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Glaucoma Patient Perspectives on Effective Coaching for Self-Management.
Noah Lee Carey1, Danielle Tahira DuPuis1, George Lin1
1Department of Ophthalmology and Visual Sciences.
Journal of Glaucoma
|May 19, 2025
Summary
Personalized glaucoma coaching improved patient self-efficacy and medication adherence. Coaches fostered accountability and rapport, enhancing glaucoma self-management skills.
Area of Science:
- Ophthalmology
- Patient Education
- Behavioral Science
Background:
- Glaucoma management requires consistent medication adherence for disease control.
- Patient self-efficacy is crucial for successful chronic disease self-management.
- Personalized coaching interventions show promise in improving health behaviors.
Purpose of the Study:
- To evaluate patient experiences within a personalized glaucoma coaching program.
- To assess the impact of coaching on glaucoma self-management and medication adherence.
Main Methods:
- Qualitative analysis of semi-structured exit interviews from 32 participants in the Support, Educate, Empower (SEE) program.
- Interpretivist grounded theory approach used for thematic analysis.
- Interviews explored patient perceptions of coaching's influence on their disease management.
Main Results:
- Participants reported increased self-efficacy and improved eye drop use.
- Key themes included accountability to the coach, coach accessibility, empathy, and rapport.
- Coaching facilitated a greater sense of control over glaucoma self-management.
- Program satisfaction and fear of vision loss were also identified themes.
Conclusions:
- Personalized glaucoma coaching enhances patient self-efficacy and medication adherence.
- High-quality coaching and strong coach-patient rapport are vital for motivating patients.
- Coaching plays a significant role in team-based glaucoma care and improving patient outcomes.
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