Improving Compliance via Education, Reminders, and Evaluating Physician-Patient Concerns in Glaucoma
| dc.contributor.advisor | Kooner, Karanjit | en |
| dc.contributor.committeeMember | Reed, W. Gary | en |
| dc.contributor.committeeMember | Phelps, Eleanor | en |
| dc.creator | Wang, Chuhan Carey | en |
| dc.creator.orcid | 0000-0002-1742-2678 | |
| dc.date.accessioned | 2024-06-07T19:18:21Z | |
| dc.date.available | 2024-06-07T19:18:21Z | |
| dc.date.created | 2022-05 | |
| dc.date.issued | 2022-05 | |
| dc.date.submitted | May 2022 | |
| dc.date.updated | 2024-06-07T19:18:22Z | |
| dc.description.abstract | PURPOSE: To improve glaucoma treatment compliance via education, medication reminders, and understanding of patient and physician concerns. DESIGN: Prospective Comparative Case Series SUBJECTS: 194 consecutive eligible patients diagnosed with primary open angle glaucoma or ocular hypertension at a single academic center (92 male and 102 female) and 16 glaucoma specialists volunteered their responses. METHODS: All 194 eligible patients were interviewed regarding glaucoma knowledge, medication usage, concerns, and fears. They were counseled, given educational handouts, and reinterviewed after 4 weeks. All 16 glaucoma specialists were also surveyed regarding their concerns for their patients. MAIN OUTCOME MEASURE: Patient's knowledge of the basic premise of glaucoma, compliance to their medications, including concerns and fears of glaucoma in both patients and physicians. RESULTS: In this study, patients aged ≥ 65 years were more compliant than those < 65 years (76% vs 50%, p<0.05). In follow-up interviews of 125 (64%) patients, I found significant increase in glaucoma knowledge from 53% to 67% (p<0.05) and compliance from 77% to 94% (p<0.05). In addition, patients' major fear was becoming dependent on others (p<0.05), while physicians were more concerned about patients' ability to administer eyedrops and understanding of instructions (p<0.05). CONCLUSION: I found that patients aged ≥ 65 were more compliant. Our intervention improved patient compliance by 17 % and represents a potential model for glaucoma management. In addition, the disparity between patient and physician fears suggest that communication barriers must be addressed to improve patient care. | en |
| dc.format.mimetype | application/pdf | en |
| dc.identifier.oclc | 1438579304 | |
| dc.identifier.uri | https://hdl.handle.net/2152.5/10326 | |
| dc.language.iso | en | en |
| dc.subject | Medication Adherence | en |
| dc.subject | Ophthalmic Solutions | en |
| dc.subject | Patient Compliance | en |
| dc.subject | Glaucoma | en |
| dc.subject | Health Knowledge, Attitudes, Practice | en |
| dc.title | Improving Compliance via Education, Reminders, and Evaluating Physician-Patient Concerns in Glaucoma | en |
| dc.type | Thesis | en |
| dc.type.material | text | en |
| local.embargo.lift | 2024-06-01 | |
| local.embargo.terms | 2024-06-01 | |
| thesis.degree.department | UT Southwestern Medical School | en |
| thesis.degree.discipline | Quality Improvement and Patient Safety | en |
| thesis.degree.grantor | UT Southwestern Medical Center | en |
| thesis.degree.level | Doctoral | en |
| thesis.degree.name | M.D. with Distinction | en |