Rebecca B. Freedman
Influence of Parental Health Literacy and Dosing Responsibility on Pediatric Glaucoma Medication Adherence
assess glaucoma medication adherence children hypothesizing poor parental health literacy eye drop instillation child associated worse adherencethis prospective observational study enrolled pediatric patients glaucoma prescribed eye drops parents reported responsible eye drop instillation parent vs child took rapid estimate adult literacy medicine instructed use purpose medication event monitoring system calculations included average adherence proportion prescribed doses taken dosing errors number overdosing underdosing events 24 hours proportion doses taken schedule doses taken within 2 hours prescribed dosing interval results reported mean sd medianthe study included 46 50 enrolled children used medication event monitoring system 30 days adherence ranged 43 107 93 12 associated age slope 009 052 p 86 decreased parents lower health literacy slope 062 024 p 01the mean number dosing errors medications prescribed daily vs twice daily similar 33 vs 29 p 66 proportion doses taken schedule within 2 hours prescribed dosing interval ranged 3 97 median 34 mean 41 24 better parent vs child instilled eye drops 46 26 vs 23 19 p 001timedependent glaucoma medication adherence better parent responsible eye drop instillation overall decreased adherence associated decreased parental health literacy children parents poor health literacy vulnerable poor medication adherence efforts address poor health literacy may improve outcomes