Understanding Barriers to Glaucoma Treatment Adherence among Participants in South India

Killeen, Olivia J.; Pillai, Manju; Udayakumar, B; Shroff, Sujani; Vimalanathan, Menaka; Cho, Juno; Newman-Casey, Paula Anne

doi:10.1080/09286586.2019.1708121

Cited by 13 publications

(15 citation statements)

References 32 publications

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“…These educational materials save time at the moment of consultation, where only remainings doubts or concerns can be answered more broadly. Also, according to the results obtained in the study by Daly and Agarwal [27] , providing patients with a logbook that includes basic information on glaucoma, as well as intraocular pressure records and changes in treatment between medical visits, increases the knowledge and understanding of the patient about their disease and could help in adherence to treatment [28] . On the other hand, we must consider that mobile media such as social networks, blogs or chats, among other resources, can currently be used to transmit educational information about glaucoma and increase awareness and knowledge in the population [29] .…”

Section: Discussionmentioning

confidence: 99%

Knowledge and awareness of glaucoma in Mexican patients with and without glaucoma diagnosis in an Ophthalmology Referral Center

et al. 2022

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AIM: To assess and compare knowledge and awareness of glaucoma in subjects with and without glaucoma diagnosis attending an Ophthalmology Referral Center. METHODS: This cross-sectional study was conducted at Asociación Para Evitar la Ceguera in Mexico City, using a questionnaire formulated by a group of experts following the Delphi panel rules, and pre-tested in a pilot study. The questionnaire was applied and compared between: glaucoma patients, relatives of glaucoma patients and patients without glaucoma. Socio-demographic data was collected to assess correlation with the level of knowledge using Logistic regression models, estimating the odds ratios (OR), 95% confidence intervals, and P<0.05. RESULTS: Three hundred and ninety-four subjects were enrolled; with a median age of 61y. One hundred and thirty-four (34%) were patients with glaucoma, 152 (38.6%) patients without glaucoma, and 108 (27.4%) relatives of patients with glaucoma. Two hundred and ninety-one (73.9%) participants were aware of the term “glaucoma”. Regarding knowledge 46.7% had moderate knowledge, 37.8% had poor knowledge, and 15.5% good knowledge. Overall, relatives of glaucoma patients had the highest scores, and patients without glaucoma got the lowest scores. A positive correlation was found between better knowledge and frequent ophthalmological examinations OR 2.24 (P=0.02), higher education level OR 4.17 (P=0.00) and having a family member with glaucoma OR 3.28 (P=0.00). CONCLUSION: Awareness and knowledge of glaucoma in subjects attending an Ophthalmology Referral Center is predominantly moderate or poor. This has important implications regarding attitudes that can result in lack of follow up in ophthalmological care.

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Section: Discussionmentioning

confidence: 99%

Knowledge and awareness of glaucoma in Mexican patients with and without glaucoma diagnosis in an Ophthalmology Referral Center

et al. 2022

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“…This may be attributed to limitation in availability of glaucoma medication in rural or semi urban areas which was reported as the common barrier in another study in south India. [ 24 ] Most patients in our study reported that the prescribed anti glaucoma medications were not available in nearby pharmacy and they usually get their medications during the hospital visit and stock in excess for future use. But due to travel restrictions pertaining to the pandemic, the patients missed their hospital visit and the medication refill.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, economic crisis due to the pandemic as evident with declined employment rate in India by 26.1% during the lockdown further affects the underprivileged people more. [ 25 ] Financial difficulties which was shown to impact the adherence to medication and follow-up in previous studies,[ 15 24 26 ] has become even more glaring during this time. With majority of the participants in low socioeconomic strata with difficulty for daily wages during the pandemic, expense for hospital visit and medications was hard to meet up.…”

Section: Discussionmentioning

confidence: 99%

“…Lack of awareness and poor understanding of glaucoma poised a known barrier for adherence to glaucoma treatment. [ 15 24 ] In our study, patients had stopped medication since no improvement in vision was noticed or was not aware to continue the medication even if follow-up visit was missed. Thus, patients who were non adherent to glaucoma eye drops even before the pandemic were found to be persistently non complaint due to lack of knowledge about glaucoma.…”

