Decreasing Avoidable Vision Loss: Identifying Antecedents of Adherence

Alan R Morse,1,2 William H Seiple1,3 1Lighthouse Guild, New York, NY, USA; 2Harkness Eye Institute, Columbia University, New York, NY, USA; 3Department of Ophthalmology, New York University School of Medicine, New York, NY, USACorrespondence: Alan R Morse; William H SeipleLighthouse Guild, 250 West...

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Autores principales:	Morse AR, Seiple WH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	avoidable vision loss adherence activation engagement Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/076c5995352d4e9985968633bac48b8f
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spelling	oai:doaj.org-article:076c5995352d4e9985968633bac48b8f2021-12-02T13:37:45ZDecreasing Avoidable Vision Loss: Identifying Antecedents of Adherence1177-5483https://doaj.org/article/076c5995352d4e9985968633bac48b8f2020-11-01T00:00:00Zhttps://www.dovepress.com/decreasing-avoidable-vision-loss-identifying-antecedents-of-adherence-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Alan R Morse,1,2 William H Seiple1,3 1Lighthouse Guild, New York, NY, USA; 2Harkness Eye Institute, Columbia University, New York, NY, USA; 3Department of Ophthalmology, New York University School of Medicine, New York, NY, USACorrespondence: Alan R Morse; William H SeipleLighthouse Guild, 250 West 64th Street, New York, NY 10023, USATel +1 212 769 6215Email armorse@lighthouseguild.org; Wseiple@lighthouseguild.orgAbstract: Adherence to medication treatment protocols and active participation by individuals in their medical care are important for all patients, but especially for those with chronic conditions such as vision loss. Adherence is crucial for decreasing avoidable vision loss. Failure to take medications as prescribed and keep scheduled appointments reduces treatment effectiveness, increases complications and results in poorer outcomes. Reasons for nonadherence vary by diagnosis and include not understanding the importance of adherence, low health literacy, lack of adequate self-efficacy, low level of activation and behavioral issues including depression. Patients may lack information about their condition and its prognosis, available treatment alternatives, and other essential information such as how to monitor their eye condition, what to do if vision deteriorates and how to get needed community-based help. Each of these factors impedes patients’ ability to engage with their physician and participate in their own care. The ability of individuals with vision loss to actively and effectively manage their health care, ie, activation, has been understudied. When patients are involved with their own care, their care experience, and most importantly, their outcomes, are improved. Identifying antecedents of adherence may help provide disease- and patient-specific pathways to reduce avoidable vision loss.Keywords: avoidable vision loss, adherence, activation, engagement, patient activation, patient engagement, AMD, diabetic eye disease, glaucomaMorse ARSeiple WHDove Medical Pressarticleavoidable vision lossadherenceactivationengagementOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 3735-3739 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	avoidable vision loss adherence activation engagement Ophthalmology RE1-994
spellingShingle	avoidable vision loss adherence activation engagement Ophthalmology RE1-994 Morse AR Seiple WH Decreasing Avoidable Vision Loss: Identifying Antecedents of Adherence
description	Alan R Morse,1,2 William H Seiple1,3 1Lighthouse Guild, New York, NY, USA; 2Harkness Eye Institute, Columbia University, New York, NY, USA; 3Department of Ophthalmology, New York University School of Medicine, New York, NY, USACorrespondence: Alan R Morse; William H SeipleLighthouse Guild, 250 West 64th Street, New York, NY 10023, USATel +1 212 769 6215Email armorse@lighthouseguild.org; Wseiple@lighthouseguild.orgAbstract: Adherence to medication treatment protocols and active participation by individuals in their medical care are important for all patients, but especially for those with chronic conditions such as vision loss. Adherence is crucial for decreasing avoidable vision loss. Failure to take medications as prescribed and keep scheduled appointments reduces treatment effectiveness, increases complications and results in poorer outcomes. Reasons for nonadherence vary by diagnosis and include not understanding the importance of adherence, low health literacy, lack of adequate self-efficacy, low level of activation and behavioral issues including depression. Patients may lack information about their condition and its prognosis, available treatment alternatives, and other essential information such as how to monitor their eye condition, what to do if vision deteriorates and how to get needed community-based help. Each of these factors impedes patients’ ability to engage with their physician and participate in their own care. The ability of individuals with vision loss to actively and effectively manage their health care, ie, activation, has been understudied. When patients are involved with their own care, their care experience, and most importantly, their outcomes, are improved. Identifying antecedents of adherence may help provide disease- and patient-specific pathways to reduce avoidable vision loss.Keywords: avoidable vision loss, adherence, activation, engagement, patient activation, patient engagement, AMD, diabetic eye disease, glaucoma
format	article
author	Morse AR Seiple WH
author_facet	Morse AR Seiple WH
author_sort	Morse AR
title	Decreasing Avoidable Vision Loss: Identifying Antecedents of Adherence
title_short	Decreasing Avoidable Vision Loss: Identifying Antecedents of Adherence
title_full	Decreasing Avoidable Vision Loss: Identifying Antecedents of Adherence
title_fullStr	Decreasing Avoidable Vision Loss: Identifying Antecedents of Adherence
title_full_unstemmed	Decreasing Avoidable Vision Loss: Identifying Antecedents of Adherence
title_sort	decreasing avoidable vision loss: identifying antecedents of adherence
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/076c5995352d4e9985968633bac48b8f
work_keys_str_mv	AT morsear decreasingavoidablevisionlossidentifyingantecedentsofadherence AT seiplewh decreasingavoidablevisionlossidentifyingantecedentsofadherence
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Decreasing Avoidable Vision Loss: Identifying Antecedents of Adherence

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