Glaucoma care and follow-up in sub-Saharan Africa: Is there a need for modification of counselling practices to improve awareness, knowledge and treatment acceptance profiles? A prospective cross-sectional study

Uche, Nkechi Judith; Udeh, Nnenma; Chuka-Okosa, CM; Kizor-Akaraiwe, Nkiru; Uche, Enoch Ogbonnaya

doi:10.1007/s10792-020-01323-6

Cited by 8 publications

(22 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This cross-sectional study was conducted to report on awareness and knowledge of glaucoma in a population attending an Ophthalmology Referral Center in Mexico City, Mexico, using a multiple-choice questionnaire validated for our population. Our results show the general proportion of awareness was 73.9%, but despite this high percentage of awareness, scores reflecting good knowledge among respondents was only 15.5% (similar to the Uche et al [15] study). This could bring important public implications when we consider the visual impairment that glaucoma could cause.…”

Section: Discussionsupporting

confidence: 88%

Knowledge and awareness of glaucoma in Mexican patients with and without glaucoma diagnosis in an Ophthalmology Referral Center

et al. 2022

View full text Add to dashboard Cite

AIM: To assess and compare knowledge and awareness of glaucoma in subjects with and without glaucoma diagnosis attending an Ophthalmology Referral Center. METHODS: This cross-sectional study was conducted at Asociación Para Evitar la Ceguera in Mexico City, using a questionnaire formulated by a group of experts following the Delphi panel rules, and pre-tested in a pilot study. The questionnaire was applied and compared between: glaucoma patients, relatives of glaucoma patients and patients without glaucoma. Socio-demographic data was collected to assess correlation with the level of knowledge using Logistic regression models, estimating the odds ratios (OR), 95% confidence intervals, and P<0.05. RESULTS: Three hundred and ninety-four subjects were enrolled; with a median age of 61y. One hundred and thirty-four (34%) were patients with glaucoma, 152 (38.6%) patients without glaucoma, and 108 (27.4%) relatives of patients with glaucoma. Two hundred and ninety-one (73.9%) participants were aware of the term “glaucoma”. Regarding knowledge 46.7% had moderate knowledge, 37.8% had poor knowledge, and 15.5% good knowledge. Overall, relatives of glaucoma patients had the highest scores, and patients without glaucoma got the lowest scores. A positive correlation was found between better knowledge and frequent ophthalmological examinations OR 2.24 (P=0.02), higher education level OR 4.17 (P=0.00) and having a family member with glaucoma OR 3.28 (P=0.00). CONCLUSION: Awareness and knowledge of glaucoma in subjects attending an Ophthalmology Referral Center is predominantly moderate or poor. This has important implications regarding attitudes that can result in lack of follow up in ophthalmological care.

show abstract

Section: Discussionsupporting

confidence: 88%

Knowledge and awareness of glaucoma in Mexican patients with and without glaucoma diagnosis in an Ophthalmology Referral Center

et al. 2022

View full text Add to dashboard Cite

show abstract

“…35,36,37 In South Africa, Tshivhase et al 34 also mentioned that 55% of their participants believed that blindness because of glaucoma is reversible. By contrast, Uche et al 2 reported high glaucoma awareness amongst glaucoma patients. Similar results were cited by Abdull et al 38 in Nigeria who stated that there was satisfactory knowledge amongst patients although they did not fully understand the purpose of glaucoma treatment.…”

Section: Discussionmentioning

confidence: 90%

“…Similar findings were reported in Nigeria and South Africa, where the number of female participants without formal education were in the majority. 2,34 Participants exposed relatively little or no knowledge about glaucoma. This was revealed when most participants said they did not know what causes glaucoma disease (46%), whilst others believed that it is caused by witchcraft (30%).…”

Section: Discussionmentioning

confidence: 99%

“…Sleath et al 41 also reported that elderly patients with chronic disease are at risk of glaucoma non-adherence if they have poor support from healthcare providers. Uche et al 2 and Tshivhase et al 34 found that glaucoma patients used traditional eye medication (TEM), visited spiritual and traditional healers to try and deal with the disease. These studies indicated that the most common TEM used by glaucoma patients was topical plant extracts.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies show that glaucoma is the second leading cause of blindness worldwide, accounting for an approximately 3.12 million cases globally and the leading cause of irreversible blindness. 1,2 The number of glaucoma patients are expected to rise to about 76.0 million in 2020 and to 111.8 million in the year 2040. 3 The most common risk factor for glaucoma is raised intraocular pressure (IOP).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Application of the information-motivation-behavioural skills model to strengthen eye care follow-up amongst glaucoma patients

