Sizable proportion of patients nonadherent to glaucoma meds

Sizable proportion of patients nonadherent to glaucoma meds

(HealthDay)—A considerable proportion of patients are nonadherent to glaucoma medication, but a telecommunication intervention can improve adherence, according to two studies published in the July issue of JAMA Ophthalmology.

Michael V. Boland, M.D., Ph.D., from the Wilmer Eye Institute at the John Hopkins University School of Medicine in Baltimore, and colleagues conducted a to examine adherence with once-daily glaucoma medication using an electronic monitor. Of the 407 patients who successfully completed a three-month adherence assessment, the researchers found that 82.8 percent were deemed adherent and took their medication correctly on at least 75 percent of days. The 70 nonadherent participants were slightly younger, were more likely to be of African descent, took medications for a shorter time, had a lower level of educational attainment, and had worse mental status and depression scale scores, compared with the adherent group.

In a second study, Boland and colleagues examined whether an automated telecommunication-based intervention could improve adherence. Seventy nonadherent participants were randomized to intervention (38 patients) and control groups. Patients in the received daily text or voice messages reminding them to take their medication. The researchers found that the median adherence rate increased from 53 to 64 percent in the group (P < 0.05). No statistical change was seen in the participants in the control group.

"Automated telecommunication-based reminders linked to data in a personal health record improved with once-daily glaucoma medications," Boland and colleagues write in the second study.

Both studies were supported by a grant from the Microsoft Be Well Fund.

More information: Abstract 1
Full Text (subscription or payment may be required)
Abstract 2
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Info, motivation, behavioral skill affect med adherence

Mar 12, 2014

(HealthDay)—Patients' adherence-related information, motivation, and behavioral skills (IMB) are important targets for interventions promoting adherence to diabetes medications, according to a study published ...

Recommended for you

iPads detect early signs of glaucoma in Nepal eye screening

Oct 20, 2014

Using a tablet screening app could prove to be an effective method to aid in the effort to reduce the incidence of avoidable blindness in populations at high-risk for glaucoma with limited access to health care, according ...

Could reading glasses soon be a thing of the past?

Oct 19, 2014

A thin ring inserted into the eye could soon offer a reading glasses-free remedy for presbyopia, the blurriness in near vision experienced by many people over the age of 40, according to a study released today at AAO 2014, ...

User comments