Exploring the influence of patient-provider communication on intraocular pressure in glaucoma patients.

Autor: Carpenter DM; Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Asheville, USA. Electronic address: dmcarpenter@unc.edu., Tudor GE; Department of Mathematics and Statistics, Husson University, Bangor, USA., Sayner R; School of Medicine, Stanford University, Stanford, CA, USA., Muir KW; School of Medicine, Duke University, & Durham VA Medical Center, Durham, USA., Robin AL; Wilmer Institute and Bloomberg School of Public Health; Johns Hopkins University, & University of Maryland, Baltimore, MD, USA., Blalock SJ; Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, USA., Hartnett ME; John A. Moran Eye Center, University of Utah, Salt Lake City, USA., Giangiacomo AL; School of Medicine, Emory University, Atlanta, USA., Sleath BL; Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2015 Jul 06. Date of Electronic Publication: 2015 Jul 06.
DOI: 10.1016/j.pec.2015.07.001
Abstrakt: Objective: We examined whether six patient-provider communication behaviors directly affected the intraocular pressure (IOP) of glaucoma patients or whether patient medication adherence and eye drop technique mediated the relationship between self-efficacy, communication, and IOP.
Methods: During an 8-month, longitudinal study of 279 glaucoma patients and 15 providers, two office visits were videotape-recorded, transcribed, and coded for six patient-provider communication behaviors. Medication adherence was measured electronically and IOP was extracted from medical records. We ran generalized estimating equations to examine the direct effects of communication on IOP and used bootstrapping to test whether medication adherence and eye drop technique mediated the effect of communication on IOP.
Results: Provider education about medication adherence (B=-0.50, p<0.05) and inclusion of patient input into the treatment plan (B=-0.35, p<0.05) predicted improved IOP. There was no evidence of significant mediation.
Conclusion: The positive effects of provider education and provider inclusion of patient input in the treatment plan were not mediated by adherence and eye drop technique.
Practice Implications: Providers should educate glaucoma patients about the importance of medication adherence and include patient input into their treatment plan.
(Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.)
Databáze: MEDLINE
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