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Patient Experience during the Support, Educate, Empower Glaucoma Coaching Program to Improve Medication Adherence: A
Cecilia N Hollenhorst1, Vanessa Elliott2, Michele Heisler3
1Department of Ophthalmology & Visual Sciences, University of Michigan Medical School, Ann Arbor, Michigan.
Ophthalmology. Glaucoma
|October 3, 2020
Summary
Patients found the Support, Educate, Empower (SEE) program effective for improving glaucoma medication adherence. Key elements included coach interaction, personalized education, and reminders, leading to positive patient experiences.
Area of Science:
- Ophthalmology
- Behavioral Science
- Health Services Research
Background:
- Glaucoma medication non-adherence is a significant challenge in managing the disease.
- Personalized interventions are crucial for improving patient adherence to treatment regimens.
- The Support, Educate, Empower (SEE) program aimed to address adherence issues through a structured coaching approach.
Purpose of the Study:
- To explore patients' qualitative experiences with the SEE personalized glaucoma coaching program.
- To identify specific intervention components that facilitate behavior change in glaucoma patients.
- To gather insights for enhancing the SEE Program's effectiveness.
Main Methods:
- A concurrent mixed-methods process analysis was conducted.
- Thirty-nine adult patients with glaucoma and poor medication adherence participated.
- In-person, semi-structured interviews were analyzed using Grounded Theory to identify themes.
Main Results:
- 95% of participants reported positive overall experiences with the SEE program.
- Helpful components included coach interactions, personalized education, and adherence reminders.
- Improved adherence correlated with trust in adherence scores and perceived personal need for improvement.
Conclusions:
- The SEE program, combining in-person education and motivational interviewing with automated reminders, received highly positive patient feedback.
- Personalized education was identified as a desired standard component of glaucoma care.
- The intervention effectively supported behavior change for improved medication adherence.
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