Glaucoma Education Intervention: Using a Trained Volunteer to Improve Patient Understanding and Compliance
International Journal of Ophthalmology & Visual Science
Volume 3, Issue 2, June 2018, Pages: 27-31
Received: Jun. 28, 2018;
Accepted: Jul. 23, 2018;
Published: Aug. 17, 2018
Views 1466 Downloads 102
Mital Shah, Department of Ophthalmology, Stoke Mandeville Hospital, Aylesbury, UK
Asifa Shaikh, Department of Ophthalmology, Stoke Mandeville Hospital, Aylesbury, UK
The aim of this study is to assess patients’ experience and acceptability of an educational intervention run by volunteers to provide information about glaucoma, with the goal of improving patients’ understanding about glaucoma. Clinicians referred patients attending glaucoma clinics at one trust to volunteers for education about glaucoma, surgical or laser interventions and eye drop technique. Patients were subsequently contacted by telephone to complete a satisfaction survey with five responses ranging from strongly disagree to strongly agree. 68 patients were referred to the volunteers over a 7 month period. 27 (40%) were interviewed by telephone. All were happy with their experience of the volunteer service with 23 patients (57.5%) strongly agreeing that they were comfortable speaking to a volunteer, 18 (45%) strongly agreeing that the volunteer was able to answer their questions and explain the condition properly and 22 (55%) strongly agreeing that speaking with the volunteer was a positive experience. 17 (42.5%) strongly agreed that they had better knowledge and understanding about glaucoma and 22 (55%) strongly agreed that they understood the importance regular therapy. Of the 17 patients surveyed about eye drop technique, 14 (82.4%) strongly agreed they were more confident with their technique. Patients were comfortable and accepting of the volunteer scheme and reported better understanding of glaucoma. Using volunteers to educate patients helps clinicians and improves compliance.
Glaucoma Education Intervention: Using a Trained Volunteer to Improve Patient Understanding and Compliance, International Journal of Ophthalmology & Visual Science.
Vol. 3, No. 2,
2018, pp. 27-31.
Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012; 96 (5): 614–618.
National Collaborating Centre for Acute Care (UK). Glaucoma: Diagnosis and Management of Chronic Open Angle Glaucoma and Ocular Hypertension. London: National Collaborating Centre for Acute Care (UK); 2009.
Spooner JJ, Bullano MF, Ikeda LI, Cockerham TR, Waugh WJ, Johnson T, et al. Rates of discontinuation and change of glaucoma therapy in a managed care setting. Am J Manag Care. 2002; 8 (10 Suppl): S262–70.
Dasgupta S, Oates V, Bookhart BK, Vaziri B, Schwartz GF, Mozaffari E. Population-based persistency rates for topical glaucoma medications measured with pharmacy claims data. Am J Manag Care. 2002; 8 (10 Suppl): S255–61.
Lacey J, Cate H, Broadway DC. Barriers to adherence with glaucoma medications: a qualitative research study. Eye (Lond). 2009; 23 (4): 924–932.
Stryker JE, Beck AD, Primo SA, Echt KV, Bundy L, Pretorius GC, et al. An exploratory study of factors influencing glaucoma treatment adherence. Journal of Glaucoma. 2010; 19 (1): 66–72.
Tsai JC, McClure CA, Ramos SE, Schlundt DG, Pichert JW. Compliance Barriers in Glaucoma: A Systematic Classification. Journal of Glaucoma. 2003; 12 (5): 393.
Friedman DS, Hahn SR, Gelb L, Tan J, Shah SN, Kim EE, et al. Doctor-patient communication, health-related beliefs, and adherence in glaucoma results from the Glaucoma Adherence and Persistency Study. Ophthalmology. 2008; 115 (8): 1320–7– 1327. e1–3.
Rendell J. Effect of health education on patients' beliefs about glaucoma and compliance. Insight. 2000; 25 (4): 112–118.
Cook PF, Bremer RW, Ayala AJ, Kahook MY. Feasibility of motivational interviewing delivered by a glaucoma educator to improve medication adherence. Clin Ophthalmol. 2010; 4: 1091–1101.
Chen X, Chen Y, Sun X. Notable role of glaucoma club on patients' knowledge of glaucoma. Clin. Experiment. Ophthalmol. 2009; 37 (6): 590–594.
Okeke CO, Quigley HA, Jampel HD, Ying G-S, Plyler RJ, Jiang Y, et al. Interventions improve poor adherence with once daily glaucoma medications in electronically monitored patients. Ophthalmology. 2009; 116 (12): 2286–2293.
Rosdahl JA, Swamy L, Stinnett S, Muir KW. Patient education preferences in ophthalmic care. Patient preference and adherence. 2014; 8: 565–574.
Muir KW, Santiago-Turla C, Stinnett SS, Herndon LW, Allingham RR, Challa P, et al. Health literacy and adherence to glaucoma therapy. Am. J. Ophthalmol. 2006; 142 (2): 223–226.
Juzych MS, Randhawa S, Shukairy A, Kaushal P, Gupta A, Shalauta N. Functional health literacy in patients with glaucoma in urban settings. Arch Ophthalmol. 2008; 126 (5): 718–724.
Glanz K, Beck AD, Bundy L, Primo S, Lynn MJ, Cleveland J, et al. Impact of a health communication intervention to improve glaucoma treatment adherence. Results of the interactive study to increase glaucoma adherence to treatment trial. Arch Ophthalmol. 2012; 130 (10): 1252–1258.
Muir KW, Ventura A, Stinnett SS, Enfiedjian A, Allingham RR, Lee PP. The influence of health literacy level on an educational intervention to improve glaucoma medication adherence. Patient Educ Couns. 2012; 87 (2): 160–164.
Friedman DS, Quigley HA, Gelb L, Tan J, Margolis J, Shah SN, et al. Using pharmacy claims data to study adherence to glaucoma medications: methodology and findings of the Glaucoma Adherence and Persistency Study (GAPS). Invest. Ophthalmol. Vis. Sci. 2007; 48 (11): 5052–5057.
Quigley HA, Friedman DS, Hahn SR. Evaluation of practice patterns for the care of open-angle glaucoma compared with claims data: the Glaucoma Adherence and Persistency Study. Ophthalmology. 2007; 114 (9): 1599–1606.
Waterman H, Evans JR, Gray TA, Henson D, Harper R. Interventions for improving adherence to ocular hypotensive therapy. Waterman H (ed). Cochrane Database Syst Rev. 2013; 4: CD006132.
Tse AP, Shah M, Jamal N and Shaikh A. Glaucoma treatment adherence at a United Kingdom general practice. Eye. 2016; 30: 1118–1122.
Newman-Casey PA, Weizer JS, Heisler M, Lee PP, Stein JD. Systematic review of educational interventions to improve glaucoma medication adherence. Semin Ophthalmol. 2013; 28 (3): 191–201.
Strecher VJ. Computer-tailored smoking cessation materials: a review and discussion. Patient Educ Couns. 1999; 36 (2): 107–117.