Understanding Barriers to Glaucoma Treatment Adherence among Participants in South India

Autor:	Olivia J. Killeen, Juno Cho, Sujani Shroff, B. Udayakumar, Paula Anne Newman-Casey, Manju R Pillai, Menaka Vimalanathan
Rok vydání:	2020
Předmět:	Male medicine.medical_specialty Epidemiology Treatment adherence medicine.medical_treatment Psychological intervention Glaucoma Medication adherence India Disease Grounded theory Medication Adherence Poor adherence Interviews as Topic 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Qualitative Research Aged Glaucoma medication business.industry Middle Aged medicine.disease Treatment Adherence and Compliance Ophthalmology Family medicine 030221 ophthalmology & optometry Female Ophthalmic Solutions business Attitude to Health
Zdroj:	Ophthalmic epidemiology. 27(3)
ISSN:	1744-5086
Popis:	Purpose: Data on glaucoma treatment barriers in South India is limited; improved knowledge of barriers could advance disease self-management. We aimed to understand glaucoma treatment barriers in South India.Methods: Glaucoma patients ≥18 taking ≥1 medication at the Aravind Eye Hospital were screened with a validated medication adherence tool. Patients who self-reported poor adherence and/or were >3 months late for follow-up completed semi-structured interviews on treatment barriers. Interviews were audio-recorded, transcribed, translated and back-translated to ensure accuracy. Researchers used grounded theory to code the transcripts and identify themes using NVivo 11.0. Demographic and clinical characteristics were abstracted from the medical record.Results: 70/167 (42%) had poor self-reported adherence to drops. The 45 interviewed were 62 ± 12 years and took 1.6 ± 0.7 drops. Forty-two (93%) were non-adherent to medication and 21 (47%) were late for follow-up. Top barriers to medication adherence were difficulty obtaining drops (20, 44%), being busy (18, 40%), and the expense (17, 38%). Top barriers to appointment follow-up were distance to the hospital (21, 47%), expense (20, 44%), and no escort (15, 33%). Other important barriers included mistrust in the health system, poor knowledge of glaucoma and family needs.Conclusions: Previously, 6% of glaucoma patients in South India self-reported poor medication adherence; the 42% identified in this study is in line with glaucoma medication adherence rates globally. Complex factors caused high rates of non-adherence. Societal-level interventions that address systemic barriers and counselling that supports patients' and families' motivation for behaviour change should be implemented.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d3df68f9b2f2c92b37460f56b3caca3d https://pubmed.ncbi.nlm.nih.gov/31952462 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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