Interventions for Glaucoma Medication Adherence Improvement

Ha, Ahnul; Jang, Mirinae; Shim, Sung Ryul; Kim, Chung Young; Chang, In Boem; Kim, Young Kook

doi:10.1016/j.ophtha.2022.06.025

Cited by 8 publications

(8 citation statements)

References 53 publications

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“…Although we did not randomize patients to each of these interventions, we interpret our results as a signal that patients who received targeted, direct outreach by phone are more likely to adhere to glaucoma follow-up recommendations. Other studies have shown that interactive text and phone reminders are more effective at increasing glaucoma medication adherence compared with generic prerecorded messages, 29 though a multifaceted approach might lead to even greater improvements 30 …”

Section: Discussionmentioning

confidence: 99%

“…Similarly, future improvements to this program should include formally assessing the reasons why patients declined care or missed previously scheduled appointments. This could reveal opportunities to design specific interventions to alleviate additional barriers to care, such as those related to scheduling, transportation, or insurance coverage 6,30 . Despite being significantly overdue for care, relatively few patients ultimately returned for care and some patients scheduled appointments beyond the program assessment timepoint.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies have shown that interactive text and phone reminders are more effective at increasing glaucoma medication adherence compared with generic prerecorded messages, 29 though a multifaceted approach might lead to even greater improvements. 30 Finally, a novel aspect of our engagement effort was to offer each contacted patient the option of a hybrid telehealth visit. The intent of that option was to take advantage of the experience gained with technology-enabled remote evaluation of glaucoma patients, which was accelerated by the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…This could reveal opportunities to design specific interventions to alleviate additional barriers to care, such as those related to scheduling, transportation, or insurance coverage. 6,30 Despite being significantly overdue for care, relatively few patients ultimately returned for care and some patients scheduled appointments beyond the program assessment timepoint. For that reason, it is possible that the final adherence rate is actually higher than that presented in our study.…”

Section: Study Limitationsmentioning

confidence: 99%

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Targeted Telephone-Based Outreach Reconnects Glaucoma Patients With Subspecialty Care

Sharma

Roh

Ramsey

2023

Journal of Glaucoma

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Précis: A personalized telephone-based intervention is a costeffective method to return overdue patients with open angle glaucoma (OAG) to subspecialty care. Patients who accepted care overwhelmingly preferred in-person appointments with their provider instead of hybrid visits with telehealth.Purpose: To evaluate the effectiveness of a telephone-based outreach strategy to reconnect OAG patients with subspeciality care.Patients and Methods: Established patients with OAG who were seen before March 1, 2021, but had not returned for care in the following year were contacted via a telephone-based intervention. Patients lost to follow-up (LTF) were offered the option of an inperson visit or a hybrid telehealth visit, which combined in-office testing of vision, intraocular pressure, and optic nerve imaging with a virtual consultation with their glaucoma specialist on a separate date.Results: Of 2727 patients with OAG, 351 (13%) had not returned for recommended care. Outbound calls reached 176 of those patients (50%). Nearly half of all patients contacted readily accepted care, with 71 scheduling in-person appointments (93%) and 5 selecting hybrid visits (6.6%). Medication refills were requested by 17 of those 76 patients, representing nearly a third of the 56 patients who were treated with topical glaucoma medications. Assessment of the program 90 days later found that 40 patients had returned for care, 100 patients had transferred or declined further care, and 40 patients were identified as deceased, lowering the LTF rate to 6.4%, with 15 patients still scheduled for future visits. On the basis of an average call duration of 2.8 ± 2.0 minutes, the added cost of returning a patient with OAG to care by the program was $28.11.Conclusions: Providing targeted outreach by telephone is an effective and cost-efficient strategy to reconnect OAG patients LTF with subspecialty care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Limitationsmentioning

confidence: 99%

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Targeted Telephone-Based Outreach Reconnects Glaucoma Patients With Subspecialty Care

Sharma

Roh

Ramsey

2023

Journal of Glaucoma

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“…Data extraction was performed by two investigators (MGH and JL) in an independent and masked manner using a standardized method based on the Cochrane Library's Database of Systematic Reviews, as previously reported [11][12][13][14][15]. The extracted data were entered into a dedicated database and reviewed by a third investigator (YKK).…”

Section: Data Extraction and Quality Evaluationmentioning

confidence: 99%

Relative Risks for Dementia among Individuals with Glaucoma: A Meta-Analysis of Observational Cohort Studies

Huh,

Kim,

Lee

et al. 2023

Korean J Ophthalmol

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Purpose: To investigate the relative risks (RRs) for dementia among individuals with glaucoma.Methods: We conducted a search of PubMed, Web of Science, Scopus, and Cochrane databases for observational cohort studies examining the association between glaucoma and dementia until March 2023. Two authors independently screened all titles and abstracts according to predefined inclusion and exclusion criteria. Pooled RR and 95% confidence intervals (CIs) were generated using random-effect models.Results: The meta-analysis included 18 cohort studies conducted in eight countries and involving 4,975,325 individuals. The pooled RR for the association between glaucoma and all-cause dementia was 1.314 (95% CI, 1.099–1.572; I2 = 95%). The pooled RRs for the associations of open-angle glaucoma with Alzheimer dementia and Parkinson disease were 1.287 (95% CI, 1.007–1.646; I2 = 96%) and 1.233 (95% CI, 0.677–2.243; I2 = 73%), respectively. The pooled RRs for the associations of angle-closure glaucoma with all-cause dementia and Alzheimer dementia were 0.978 (95% CI, 0.750–1.277; I2 = 17%) and 0.838 (95% CI, 0.421–1.669; I2 = 16%), respectively. No evidence of publication bias was detected in the Begg-Mazumdar adjusted rank correlation test (p = 0.47).Conclusions: Based on current observational cohort studies, there is evidence supporting that glaucoma is a risk factor for dementia in the adult population.

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