Pediatric glaucoma medical therapy: who more accurately reports medication adherence, the caregiver or the child?

Daniel B Moore,1 Rebecca F Neustein,2 Sarah K Jones,1 Alan L Robin,3 Kelly W Muir1,4 1Duke Eye Center, Duke University Medical Center, Durham, NC, 2Emory School of Medicine, Atlanta, GA, 3Department of Ophthalmology, Johns Hopkins School of Medicine and International Health, Bloomberg School of Pub...

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Autores principales:	Moore DB, Neustein RF, Jones SK, Robin AL, Muir KW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/919472dacea343138997ed58522e012b
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spelling	oai:doaj.org-article:919472dacea343138997ed58522e012b2021-12-02T02:37:57ZPediatric glaucoma medical therapy: who more accurately reports medication adherence, the caregiver or the child?1177-5483https://doaj.org/article/919472dacea343138997ed58522e012b2015-11-01T00:00:00Zhttps://www.dovepress.com/pediatric-glaucoma-medical-therapy-who-more-accurately-reports-medicat-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Daniel B Moore,1 Rebecca F Neustein,2 Sarah K Jones,1 Alan L Robin,3 Kelly W Muir1,4 1Duke Eye Center, Duke University Medical Center, Durham, NC, 2Emory School of Medicine, Atlanta, GA, 3Department of Ophthalmology, Johns Hopkins School of Medicine and International Health, Bloomberg School of Public Health, Baltimore, MD, 4Health Services Research & Development, Durham VA Medical Center, Durham, NC, USA Abstract: As they grow older, most children with glaucoma must eventually face the transition to self-administering medications. We previously reported factors associated with better or worse medication adherence in children with glaucoma, using an objective, electronic monitor. Utilizing the same data set, the purpose of the current study was to determine whose report (the caregiver’s or the child’s) corresponded better with electronically monitored adherence. Of the 46 participants (22 girls), the mean age of children primarily responsible, and caregiver primarily responsible for medication administration was 15±2 and 10±2 years, respectively. For the children whose caregiver regularly administered the eyedrops, the caregiver’s assessment of drop adherence was associated with measured adherence (P=0.012), but the child’s was not (P=0.476). For the children who self-administered eyedrops, neither the child’s (P=0.218) nor the caregiver’s (P=0.395) assessment was associated with measured percent adherence. This study highlights potential errors when relying on self-reporting of compliance in patients and caregivers with pediatric glaucoma, particularly when the child is responsible for administering their own eyedrops. Frank discussions about the importance of medication adherence and how to improve compliance may help both the child and caregiver better communicate with the treating provider. Keywords: glaucoma, children, adherenceMoore DBNeustein RFJones SKRobin ALMuir KWDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 2209-2212 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Moore DB Neustein RF Jones SK Robin AL Muir KW Pediatric glaucoma medical therapy: who more accurately reports medication adherence, the caregiver or the child?
description	Daniel B Moore,1 Rebecca F Neustein,2 Sarah K Jones,1 Alan L Robin,3 Kelly W Muir1,4 1Duke Eye Center, Duke University Medical Center, Durham, NC, 2Emory School of Medicine, Atlanta, GA, 3Department of Ophthalmology, Johns Hopkins School of Medicine and International Health, Bloomberg School of Public Health, Baltimore, MD, 4Health Services Research & Development, Durham VA Medical Center, Durham, NC, USA Abstract: As they grow older, most children with glaucoma must eventually face the transition to self-administering medications. We previously reported factors associated with better or worse medication adherence in children with glaucoma, using an objective, electronic monitor. Utilizing the same data set, the purpose of the current study was to determine whose report (the caregiver’s or the child’s) corresponded better with electronically monitored adherence. Of the 46 participants (22 girls), the mean age of children primarily responsible, and caregiver primarily responsible for medication administration was 15±2 and 10±2 years, respectively. For the children whose caregiver regularly administered the eyedrops, the caregiver’s assessment of drop adherence was associated with measured adherence (P=0.012), but the child’s was not (P=0.476). For the children who self-administered eyedrops, neither the child’s (P=0.218) nor the caregiver’s (P=0.395) assessment was associated with measured percent adherence. This study highlights potential errors when relying on self-reporting of compliance in patients and caregivers with pediatric glaucoma, particularly when the child is responsible for administering their own eyedrops. Frank discussions about the importance of medication adherence and how to improve compliance may help both the child and caregiver better communicate with the treating provider. Keywords: glaucoma, children, adherence
format	article
author	Moore DB Neustein RF Jones SK Robin AL Muir KW
author_facet	Moore DB Neustein RF Jones SK Robin AL Muir KW
author_sort	Moore DB
title	Pediatric glaucoma medical therapy: who more accurately reports medication adherence, the caregiver or the child?
title_short	Pediatric glaucoma medical therapy: who more accurately reports medication adherence, the caregiver or the child?
title_full	Pediatric glaucoma medical therapy: who more accurately reports medication adherence, the caregiver or the child?
title_fullStr	Pediatric glaucoma medical therapy: who more accurately reports medication adherence, the caregiver or the child?
title_full_unstemmed	Pediatric glaucoma medical therapy: who more accurately reports medication adherence, the caregiver or the child?
title_sort	pediatric glaucoma medical therapy: who more accurately reports medication adherence, the caregiver or the child?
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/919472dacea343138997ed58522e012b
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Pediatric glaucoma medical therapy: who more accurately reports medication adherence, the caregiver or the child?

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