Lifestyle Counseling for Medication Adherence in Glaucoma

Sandy Kim,1 Betty Tong,1 Jessica Lee,1 Darara Borodge,1 Karanjit Kooner1,2 1Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX, USA; 2Department of Ophthalmology, Veterans Affairs North Texas Health Care System, Dallas, TX, USACorrespondence: Karanjit KoonerDepa...

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Autores principales:	Kim S, Tong B, Lee J, Borodge D, Kooner K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	glaucoma lifestyle counseling medication adherence Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/5103876ff18941f08463a7d422104cd1
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spelling	oai:doaj.org-article:5103876ff18941f08463a7d422104cd12021-12-02T15:11:05ZLifestyle Counseling for Medication Adherence in Glaucoma1177-5483https://doaj.org/article/5103876ff18941f08463a7d422104cd12021-08-01T00:00:00Zhttps://www.dovepress.com/lifestyle-counseling-for-medication-adherence-in-glaucoma-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Sandy Kim,1 Betty Tong,1 Jessica Lee,1 Darara Borodge,1 Karanjit Kooner1,2 1Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX, USA; 2Department of Ophthalmology, Veterans Affairs North Texas Health Care System, Dallas, TX, USACorrespondence: Karanjit KoonerDepartment of Ophthalmology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390-9057, USATel +1 214 648 – 4733Fax +1 214 648 – 2270Email Karanjit.Kooner@UTSouthwestern.eduBackground: Medication adherence in glaucoma patients remains sub-par despite proven benefits of regular administration. The objective was to analyze medication adherence before and after lifestyle counseling in patients with ocular hypertension (OHT) or primary open-angle glaucoma (POAG) (mild, moderate, severe).Methods: Prospective cohort study from May to July 2018 at a single academic center. From 391 consecutive records, 247 were excluded based on exclusion criteria with 28 patients not meeting inclusion criteria resulting in the final sample of 116 patients (33 had OHT, 83 had POAG – 28 mild, 39 moderate, 16 severe). Scripted lifestyle counseling focusing on diet, exercise, vitamin intake, stress management, and medication adherence was administered by a team of trained medical students. Primary outcome measure was self-reported medication adherence, defined as not missing an eye drop administration in the past month. A 2– 3 week follow-up with scripted telephone survey assessing medication adherence, diet, and exercise was collected.Results: At baseline, in 116 patients, 59.5% were adherent to their medication with a breakdown of 42.4% OHT, 64.3% mild, 66.7% moderate, and 68.7% severe and an increasing trend in medication adherence was found across increasing disease severity (p=0.055). Of the 76 (65.5%) patients reached for follow-up, 17 (22.4%) became adherent following lifestyle counseling (p=0.02) increasing overall adherence to 78.9% from 62.5%.Conclusion: In our study, comprehensive lifestyle counseling succeeded in increasing medication adherence in patients with OHT and POAG.Keywords: glaucoma, lifestyle counseling, medication adherenceKim STong BLee JBorodge DKooner KDove Medical Pressarticleglaucomalifestyle counselingmedication adherenceOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 3521-3529 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	glaucoma lifestyle counseling medication adherence Ophthalmology RE1-994
spellingShingle	glaucoma lifestyle counseling medication adherence Ophthalmology RE1-994 Kim S Tong B Lee J Borodge D Kooner K Lifestyle Counseling for Medication Adherence in Glaucoma
description	Sandy Kim,1 Betty Tong,1 Jessica Lee,1 Darara Borodge,1 Karanjit Kooner1,2 1Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX, USA; 2Department of Ophthalmology, Veterans Affairs North Texas Health Care System, Dallas, TX, USACorrespondence: Karanjit KoonerDepartment of Ophthalmology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390-9057, USATel +1 214 648 – 4733Fax +1 214 648 – 2270Email Karanjit.Kooner@UTSouthwestern.eduBackground: Medication adherence in glaucoma patients remains sub-par despite proven benefits of regular administration. The objective was to analyze medication adherence before and after lifestyle counseling in patients with ocular hypertension (OHT) or primary open-angle glaucoma (POAG) (mild, moderate, severe).Methods: Prospective cohort study from May to July 2018 at a single academic center. From 391 consecutive records, 247 were excluded based on exclusion criteria with 28 patients not meeting inclusion criteria resulting in the final sample of 116 patients (33 had OHT, 83 had POAG – 28 mild, 39 moderate, 16 severe). Scripted lifestyle counseling focusing on diet, exercise, vitamin intake, stress management, and medication adherence was administered by a team of trained medical students. Primary outcome measure was self-reported medication adherence, defined as not missing an eye drop administration in the past month. A 2– 3 week follow-up with scripted telephone survey assessing medication adherence, diet, and exercise was collected.Results: At baseline, in 116 patients, 59.5% were adherent to their medication with a breakdown of 42.4% OHT, 64.3% mild, 66.7% moderate, and 68.7% severe and an increasing trend in medication adherence was found across increasing disease severity (p=0.055). Of the 76 (65.5%) patients reached for follow-up, 17 (22.4%) became adherent following lifestyle counseling (p=0.02) increasing overall adherence to 78.9% from 62.5%.Conclusion: In our study, comprehensive lifestyle counseling succeeded in increasing medication adherence in patients with OHT and POAG.Keywords: glaucoma, lifestyle counseling, medication adherence
format	article
author	Kim S Tong B Lee J Borodge D Kooner K
author_facet	Kim S Tong B Lee J Borodge D Kooner K
author_sort	Kim S
title	Lifestyle Counseling for Medication Adherence in Glaucoma
title_short	Lifestyle Counseling for Medication Adherence in Glaucoma
title_full	Lifestyle Counseling for Medication Adherence in Glaucoma
title_fullStr	Lifestyle Counseling for Medication Adherence in Glaucoma
title_full_unstemmed	Lifestyle Counseling for Medication Adherence in Glaucoma
title_sort	lifestyle counseling for medication adherence in glaucoma
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/5103876ff18941f08463a7d422104cd1
work_keys_str_mv	AT kims lifestylecounselingformedicationadherenceinglaucoma AT tongb lifestylecounselingformedicationadherenceinglaucoma AT leej lifestylecounselingformedicationadherenceinglaucoma AT borodged lifestylecounselingformedicationadherenceinglaucoma AT koonerk lifestylecounselingformedicationadherenceinglaucoma
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Lifestyle Counseling for Medication Adherence in Glaucoma

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