Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations

Alexander Feng, John O’Neill, Mitchell Holt, Catherine Georgiadis, Martha M Wright, Sandra R Montezuma Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, MN, USA Purpose: The purpose of this study is to evaluate the success and usefulness of patie...

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Autores principales:	Feng A, O’Neill J, Holt M, Georgiadis C, Wright MM, Montezuma SR
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Eye drop Self-administration patient education safety patient satisfaction Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/89dd73e17cd84d5d9d0150d9b3b013bc
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spelling	oai:doaj.org-article:89dd73e17cd84d5d9d0150d9b3b013bc2021-12-02T01:09:15ZSuccess of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations1177-5483https://doaj.org/article/89dd73e17cd84d5d9d0150d9b3b013bc2016-08-01T00:00:00Zhttps://www.dovepress.com/success-of-patient-training-in-improving-proficiency-of-eyedrop-admini-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Alexander Feng, John O’Neill, Mitchell Holt, Catherine Georgiadis, Martha M Wright, Sandra R Montezuma Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, MN, USA Purpose: The purpose of this study is to evaluate the success and usefulness of patient education in eyedrop self-administration technique via an educational handout and a short instructional video. Patients and methods: We conducted a prospective study that included 34 patients who were self-administering ophthalmic drops. Of the total patients included, 12% had used drops for <12 months, and 88% had used drops for >12 months. Average age of patients in the study was 67 years, with an age range of 19–91 years. Of the total patients included, 82% had glaucoma, 6% had dry eyes, and 12% did not have a specific diagnosis. Subjects were video recorded and assessed by a trained observer on two occasions: at baseline and after they viewed a demonstrational video and handout. A maximum score of 15 points was awarded based on 15 criteria. A written self-assessment was administered at the end of each study. Results: Pre- and post-teaching assessment scores improved significantly with education. Patients initially scored an average 2.53 points compared to a post-education score of 6.15 out of 15 points, demonstrating a 2.43 (P=0.008) factor of improvement. After education, 94% of patients versus 47% pre-teaching (P=0.0001) pulled down their lower eyelids. A total of 91% pre-teaching versus 59% post-teaching (P=0.0042) patients squeezed one drop into the lower fornix, 74% pre-teaching versus 26% post-teaching (P=0.0002) patients released the eyelid and closed the eye for 1 minute, and 56% pre-teaching versus 3% post-teaching (P=0.0001) patients applied nasal digital pressure on each eye. We found no significant difference in score changes between those who previously received education and those who had not (P=0.37). A total of 91% patients responded in a postassessment survey that they now feel more confident of their ability to self-administer eyedrops as their doctor prescribed and that the educational materials were responsible. Conclusion: Participants demonstrated an immediate and statistically significant improvement in several areas of proper eyedrop self-administration after exposure to a demonstration video and instructional handout. Keywords: compliance, eye care, patient education, safety, patient satisfactionFeng AO’Neill JHolt MGeorgiadis CWright MMMontezuma SRDove Medical PressarticleEye dropSelf-administrationpatient educationsafetypatient satisfactionOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 1505-1511 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Eye drop Self-administration patient education safety patient satisfaction Ophthalmology RE1-994
spellingShingle	Eye drop Self-administration patient education safety patient satisfaction Ophthalmology RE1-994 Feng A O’Neill J Holt M Georgiadis C Wright MM Montezuma SR Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations
description	Alexander Feng, John O’Neill, Mitchell Holt, Catherine Georgiadis, Martha M Wright, Sandra R Montezuma Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, MN, USA Purpose: The purpose of this study is to evaluate the success and usefulness of patient education in eyedrop self-administration technique via an educational handout and a short instructional video. Patients and methods: We conducted a prospective study that included 34 patients who were self-administering ophthalmic drops. Of the total patients included, 12% had used drops for <12 months, and 88% had used drops for >12 months. Average age of patients in the study was 67 years, with an age range of 19–91 years. Of the total patients included, 82% had glaucoma, 6% had dry eyes, and 12% did not have a specific diagnosis. Subjects were video recorded and assessed by a trained observer on two occasions: at baseline and after they viewed a demonstrational video and handout. A maximum score of 15 points was awarded based on 15 criteria. A written self-assessment was administered at the end of each study. Results: Pre- and post-teaching assessment scores improved significantly with education. Patients initially scored an average 2.53 points compared to a post-education score of 6.15 out of 15 points, demonstrating a 2.43 (P=0.008) factor of improvement. After education, 94% of patients versus 47% pre-teaching (P=0.0001) pulled down their lower eyelids. A total of 91% pre-teaching versus 59% post-teaching (P=0.0042) patients squeezed one drop into the lower fornix, 74% pre-teaching versus 26% post-teaching (P=0.0002) patients released the eyelid and closed the eye for 1 minute, and 56% pre-teaching versus 3% post-teaching (P=0.0001) patients applied nasal digital pressure on each eye. We found no significant difference in score changes between those who previously received education and those who had not (P=0.37). A total of 91% patients responded in a postassessment survey that they now feel more confident of their ability to self-administer eyedrops as their doctor prescribed and that the educational materials were responsible. Conclusion: Participants demonstrated an immediate and statistically significant improvement in several areas of proper eyedrop self-administration after exposure to a demonstration video and instructional handout. Keywords: compliance, eye care, patient education, safety, patient satisfaction
format	article
author	Feng A O’Neill J Holt M Georgiadis C Wright MM Montezuma SR
author_facet	Feng A O’Neill J Holt M Georgiadis C Wright MM Montezuma SR
author_sort	Feng A
title	Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations
title_short	Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations
title_full	Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations
title_fullStr	Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations
title_full_unstemmed	Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations
title_sort	success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/89dd73e17cd84d5d9d0150d9b3b013bc
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Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations

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