Delesha M. Carpenter|Susan J. Blalock|Robyn Sayner|Kelly W. Muir|Alan L. Robin|M. Elizabeth Hartnett|Annette Giangiacomo|Gail Tudor|Betsy Sleath
Communication Predicts Medication Self-Efficacy in Glaucoma Patients
abstract purpose medication selfefficacy patients confidence perform medicationrelated behaviors associated better glaucoma medication adherence little known enhance glaucoma patients medication selfefficacy purpose examine whether patientprovider communication increases glaucoma patients medication selfefficacy methods 8month cohort study 279 glaucoma patients 15 providers two office visits videotaperecorded transcribed coded six patientprovider communication behaviors validated scale used baseline 8month followup assess patients confidence overcoming adherence barriers adherence barriers selfefficacy carrying tasks use eye drops correctly eye drop task selfefficacy ran two generalized estimating equations examine whether frequent patientprovider communication office visits predicted increased patient adherence barriers selfefficacy eye drop task selfefficacy 8month followup results additional topic providers educated patients reported average increase 035 selfefficacy overcoming adherence barriers p lt 0001 patients also reported average increase 101 points eye drop task selfefficacy providers asked patients views glaucoma treatment versus p lt 0001 patients asked medication questions p lt 0001 africanamerican patients p lt 005 reported lower adherence barriers selfefficacy 030 215 points respectively women 063 lower eye drop task selfefficacy men p lt 005 conclusions providers educate glaucoma patients assess patient views glaucoma treatment patients report higher medication selfefficacy providers aware patients ask medication questions may less confidence ability overcome barriers adherence