Catherine Slota|Robyn Sayner|Michelle Vitko|Delesha M. Carpenter|Susan J. Blalock|Alan L. Robin|Kelly W. Muir|M. Elizabeth Hartnett|Betsy Sleath
Glaucoma Patient Expression of Medication Problems and Nonadherence
University of North Carolina at Chapel Hill|University of Cape Coast|University of Leicester
purpose purpose study examine patient demographic factors influenced selfreporting medication side effects difficulty drop instillation nonadherence glaucoma therapy methods englishspeaking adult glaucoma patients n 279 six ophthalmology clinics enrolled patients medical visits videotaped patients interviewed immediately afterward research assistants videotapes transcribed verbatim coded identify patients expressed problems medication side effects eye drop administration nonadherence glaucoma office visits generalized estimating equations performed identify whether patient characteristics associated expression problems glaucoma medication medication nonadherence office visit results patients lower health literacy significantly less likely express problems side effects odds ratio 047 95 confidence interval ci 025 088 eye drop administration 026 95 ci 011 063 visit patients reported eye drop administration side effect problems interview significantly likely express problems ophthalmologist 313 95 ci 182 537 186 95 ci 112 308 respectively patients expressed problem eye drop administration side effects significantly likely express medication nonadherence ophthalmologist 289 95 ci 144 580 203 95 ci 116 354 respectively patients reported greater 80 medication adherence interview significantly less likely express nonadherence ophthalmologist 022 95 ci 012 040 conclusions eye care providers aware glaucoma patients lower health literacy less likely express problems side effects eye drop administration providers work patients assess medicationrelated problems mitigate potential barriers medication adherence patients expressed medication problems also likely express nonadherence