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Published on: May 25, 2020
Glaucoma Patient Knowledge, Perceptions, and Predispositions for Telemedicine
Lindsay A Rhodes1, Carrie E Huisingh1, Gerald McGwin1,2
1Departments of Ophthalmology and Visual Sciences, School of Medicine.
Older glaucoma patients show variable knowledge of telemedicine, with younger age, European descent, higher education, and greater travel distance correlating with increased awareness. Approximately one-third to one-half expressed favorable attitudes toward its use in glaucoma care.
Area of Science:
- Ophthalmology
- Health Informatics
- Geriatrics
Background:
- Telemedicine offers potential for remote glaucoma care, but patient understanding and acceptance are crucial for successful implementation.
- Older adults, a significant demographic for glaucoma, may have varying levels of digital literacy and familiarity with telehealth services.
Purpose of the Study:
- To investigate factors influencing knowledge, perceptions, and predispositions towards telemedicine among elderly glaucoma patients.
- To identify demographic and clinical characteristics associated with telemedicine awareness and acceptance in this population.
Main Methods:
- A study enrolled 110 patients aged 60+ with glaucoma or related conditions at an academic eye clinic.
- Participants completed the Life Space Questionnaire (LSQ) and the Preferences for Telemedicine Questionnaire (PTQ).
- Statistical analyses, including chi-testing and Mann-Whitney U tests, examined associations between questionnaire responses and patient characteristics (age, race, education, LSQ score, visual acuity).
Main Results:
- 71% and 74% of patients were neutral or agreed to telediagnosis and teleintervention, respectively.
- Younger patients (60-69), those of European descent, and individuals with higher education demonstrated significantly greater knowledge of various telemedicine applications.
- Patients who traveled greater distances (LSQ score ≥6) showed increased knowledge of telediagnosis, teleintervention, and telemonitoring.
Conclusions:
- Telemedicine knowledge among older glaucoma patients is inconsistent, with specific demographic factors influencing awareness.
- A substantial proportion of older glaucoma patients exhibit favorable attitudes towards utilizing telemedicine for their eye care.
- Targeted educational interventions may be necessary to improve telemedicine understanding and adoption in this patient group.
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