Evidence map›Paper›PMID 33008556›Full record

ArticleOphthalmology. Glaucoma

Patient Experience during the Support, Educate, Empower Glaucoma Coaching Program to Improve Medication Adherence: A Pilot Study.

Cecilia N Hollenhorst, Vanessa Elliott, Michele Heisler, Kevin Schneider, Ken Resnicow, Paula Anne Newman-Casey

Abstract read
In one paragraph

Article in Ophthalmology. Glaucoma. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Article
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.

Cecilia N HollenhorstDepartment of Ophthalmology & Visual Sciences, University of Michigan Medical School, Ann Arbor, Michigan.
Vanessa ElliottCalvin College, Grand Rapids, Michigan.
Michele HeislerDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan; Department of Health Behavior Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan.
Kevin SchneiderDepartment of Ophthalmology & Visual Sciences, University of Michigan Medical School, Ann Arbor, Michigan.
Ken ResnicowDepartment of Health Behavior Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan.
Paula Anne Newman-CaseyDepartment of Ophthalmology & Visual Sciences, University of Michigan Medical School, Ann Arbor, Michigan. Electronic address: panewman@med.umich.edu.

Funding

Improving glaucoma self-management with technology-supported counselorsK23EY025320 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NEWMAN-CASEY, PAULA ANNE · 2016 to 2019
$920k
NEI NIH HHS K23 EY025320
6 · The paper itself

Abstract

purposeTo understand patients' qualitative experiences with the Support, Educate, Empower (SEE) personalized glaucoma coaching program, provide a richer understanding of the components of the intervention that were useful in eliciting behavior change, and understand how to improve the SEE Program.

designA concurrent mixed-methods process analysis.

participantsThirty-nine patients with a diagnosis of any kind of glaucoma or ocular hypertension who were aged ≥40 years, were taking ≥1 glaucoma medication, spoke English, self-administered their eye drops, and had poor glaucoma medication adherence (defined as taking ≤80% of prescribed medication doses assessed via electronic medication adherence monitors) who completed the 7-month SEE Program.

methodsAll participants who completed the study were interviewed in-person using a semistructured interview guide after the intervention. Coders conducted qualitative analysis of transcribed interviews using Grounded Theory. Participants were then stratified into groups based on change in adherence, and thematic differences between groups were examined.

main outcome measuresThemes that emerged from interviews categorized by the number of participants who expressed a theme and the number of representative citations.

resultsParticipants expressed positive views toward the program overall (95%, n = 37/39). They perceived program components as working together to improve their medication adherence. Interactions with the glaucoma coach (38 participants, 184 citations), motivation to aid personal change (38 participants, 157 citations), personalized glaucoma education (38 participants, 149 citations), electronic reminders, and hearing their adherence score (37 participants, 90 citations) were most commonly cited by participants as helpful program elements contributing to improved adherence. Patients expressed a desire for personalized education to be a standard part of glaucoma care. Participants who demonstrated more improvement in adherence had a more trusting attitude toward the adherence score and a greater magnitude of perceived personal need to improve adherence.

conclusionsParticipants reported a highly positive response to the in-person glaucoma education and motivational interviewing intervention used in conjunction with automated adherence reminders.

Indexed as

Medication AdherencePatient Outcome AssessmentAdultAntihypertensive AgentsEducational StatusFemaleFollow-Up StudiesGlaucomaHumansIntraocular PressureMaleMentoringMotivationOphthalmic SolutionsPilot ProjectsProgram EvaluationAntihypertensive AgentsOphthalmic Solutions

Identifiers

PMID33008556
PMCPMC7532982

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Registered trials

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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.