Section: Discussionmentioning

confidence: 99%

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Impact of COVID-19 on follow-up and medication adherence in patients with glaucoma in a tertiary eye care centre in south India

Subathra

Rajendrababu

Senthilkumar

et al. 2021

Indian Journal of Ophthalmology

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Purpose: COVID-19 pandemic has affected the healthcare system worldwide hindering the continuum of treatment of chronic disease patients. The objective of the study is to analyze the barriers encountered by the glaucoma patients for the follow-up visit and medication adherence during the pandemic. Methods: This cross-sectional study included glaucoma patients who did not attend the scheduled appointment from April 1, 2020 to July 31, 2020 in a tertiary eye care center (88.21%). Eligible patients of age >18 years and advised antiglaucoma medication in Madurai Zone were interviewed with validated questionnaire through telephonic call. Results: 363 patients answered the questionnaire through telephonic interview. 57.3% of the patients were found to be non-adherent to medication. The main barriers for glaucoma follow-up visit during the pandemic were lockdown restriction, transport problem, and financial difficulties. The top barriers for medication adherence were non availability of medication (54.81%), financial difficulties (30.29%), did not feel much improvement with eye drops (20.19%). On multiple regression analysis, longer distance to hospital, low socioeconomic status, more than one antiglaucoma medication use, lack of awareness of glaucoma, non-complaint before COVID-19 and stress due to the pandemic were found to be significant factors for medication non adherence. Conclusion: COVID-19 pandemic has emphasized the need for reformation in health care system for accessibility of medical care to patients in rural areas. Decentralization of health system to primary care level and utilization of teleophthalmology should be considered by health care planners in future.

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“…Sendo assim, o paciente pode diminuir as dosagens da medicação para reduzir as despesas com a compra do colírio 19 . Diante disso, diversas pesquisas demonstraram que o custo foi uma barreira à adesão 18,19,22 . Nesse sentido, no estudo de Sleath et al 18 , os pacientes mais jovens e do sexo feminino foram significativamente mais propensos a relatar dificuldade para comprar os medicamentos para glaucoma.…”

Section: Adesão E Fatores Socioeconômicosunclassified

Nível De Adesão Ao Tratamento Do Glaucoma E Fatores Que O Influenciam: Uma Revisão Integrativa

Talgatti¹,

Jacob²,

Kac³

2022

RECIMA21

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Como principal causa de cegueira irreversível no mundo, o glaucoma ainda conta com inúmeros obstáculos no estabelecimento de um tratamento adequado. O objetivo desta revisão integrativa é identificar, descrever e analisar, em pesquisas publicadas de janeiro de 2012 a janeiro de 2022, o nível de adesão ao tratamento de glaucoma e os fatores que o influenciam. Para realizar essa revisão integrativa de literatura foram incluídos artigos em português, inglês e espanhol nas bases de dados Pubmed e Scielo a partir de palavras-chave padronizadas por meio de buscas no DeCS. Inicialmente foram encontrados 879 artigos, sendo que, após a aplicação dos critérios de inclusão, foram selecionados 32. A porcentagem de não adesão ao tratamento variou de 12.2% a 92,0%. Os fatores que podem influenciar a não adesão e que foram analisados nesse estudo podem ser agrupados em fatores individuais, fatores socioeconômicos, fatores relacionados à doença e fatores relacionados ao tratamento. Observou-se uma carência de políticas públicas de saúde que atuem sob essas principais barreiras da não adesão ao tratamento e, além disso, foi constatado que somente 3 estudos foram realizados no Brasil, identificando uma falta de estudos sobre o tema.

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Understanding Barriers to Glaucoma Treatment Adherence among Participants in South India

Cited by 13 publications

References 32 publications

Knowledge and awareness of glaucoma in Mexican patients with and without glaucoma diagnosis in an Ophthalmology Referral Center

Knowledge and awareness of glaucoma in Mexican patients with and without glaucoma diagnosis in an Ophthalmology Referral Center

Impact of COVID-19 on follow-up and medication adherence in patients with glaucoma in a tertiary eye care centre in south India

Nível De Adesão Ao Tratamento Do Glaucoma E Fatores Que O Influenciam: Uma Revisão Integrativa

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