Personalized behavior change program for glaucoma patients with poor adherence: a pilot interventional cohort study with a pre-post design.

ABSTRACT:

Background

About half of people with glaucoma do not adhere to their recommended medications. Interventions for other chronic conditions have successfully utilized reminder systems and motivational interviewing (MI)-based counseling. This study was designed to pilot a personalized intervention that leverages these strategies to assess their impact on medication adherence in glaucoma patients.

Methods

Glaucoma patients taking ??1 medication will be pre-screened by telephone survey for adherence to their medication(s). Those who self-report poor adherence will be enrolled in a 3-month monitoring period to measure medication adherence using electronic medication monitors. Participants who are non-adherent (take?eyeGuide, a computer-based personalized behavior change program that enables para-professional staff to provide personalized education and counseling for glaucoma. The primary outcome is change in medication adherence. The secondary outcomes include changes in clinical outcomes (intraocular pressure, IOP, and IOP fluctuation) and psychosocial mediators of adherence (e.g., competence, energy for change and satisfaction). Participants will undergo semi-structured interviews at 12 months to give feedback about the counseling program in order to improve it.

Discussion

This pilot study will provide insight into ways to deliver more personalized health care to non-adherent glaucoma patients in order to better support them in managing their chronic disease.

Trial registration

Retrospectively registered with ClinicalTrials.gov (NCT03159247).

SUBMITTER: Newman-Casey PA 

PROVIDER: S-EPMC6055343 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature