Applying the resources and supports in self-management framework to examine ophthalmologist-patient communication and glaucoma medication adherence.

Autor:	Sleath B; UNC Eshelman School of Pharmacy & Cecil G. Sheps Center for Health Services Research, betsy_sleath@unc.edu., Carpenter DM; Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, NC 27599, USA., Blalock SJ; Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, NC 27599, USA., Sayner R; Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, NC 27599, USA., Muir KW; Department of Ophthalmology, School of Medicine, Duke University, Durham VA Medical Center, Health Services Research and Development, Durham, NC, USA., Slota C; Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, NC 27599, USA., Giangiacomo AL; Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA 30322, USA., Hartnett ME; Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, UT 84132, USA., Tudor G; Department of Science and Mathematics, Director of Institutional Research, Husson University, Bangor, ME 04401, USA., Robin AL; Department of Ophthalmology, University of Maryland, Baltimore, MD, USA, Department of Ophthalmology, University of Michigan, Ann Arbor, MI, USA, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA, Department of Ophthalmology, Johns Hopkins School of Medicine, Baltimore, MD 21215, USA.
Jazyk:	angličtina
Zdroj:	Health education research [Health Educ Res] 2015 Oct; Vol. 30 (5), pp. 693-705. Date of Electronic Publication: 2015 Sep 02.
DOI:	10.1093/her/cyv034
Abstrakt:	Little is known about how ophthalmologist-patient communication over time is associated with glaucoma patient long-term adherence. The purpose of our study was to examine the association between provider use of components of the resources and supports in self-management model when communicating with patients and adherence to glaucoma medications measured electronically over an 8-month period. In this longitudinal prospective cohort study, the main variables studied were ophthalmologist communication-individualized assessment, collaborative goal setting and skills enhancement. Patients with glaucoma who were newly prescribed or on glaucoma medications were recruited from six ophthalmology clinics. Patients' baseline and next follow-up visits were videotape-recorded. Patients were interviewed after their visits. Patients used medication event monitoring systems (MEMS) for 8 months after enrollment into the study, and adherence was measured electronically using MEMS for 240 days after their visits. Two hundred and seventy-nine patients participated. Patient race and regimen complexity were negatively associated with glaucoma medication adherence over an 8-month period. Provider communication behaviors, including providing education and positive reinforcement, can improve patient adherence to glaucoma medications over an 8-month period. (© The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu