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Improving Black Patient Question-Asking and Provider Education During Glaucoma Visits
Betsy Sleath1, Delesha M Carpenter1, Scott A Davis2
1Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Ophthalmology. Glaucoma
|March 27, 2023
Summary
A previsit video and question prompt list intervention significantly increased Black patients' question-asking about glaucoma and glaucoma medications. This intervention also improved provider education on these topics during clinic visits.
Area of Science:
- Ophthalmology
- Patient Education
- Health Disparities
Background:
- Glaucoma is a leading cause of irreversible blindness.
- Effective patient-provider communication is crucial for managing glaucoma and medication adherence.
- Black patients face a disproportionately higher risk of glaucoma and vision loss.
Purpose of the Study:
- To evaluate a previsit intervention using a video and question prompt list.
- To increase question-asking by Black patients about glaucoma and its medications.
- To enhance provider education on glaucoma during patient visits.
Main Methods:
- A randomized controlled trial involving 189 Black patients with glaucoma.
- Intervention group received a video and question prompt list before visits.
- Usual care group received standard care; visits were audiotaped.
Main Results:
- Intervention group patients were significantly more likely to ask questions about glaucoma (OR 5.4) and medications (OR 2.8).
- Patients receiving the intervention had significantly more areas of provider education on glaucoma (β=0.94).
- Asking medication questions correlated with increased provider education on glaucoma medications (β=1.8).
Conclusions:
- The previsit intervention effectively boosted patient question-asking regarding glaucoma and medications.
- The intervention also enhanced the scope of provider education on glaucoma.
- This strategy shows promise for improving care for Black patients with glaucoma.
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