Paula Anne Newman-Casey|Alan L. Robin|Taylor Blachley|Karen B. Farris|Michele Heisler|Ken Resnicow|Paul P. Lee
The Most Common Barriers to Glaucoma Medication Adherence
University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|Johns Hopkins University|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor
evaluate frequency 11 commonly cited barriers optimal glaucoma medication adherence among glaucoma patients identify barriers contributing poor adherenceprospective crosssectional surveyone hundred ninety adults glaucoma taking 1 glaucoma medication received care glaucoma clinics ann arbor michigan baltimore marylandparticipants completed survey demographic disease characteristics barriers optimal glaucoma medication adherence interest eye drop aid selfreported adherence measured morisky adherence scale descriptive statistics logistic regression analyses performedfrequency number barriers adherence among adherent nonadherent patients odds ratios ors 95 confidence intervals cis identifying barriers associated poor adherencetwentyseven percent sample reported poor adherence sixtyone percent participants cited multiple barriers 10 cited single barrier impediments optimal adherence twentynine percent subjects cited barriers although 13 patients cited barriers nonadherent among nonadherent patients 31 cited 11 barriers important logistic regression analysis adjusted age revealed following barriers associated higher odds nonadherence decreased selfefficacy 47 95 ci 2297 p 00001 difficulty instilling drops 23 95 ci 1149 p 003 forgetfulness 56 95 ci 26121 p 00001 difficulties medication schedule 29 95 ci 1460 p 0006 additional barrier cited important 10 increased odds nonadherent 11 95 ci 1012 p 001each 11 barriers important least 30 surveyed patients poor adherence identifying multiple barriers adherence low selfefficacy forgetfulness difficulty drop administration medication schedule barriers associated poor adherence interventions improve medication adherence must address patients unique set barriers