Systematic Review of Educational Interventions to Improve Glaucoma Medication Adherence: an update in 2015.
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ABSTRACT:
SUBMITTER: Newman-Casey PA
PROVIDER: S-EPMC4847749 | biostudies-literature | 2016
REPOSITORIES: biostudies-literature
Publications
Systematic Review of Educational Interventions to Improve Glaucoma Medication Adherence: an update in 2015.
Newman-Casey Paula Anne PA Dayno Megan M Robin Alan L AL
Expert review of ophthalmology 20160122 1
<h4>Purpose</h4>To evaluate the current state of the research on educational interventions whose aim is to improve glaucoma medication adherence.<h4>Methods</h4>A systematic review of Pubmed, Embase and CINAHL was conducted to identify research studies evaluating educational interventions to improve glaucoma medication adherence. Studies were included if the intervention was described, the outcomes assessed glaucoma medication adherence, and the focus of the research was on adults with glaucoma. ...[more]
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Project description:Effective treatments for familial hypercholesterolaemia (FH) offer patients the opportunity of normal life expectancy, but lifelong adherence to both lipid-lowering therapies and lifestyle measures is challenging, and thus, this is rarely achieved. The aim of this systematic review is to identify attributes of educational interventions that promote adherence to treatment in FH. A systematic literature search was undertaken using Medline, CINAHL, HMIC and Embase. Papers were included based upon pre-defined inclusion and exclusion criteria; the quality of each included paper was assessed using the MERSQI scoring system. Relevant data were extracted, and a narrative synthesis was created. Six relevant studies of varying methodological quality were found amongst 2963 papers identified during the search. In total, there were 619 patients with FH in the intervention arm of the relevant studies. All six studies showed a positive effect of education on adherence to FH treatment; however, only two papers observed a statistically significant effect. Assessment was limited to the short-term. Four themes were identified as important when using education to improve treatment adherence: involving family, patient empowerment, practical problem solving and use of information leaflets. Educational interventions improve short term treatment adherence in patients with FH. Successful interventions are those that involve the whole family, set practical problem solving tasks, and that use techniques to increase the patients self-efficacy. This should all be supported by contemporaneous provision of written, age-appropriate information. There were no studies looking at education and long-term adherence in FH patients, and more research is needed in this area.
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