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Published on: September 17, 2019
A theory-driven qualitative study exploring issues relating to adherence to topical glaucoma medications.
Stephanie McDonald1, Eamonn Ferguson1, Martin S Hagger2
1School of Psychology, University of Nottingham, Nottingham, UK, stephanie.mcdonald@nottingham.ac.uk.
Understanding patient perspectives on glaucoma and treatment is key to improving medication adherence. This study used the Common-Sense Model of Self-Regulation to identify barriers and consequences, offering insights for better patient care.
Area of Science:
- Ophthalmology
- Health Psychology
- Qualitative Research
Background:
- Patient perceptions of illness significantly impact management and adherence.
- The Common-Sense Model of Self-Regulation (CSM) offers a framework for studying illness cognitions and health behaviors.
- Understanding patient experiences is crucial for addressing nonadherence to glaucoma treatment.
Purpose of the Study:
- To investigate patient experiences with glaucoma and its treatment using the CSM.
- To identify factors contributing to nonadherence with glaucoma medication.
- To classify and clarify issues related to treatment adherence from the patient's viewpoint.
Main Methods:
- Qualitative investigation utilizing semi-structured interviews.
- Thirty-three patients with primary open-angle glaucoma using hypotensive eye drops participated.
- Deductive content analysis was employed to analyze interview data.
Main Results:
- Identified barriers to adherence included treatment schedules and patient-specific factors.
- Key themes emerged regarding experienced glaucoma symptoms, illness coherence, and emotional/practical consequences.
- Nonadherence issues with hypotensive eye drops were directly linked to patient experiences.
Conclusions:
- Findings highlight the emotional and practical impacts of glaucoma on patients.
- Patient-reported symptoms, memory, and cognition offer insights into adherence challenges.
- The study supports theoretically driven qualitative research to improve glaucoma treatment adherence and patient quality of life.
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