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Lifestyle Counseling for Medication Adherence in Glaucoma
Sandy Kim1, Betty Tong1, Jessica Lee1
1Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Clinical Ophthalmology (Auckland, N.Z.)
|August 25, 2021
Summary
Lifestyle counseling improved medication adherence in glaucoma patients. This intervention increased adherence rates, demonstrating its effectiveness in managing ocular hypertension and primary open-angle glaucoma.
Area of Science:
- Ophthalmology
- Public Health
- Behavioral Science
Background:
- Medication adherence in glaucoma patients is suboptimal, impacting treatment efficacy.
- Lifestyle counseling may offer a novel approach to improve adherence.
Purpose of the Study:
- To assess the impact of lifestyle counseling on medication adherence in patients with ocular hypertension (OHT) or primary open-angle glaucoma (POAG).
Main Methods:
- Prospective cohort study involving 116 patients with OHT or POAG.
- Intervention included scripted lifestyle counseling on diet, exercise, vitamins, and stress management.
- Medication adherence was assessed via self-report at baseline and follow-up phone surveys.
Main Results:
- Baseline adherence was 59.5%, with a trend towards higher adherence in more severe glaucoma.
- Following lifestyle counseling, adherence increased to 78.9% among patients reached for follow-up.
- A statistically significant increase in adherence was observed post-counseling (p=0.02).
Conclusions:
- Comprehensive lifestyle counseling effectively enhances medication adherence in OHT and POAG patients.
- This approach shows promise for improving long-term disease management and patient outcomes.
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