Determinants of Self-Reported Barriers to Glaucoma Medicine Administration and Adherence

Abstract

Providers should consider using tools to screen glaucoma patients for depressive symptoms and for problems in using medications to identify patients who are at higher risk of nonadherence to treatment and who might benefit from follow-up with primary care providers.

Instrumentos de avaliação do letramento em saúde: revisão de literatura

“…Concerning design, the majority of the studies was observational and cross-sectional (n= 22; 81.5%) (11,12,(14)(15)(16)(17)(18)(20)(21)(22)(24)(25)(26)(27)(28)(29)(30)(31)(32)(35)(36)(37) , and some received additional specifications: 3 were pilot studies (11.1%) (20,24,25) , 4 were multi-center studies (14.8%) (11,16,17,30) , and 5 focused on validation of assessment instruments (18.5%) (22,26,31,32,37) . Randomized clinical trials -studies that present higher levels of scientific evidence -totaled only 4 occurrences (14.8%) (19,23,33,34) , and 2 of them were multi-center studies (7.4%) (33,34) .…”

“…The other 2 studies (40.0%) proposed to develop new health literacy assessment instruments, both in the United States: Health LiTT (31) and METER (which includes many words from REALM) (32) . Health literacy was considered an explanatory variable in the majority of the articles (n=16, 59.3%) (11)(12)(13)16,(18)(19)(20)(23)(24)(25)(28)(29)(30)(33)(34)(35) . The articles that considered health literacy the response variable (n=11, 40.7%) (14,15,17,21,22,26,27,31,32,36,37) include the 5 instrument validation studies (18.5%) (22,26,31,32,37) , 4 population-based studies (14.8%) -2 in Taiwan (14,15) , 1 in Finland (27) and 1 intercontinental study (17) , -and 2 studies with diabetic patients (7.4%), carried out in Japan (21,36) .…”

“…Five of these articles used the full version (18.6%) (11,25,(32)(33)(34) , 1 of them used the short version (3.7%) (12) , and 1 used the reviewed version (3.7%) (30) . Of these 8 studies, 1 (3.7%) used SAHLPA (Short Assessment of Health Literacy for Portuguese-speaking Adults) (26) , a version (13,21,29,36) in Japan and the Netherlands, and SBSQ (Set of Brief Screening Questions), in 2 articles (7.4%) (16,17) : a study that performed assessments in 15 European countries (16) and a study that involved countries in Europe, Oceania, North and South America (17) .…”

“…In 14 articles (51.9%) (11,13,(17)(18)(19)(20)(21)23,24,28,30,33,34,36) , general and specific health literacy assessment instruments were used in an associated form, and the approached specialties were: Rheumatology (13,19) Endocrinology (21,36) , Surgery (33,34) (each area approached in 2 articles, 7.4%), Ophthalmology (11) , Pharmacy (17) , Cardiology (18) , Nutrition and Physical Education (20) , Pneumology (23) , Urology and Urogynecology (24) , Speech-Language Pathology and Audiology (28) , Orthopedics and Physiotherapy (30) (each area approached in 1 article, 3.7%). The main characteristics of the health literacy assessment instruments most frequently used in the selected articles are presented on Chart 2.…”

“…REALM, employed in the United States, Ireland and Brazil, was chosen in 8 articles (29.6%) (11,12,25,26,30,(32)(33)(34) . Five of these articles used the full version (18.6%) (11,25,(32)(33)(34) , 1 of them used the short version (3.7%) (12) , and 1 used the reviewed version (3.7%) (30) .…”