Related Experiment Video
Updated: Feb 7, 2026
07:11
Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
6.9K
Personalized behavior change program for glaucoma patients with poor adherence: a pilot interventional cohort study
Paula Anne Newman-Casey1, Leslie M Niziol1, Chamisa K Mackenzie1
11Department of Ophthalmology and Visual Sciences, University of Michigan Medical School, 1000 Wall Street, Ann Arbor, MI 48105 USA.
Pilot and Feasibility Studies
|August 1, 2018
Summary
This pilot study tested a personalized intervention combining reminders and motivational interviewing to improve medication adherence in glaucoma patients. The intervention aims to enhance chronic disease management for non-adherent individuals.
Area of Science:
- Ophthalmology
- Behavioral Science
- Health Services Research
Background:
- Glaucoma medication non-adherence affects about 50% of patients.
- Reminder systems and motivational interviewing (MI) have improved adherence in other chronic conditions.
- A personalized intervention was piloted to address medication adherence in glaucoma.
Purpose of the Study:
- To pilot a personalized intervention for glaucoma patients with poor medication adherence.
- To assess the impact of reminders and MI-based counseling on medication adherence.
- To evaluate changes in clinical outcomes and psychosocial mediators of adherence.
Main Methods:
- 57 non-adherent glaucoma patients were enrolled.
- Adherence was monitored for 2 years using electronic monitors, self-report, and pharmacy refills.
- Intervention included 3 months of reminders and 6 months of MI counseling via the eyeGuide system.
Main Results:
- The primary outcome is the change in medication adherence.
- Secondary outcomes include intraocular pressure (IOP) and IOP fluctuation.
- Psychosocial mediators like competence and satisfaction were also assessed.
Conclusions:
- This pilot study offers insights into personalized healthcare for non-adherent glaucoma patients.
- Findings will inform strategies to better support chronic disease management.
- Participant feedback will refine the counseling program for future improvements.
Related Concept Videos
01:15Bioavailability Study Design: Healthy Subjects Versus Patients
160
Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
160
01:19The Behavioral Perspective on Personality
835
Behaviorists view personality as primarily shaped by environmental reinforcements and consequences. According to this perspective, behavior is influenced by external stimuli, and individuals adjust their actions based on rewards and punishments. Over time, learning histories — accumulated patterns of reinforcement — play a significant role in shaping personality. Behaviors that lead to positive outcomes are reinforced, while those resulting in negative outcomes are diminished.
835
01:23Behavioral Genetics and Its Designs
1.1K
Behavior genetics explores how genetic inheritance influences human behavior. It focuses on how genes, passed from parents to offspring, contribute to the development of behavioral traits and tendencies. This branch of genetics seeks to understand the complex interplay between inherited genetic factors and environmental influences in shaping our behaviors.
The primary methodologies used in behavior genetics include family studies, twin studies, and adoption studies, each providing unique...
The primary methodologies used in behavior genetics include family studies, twin studies, and adoption studies, each providing unique...
1.1K
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
357
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
357
01:20Study Designs in Epidemiology
1.0K
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
1.0K
01:15Study Design in Statistics
10.1K
A study design is a set of techniques that allow a researcher to collect and analyze data from different variables defined for a specific research problem. Statistics is commonly for effective study design and more robust experiments,
Does aspirin reduce the risk of heart attacks? Is one brand of fertilizer more effective at growing roses than another? Is fatigue as dangerous to a driver as the influence of alcohol? Questions like these are answered using randomized experiments with proper...
Does aspirin reduce the risk of heart attacks? Is one brand of fertilizer more effective at growing roses than another? Is fatigue as dangerous to a driver as the influence of alcohol? Questions like these are answered using randomized experiments with proper...
10.1K