Patient barriers and facilitators for making environmental and behavioral modifications for dry eye in the United States.

Autor:	Saldanha IJ, Petris R; Dry Eye Foundation, Poulsbo, Washington, DC., Ifantides C; Department of Ophthalmology, University of Colorado Anschutz Medical Campus, Aurora, Colorado., Hauswirth SG; Department of Ophthalmology, University of Colorado Anschutz Medical Campus, Aurora, Colorado., Gregory DG; Department of Ophthalmology, University of Colorado Anschutz Medical Campus, Aurora, Colorado., Qureshi R, McCann P; Department of Ophthalmology, University of Colorado Anschutz Medical Campus, Aurora, Colorado., Liu SH, Abraham AG, Li T
Jazyk:	angličtina
Zdroj:	Optometry and vision science : official publication of the American Academy of Optometry [Optom Vis Sci] 2024 Feb 01; Vol. 101 (2), pp. 84-89. Date of Electronic Publication: 2024 Jan 10.
DOI:	10.1097/OPX.0000000000002105
Abstrakt:	Background: Managing dry eye disease (DED) is expensive. Often, prescribed treatments improve clinical signs but not patient-reported symptoms. In large surveys, clinicians and patients ranked environmental and behavioral modifications among the most important DED-related research priorities. Our purpose was to investigate the barriers to and facilitators of use of these modifications by patients with DED in the United States and how their use may be impacted by socioeconomic status (SES). Methods: Using Qualtrics, we conducted an anonymous online survey of adults with DED living in the United States in August to September 2022. Patients were identified through the Dry Eye Foundation, Sjögren's Foundation, and a DED clinic in Colorado. We used an established index for classifying respondent SES based on education, household income, and employment. Outcomes included use of environmental and behavioral modifications and barriers to and facilitators of their use. Results: We included 754 respondents (SES: 382 low, 275 high, and 97 unclear). Most were aged 18 to 49 years (67%), female (68%), and White (76%) and reported dealing with DED for ≤5 years (67%). The most frequent modifications were taking breaks to rest eyes (68%), increasing water intake (68%), and using hot/cold compresses (52%). For these three, the biggest facilitators were as follows: belief that the modification works (27 to 37%), being recommended it (24 to 26%), and ease of use/performance (21 to 32%). Across modifications, the biggest barriers were difficulty of use (55%), lack of family/employer/social/community support (33%), and lack of awareness (32%). The data do not suggest discernible patterns of differences in barriers or facilitators by SES. Conclusions: Greater emphasis should be placed on explaining to patients how environmental and behavioral modifications might mitigate DED. Employers and members of patients' support systems should be guided regarding how best to support patients in managing DED symptoms. Competing Interests: Conflict of Interest Disclosure: Ms. Petris reports ownership of the Dry Eye Company and personal fees from Alcon Inc., outside the submitted work. None of the other authors declare any relevant competing interests. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Optometry.)
Databáze:	MEDLINE
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