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User-centered Design of the eyeGuide: A Tailored Glaucoma Behavior Change Program.

Olivia J Killeen1, Chamisa MacKenzie, Michele Heisler

  • 1Departments of *Ophthalmology & Visual Sciences §Internal Medicine, University of Michigan Medical School †School of Public Health ‡School of Social Work, University of Michigan, Ann Arbor, MI.

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PubMed
Summary

User-centered design improved the eyeGuide, a program to enhance glaucoma medication adherence. Patient feedback refined tailored content, leading to satisfaction with the in-person delivery of this behavior change intervention.

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Area of Science:

  • Ophthalmology
  • Behavioral Science
  • Health Informatics

Background:

  • Medication adherence is crucial for managing glaucoma effectively.
  • Tailored interventions can improve patient engagement and treatment outcomes.
  • The eyeGuide program was developed to address adherence challenges in glaucoma patients.

Purpose of the Study:

  • To refine a prototype of the eyeGuide, a novel, tailored behavior change program.
  • To improve medication adherence among glaucoma patients using user-centered design.

Main Methods:

  • Employed a hybrid of semistructured diagnostic and pretesting interviews with glaucoma patients.
  • Utilized purposeful sampling to recruit a representative study population.
  • Conducted qualitative analysis of transcribed interviews to identify key themes for content refinement.

Main Results:

  • Qualitative analysis revealed 5 key themes: social support, patient-provider relationship, medication routine, patient beliefs, and eye drop instillation.
  • Twenty-one glaucoma patients (mean age 72.4 years) participated, with feedback leading to revised content.
  • Participants expressed satisfaction with the tailored content and preferred in-person delivery over a web-based module.

Conclusions:

  • User-centered design significantly improved the eyeGuide program through patient input.
  • The refined eyeGuide demonstrated potential for enhancing glaucoma medication adherence.
  • Patient satisfaction with tailored content highlights the effectiveness of this approach.