Evidence map›Paper›PMID 25625187›Full record

ArticleCurrent eye research2016

Feasibility, Patient Acceptability, and Preliminary Efficacy of a Culturally Informed, Health Promotion Program to Improve Glaucoma Medication Adherence Among African Americans: "Glaucoma Management Optimism for African Americans Living with Glaucoma" (GOAL).

Laura E Dreer, Cynthia Owsley, Lisa Campbell, Liyan Gao, Andy Wood, Christopher A Girkin

Abstract read
In one paragraph

Article in Current eye research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

  1. Trial
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  8. Article
  9. Increasing Engagement of African American Patients with Glaucoma during Medical Encounters: Creation of a Pre-visit Video.Optometry and vision science : official publication of the American Academy of Optometry · 2020
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. African American Patient Preferences for Glaucoma Education.Optometry and vision science : official publication of the American Academy of Optometry · 2017
    Article
  16. Article
  17. Article
  18. Review
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Laura E Dreera Department of Ophthalmology , University of Alabama at Birmingham , Birmingham , AL , USA and.
Cynthia Owsleya Department of Ophthalmology , University of Alabama at Birmingham , Birmingham , AL , USA and.
Lisa Campbellb Department of Psychology , East Carolina University , Greenville , NC , USA.
Liyan Gaoa Department of Ophthalmology , University of Alabama at Birmingham , Birmingham , AL , USA and.
Andy Wooda Department of Ophthalmology , University of Alabama at Birmingham , Birmingham , AL , USA and.
Christopher A Girkina Department of Ophthalmology , University of Alabama at Birmingham , Birmingham , AL , USA and.

Funding

Research Education CoreP30AG031054 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CROWTHER, MARTHA R · 2007 to 2025
$11.6M
Pilot CoreP30AG022838 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BALL, KARLENE K · 2003 to 2020
$5.7M
Problem Solving Training and Low Vision RehabilitationK23EY017327 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DREER, LAURA E · 2006 to 2010
$805k
NEI NIH HHS K23 EY017327NEI NIH HHS K23 EY017327-01NIA NIH HHS P30 AG022838NIA NIH HHS P30 AG031054
6 · The paper itself

Abstract

PURPOSE/

aimsTo examine the feasibility, patient acceptability, and preliminary effectiveness of a culturally informed, health promotion program designed to improve glaucoma medication adherence among African American's (AA's) with glaucoma. MATERIALS/

methodsA sample of 11 AA glaucoma patients (mean age 61 years; 73% women and 27% men) completed a culturally informed and individually tailored, health promotion program developed for AAs titled, "Glaucoma Management Optimism for African Americans Living with Glaucoma" (GOAL)©. The aim of the brief 4-week program is to enhance glaucoma medication adherence through a combination of education, motivational interviewing (MI), and problem-solving training (PST). Feasibility was assessed on the basis of patient satisfaction with the program, number of sessions completed, and length of sessions. Preliminary efficacy was evaluated using a pre-post design to determine whether the program improved objective glaucoma medication adherence via an electronic Travalert dosing aid as well as satisfaction with aspects of glaucoma treatment, health beliefs about medications, glaucoma symptoms, emotional well-being, and intraocular pressure.

resultsOverall patient satisfaction and acceptability was high for the program, interactions with the health educator, program materials, and the length of sessions. Feasibility was also supported given the need for the program, success in recruitment/retention, and ease of implementing the program with AA glaucoma patients in clinic and/or over the telephone. In terms of preliminary efficacy, patients showed significant pre-post improvements in objective medication adherence rates by 15% (p = 0.03), self-efficacy for glaucoma management (p = 0.02), ease of use in administering eye drops (p = 0.03), glaucoma treatment satisfaction (p = 0.05), beliefs about the necessity of taking glaucoma medications (p = 0.05), and functional visual ocular symptoms (p = 0.03).

conclusions(GOAL)© holds great promise toward improving glaucoma medication adherence and beliefs among AA's with glaucoma.

Indexed as

Black or African AmericanDrug MonitoringAntihypertensive AgentsFeasibility StudiesFemaleGlaucomaHealth Knowledge, Attitudes, PracticeHealth PromotionHumansIntraocular PressureMaleMiddle AgedPatient Acceptance of Health CarePatient SatisfactionSurveys and QuestionnairesTreatment OutcomeAntihypertensive AgentsAfrican americanseye healthglaucomahealth beliefshealth promotion programsmedication adherencemotivational interviewingproblem solving therapy

Identifiers

PMID25625187
PMCPMC4516706

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.