Tshivhase

Khoza

Tshitangano

2021

African Vision and Eye Health

View full text Add to dashboard Cite

Background: Many factors influence glaucoma medication adherence. A better understanding of the relationships between knowledge, attitude and patients’ practice problems in using glaucoma medications may reveal opportunities for intervention that could improve patients’ clinical outcomes. The challenge of non-adherence to glaucoma follow-up and treatment plans remains a significant global healthcare concern. Non-adherence to medication is a challenge to effective treatment of many chronic diseases, including glaucoma and remains so even with the implementation of strategies aimed at improving adherence. In South Africa, the information-motivation and behavioural skills model (IMBSM) of glaucoma adherence constructs might be useful in describing and predicting adherence behaviours that have not been articulated to people with glaucoma.Aim: The study applied the IMBSM in strengthening eye care follow-up amongst glaucoma patients in the Limpopo province of South Africa.Setting: The study was conducted at a selected hospital in the Vhembe District, Limpopo province, South Africa.Methods: A cross-sectional quantitative descriptive study via questionnaire was conducted on patients who were taking intraocular pressure-lowering medications and subject to follow up at a glaucoma clinic. A total of 429 eligible patients were purposefully selected for data collection using structured questionnaires. Oral informed consent was obtained from all respondents before they completed the questionnaires.Results: Only 55% of the total sample reported a glaucoma non-adherence rate of less than or equal to 95% compared with 45% who reported glaucoma adherence rate of more than or equal to 95%. Independent predictors of non-adherence were: inadequate glaucoma knowledge (29%), forgetfulness (26%) and patients’ beliefs (18%).Conclusion: The findings revealed the need for on-going glaucoma educational and informational interventions to address the motivation and adherence behavioural skills of patients to strengthen the current levels of glaucoma adherence behaviour. These findings suggest that the application of the IMBSM might improve glaucoma patients’ adherence.

show abstract

Assessment of Ocular Surface Disease in Glaucoma Patients in Ghana

Kobia‐Acquah

Gyekye

Antwi-Adjei

et al. 2020

Journal of Glaucoma

View full text Add to dashboard Cite

Precis: Dry eye disease (DED) observed in this study is associated with ocular surface abnormalities as shown by specific dry eye tests. Changes in tear quality may be responsible for dry eye symptoms among the participants. Purpose: This study sought to evaluate DED in glaucoma patients in Ghana. Materials and Methods: This was a hospital-based descriptive cross-sectional study involving glaucoma patients on topical glaucoma treatment for at least 6 months. The medical records of participants were thoroughly reviewed for information on demographics, ocular history, medical history, number of topical antiglaucoma medications used within the last 6 months, and any other ophthalmic medications used by the participants. An Ocular Surface Disease Index (OSDI) questionnaire was administered to each participant, after which Schirmer test and tear break-up time (TBUT) were performed on each participant in a controlled environment. Results: A total of 100 individuals participated in the study. The mean±SD age of participants was 60.44±14.05 years. The majority (60.0%) of the participants were females and 55.0% of participants used 2 or more topical antiglaucoma medication. Of the participants, 81.0% reported subjective dry eye symptoms. Schirmer test and TBUT showed that 55.0% and 87.0% of the participants had decreased tear production and abnormal tear quality, respectively. Multiple logistic regression showed a significant association between age and abnormal OSDI (P=0.037), Schirmer test (P=0.003), and TBUT (P=0.042); the number of topical glaucoma medications and OSDI (P=0.016) and Schirmer test (P=0.009). The prevalence of DED was 23.0%. Increasing age was associated with an ∼7 times higher odds of having DED (P=0.0019), using >2 glaucoma medications with ∼4.5 times higher odds of having DED (P=0.001), 5 or more years of glaucoma medication use with ∼4 times higher odds of DED (P=0.009), and both benzalkonium chloride and sodium chlorite as preservative was associated with ∼3.5 times higher odds of DED (P=0.047). Conclusion: DED is prevalent among glaucoma patients in Ghana and is associated with age, duration of glaucoma medication, type of preservatives, and number of topical glaucoma medications.

show abstract

Glaucoma care and follow-up in sub-Saharan Africa: Is there a need for modification of counselling practices to improve awareness, knowledge and treatment acceptance profiles? A prospective cross-sectional study

Cited by 8 publications

References 31 publications

Knowledge and awareness of glaucoma in Mexican patients with and without glaucoma diagnosis in an Ophthalmology Referral Center

Knowledge and awareness of glaucoma in Mexican patients with and without glaucoma diagnosis in an Ophthalmology Referral Center

Application of the information-motivation-behavioural skills model to strengthen eye care follow-up amongst glaucoma patients

Assessment of Ocular Surface Disease in Glaucoma Patients in Ghana

Contact Info

Product

Resources

About