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How glaucoma patient characteristics, self-efficacy and patient-provider communication are associated with eye drop technique.
- Source :
-
The International journal of pharmacy practice [Int J Pharm Pract] 2016 Apr; Vol. 24 (2), pp. 78-85. Date of Electronic Publication: 2015 Aug 25. - Publication Year :
- 2016
-
Abstract
- Objectives: The objective of this study was to examine the extent to which patient characteristics, eye drop technique self-efficacy, and ophthalmologist-patient communication about eye drop administration are associated with glaucoma patients' ability to instil a single drop, have the drop land in the eye, and avoid touching the applicator tip of the medication bottle to the eye or face while self-administering eye drops.<br />Methods: Glaucoma patients (n = 279) were recruited from six ophthalmology clinics. Medical visits were videotape-recorded. Afterwards, patients were interviewed and demonstrated administering an eye drop on a videotaped-recording. Generalized estimating equations were used to analyse the data.<br />Key Findings: Ophthalmologists provided eye drop administration instruction to 40 patients. Patients with more years of education were significantly more likely to both instil a single drop (P = 0.017) and have the drop land in their eye (P = 0.017). Women were significantly more likely to touch the applicator tip to their eyes or face (P = 0.014). Patients with severe glaucoma (P = 0.016), women (P = 0.026), and patients who asked at least one eye drop administration question (P = 0.001) were significantly less likely to instil a single drop. Patients with arthritis were significantly less likely to have the drop land in their eye (P = 0.008). African American patients were significantly less likely to touch the applicator tip to their eyes or face (P = 0.008).<br />Conclusions: Some glaucoma patients have a difficult time self-administering eye drops. As so few patients received eye drop administration instruction from their providers, there is an opportunity for pharmacists to complement care.<br /> (© 2015 Royal Pharmaceutical Society.)
- Subjects :
- Adult
Age Factors
Aged
Aged, 80 and over
Antihypertensive Agents therapeutic use
Arthritis complications
Female
Humans
Male
Middle Aged
Ophthalmologists
Self Administration methods
Self Efficacy
Sex Factors
Surveys and Questionnaires
Videotape Recording
Young Adult
Antihypertensive Agents administration & dosage
Glaucoma drug therapy
Health Communication
Ophthalmic Solutions administration & dosage
Patient Education as Topic
Physician-Patient Relations
Subjects
Details
- Language :
- English
- ISSN :
- 2042-7174
- Volume :
- 24
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The International journal of pharmacy practice
- Publication Type :
- Academic Journal
- Accession number :
- 26303667
- Full Text :
- https://doi.org/10.1111/ijpp.12215