Award
- American Glaucoma Society
- National Eye Institute [EY00703]
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Adherence to prescribed glaucoma medications is often poor, and proper adherence can be challenging for patients. We systematically reviewed the literature and identified eight studies using educational interventions to improve glaucoma medication adherence. Overall, five of the eight studies found that educational interventions lead to a significant improvement in medication adherence, and two additional studies found a trend towards improvement. Using information from this systematic review and Health Behavior Theory, we constructed a conceptual framework to illustrate how counseling and education can improve glaucoma medication adherence. More rigorous studies grounded in Health Behavior Theory with adequately powered samples and longer follow-up are needed.
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