ArticleAmerican journal of ophthalmology2020
Psychosocial Predictors of Glaucoma Medication Adherence Among the Support, Educate, Empower (SEE) Personalized Glaucoma Coaching Pilot Study Participants.
Article in American journal of ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of Patient-Reported Outcome Instruments Relevant to Glaucoma.Journal of glaucoma · 2026Pooled it
- Pooled it
- The Support, Educate, Empower personalized glaucoma coaching trial design.Clinical trials (London, England) · 2023Trial
- Clinical recommendations for early identification of patients with open-angle glaucoma at higher risk of low adherence to topical treatment: An Italian Delphi consensus.Acta ophthalmologica · 2026Article
- Design and Validation of an AI-Assisted Sequential Screening Framework for Psychological Distress in Glaucoma.medRxiv : the preprint server for health sciences · 2026Article
- Development and Pilot Testing of a Mobile App Psychosocial Intervention for Psychological Distress in Individuals with Glaucoma.medRxiv : the preprint server for health sciences · 2026Article
- Psychological distress and psychosocial care in adults with glaucoma in Africa: A systematic review protocol.PloS one · 2026Article
- Feeling Through the Patient's Eyes: Delivering the Diagnosis of Glaucoma as a Therapeutic Intervention.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Socioeconomic and environmental factors associated with glaucoma in an African Ancestry Population: findings from the Primary Open-Angle African American Glaucoma Genetics (POAAGG) study.Eye (London, England) · 2025Article
- Impact of Physiological and Psychological Stress on Glaucoma Development and Progression: A Narrative Review.Medicina (Kaunas, Lithuania) · 2025Review
- Impact of Social Vulnerability Index on the Development of Severe Visual Impairment or Blindness From Glaucoma.American journal of ophthalmology · 2024Article
- Impact of Sociodemographic and Psychological Factors on Adherence to Glaucoma Treatment - A Cross-Sectional Study.Clinical ophthalmology (Auckland, N.Z.) · 2024Article
- Self-management challenges and support needs among patients with primary glaucoma: a qualitative study.BMC nursing · 2023Article
- Inequities and Research Gaps in Ophthalmology: A Scoping Review.JAMA ophthalmology · 2023Article
- Factors Associated with Non-Adherence to Glaucoma Treatment in a Korean Nationwide Survey.Iranian journal of public health · 2022Article
- Impact of COVID-19 on follow-up and medication adherence in patients with glaucoma in a tertiary eye care centre in south India.Indian journal of ophthalmology · 2021Article
- Medication adherence, self-efficacy and health literacy among patients with glaucoma: a mixed-methods study protocol.BMJ open · 2021Article
- The Validity of the Distress Thermometer in Patients with Primary Open-Angle Glaucoma.Ophthalmology. GlaucomaArticle
- Demographic, Clinical, and Psychosocial Predictors of Change in Medication Adherence in the Support, Educate, Empower Program.Ophthalmology. GlaucomaArticle
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Authors and funding
5 authors.
Funding
Abstract
purposeTo evaluate the association between baseline psychosocial milieu and subsequent glaucoma medication adherence among participants in the Support, Educate, Empower (SEE) personalized glaucoma coaching program pilot study.
designProspective cohort study.
methodsParticipants (University of Michigan glaucoma patients aged ≥40 years, taking ≥1 glaucoma medication, who self-reported poor adherence) completed a baseline survey that assessed the following: (1) demographics; (2) social network; (3) perceived stress; (4) consideration of future consequences; (5) glaucoma-related distress; and (6) social support. Medication adherence was then monitored electronically for 3 months and the percentage of prescribed doses taken was calculated. The relationship between baseline factors and medication adherence was assessed using univariate and multivariate analysis. Main outcome measure was median percent adherence over 3 months.
resultsOf the 95 study participants, 63% had graduated from college, 55% were white, 35% were African-American, and 97% had insurance. Median adherence over 3 months was 74% ± 21% (±standard deviation, SD). Higher income and more education were significantly associated with better adherence (P < .0001, P = .03). Glaucoma-related distress (mean score 5.6, SD = 3.0) was inversely associated with medication adherence on univariate (P < .0001) and multivariate analysis (P = .0002). Every 1-point increase in glaucoma-related distress score predicted a 2.4-percentage-point decrease in medication adherence.
conclusionsLower income, lower educational attainment, and a higher level of glaucoma-related distress all predicted lower adherence to glaucoma medications. Additional glaucoma self-management support resources should be directed toward patients with such risk factors for poor adherence.
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