The Effect of Patient Education and Telemedicine Reminders on Adherence to Eye Drops for Glaucoma

Yien, Lai; Wu, Yanlong; Chai, Charmaine; Yen, Ching Chiuan; Ho, Yvonne; Eng, Teng Chuan; Jain, Pravar; Koh, Victor

doi:10.1016/j.ogla.2020.05.005

Cited by 14 publications

(17 citation statements)

References 21 publications

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“…A text message-based programme, such as that described in this paper, offers a solution to reaching large audiences at low cost. While not extensive, literature on the use of mHealth messaging in eye care shows promising results for improving adherence to treatment of chronic eye conditions, ( 35 , 36 ) increasing rates of attendance at eye care facilities ( 37 – 39 ) and, more recently, behavior modification for the prevention of myopia ( 40 ).…”

Section: Discussionmentioning

confidence: 99%

The WHO-ITU MyopiaEd Programme: A Digital Message Programme Targeting Education on Myopia and Its Prevention

Keel

Govender-Poonsamy

Cieza

et al. 2022

Front. Public Health

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The objective of this paper is to provide an overview of the World Health Organization - International Telecommunication Union MyopiaEd programme - a digital message programme targeting education on myopia and its prevention. The development of the MyopiaEd programme included 4 key steps: (1) Conceptualization and consultation with experts in the field of myopia, mHealth and health behavior change; (2) Creation of SMS message libraries and programme algorithm; (3) Review of the message libraries to ensure relevance to the target audience; and (4) Pre-testing amongst end-user groups to ensure that the design of the programme and the message content were understandable. After reviewing the available evidence and considering input of the experts, the aims, end users and key themes of the programme were finalized. Separate SMS-adapted message libraries were developed, reviewed and pre-tested for four target end-user groups; (1) general population involved in the care of children (2) parents or caregivers of children with myopia; (3) adolescents with myopia; and (4) adults with myopia. The message libraries are part of a comprehensive toolkit, developed through a consultative process with experts in digital health, to support implementation within countries. The development of the MyopiaEd programme aims to provide a basis for Member States and other stakeholders to develop, implement and monitor large-scale mHealth programmes. It is aimed at raising awareness of good eye care behaviors and addressing common reasons for non-compliance to spectacle wear. The next steps will involve adapting and evaluating the MyopiaEd programme in selected settings.

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Section: Discussionmentioning

confidence: 99%

The WHO-ITU MyopiaEd Programme: A Digital Message Programme Targeting Education on Myopia and Its Prevention

Keel

Govender-Poonsamy

Cieza

et al. 2022

Front. Public Health

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“…62 Only the reference chart with the telereminder group showed a statistically significant increase in the mean adherence score. 62 The acceptability and perceived benefits of another teleglaucoma initiative were assessed after full implementation. 34 One hundred eighteen patients participated in a secondary study of teleglaucoma in the Veterans Affairs Hospital in Pittsburgh, with patient satisfaction being 4.55 of 5.00 (5 was the maximum satisfaction).…”

Section: Teleglaucoma For Education and Patient Perceptions For Teleg...mentioning

confidence: 91%

“…62 Seventy-one percent of participants who were nonadherent to medications had multiple barriers to adherence, with lack of self-efficacy and forgetfulness being the most common factors. 62 Only the reference chart with the telereminder group showed a statistically significant increase in the mean adherence score. 62 The acceptability and perceived benefits of another teleglaucoma initiative were assessed after full implementation.…”

Section: Teleglaucoma For Education and Patient Perceptions For Teleg...mentioning

confidence: 99%

Glaucoma and Telemedicine

Brandão-de-Resende

Alcântara

Vasconcelos-Santos

et al. 2023

Journal of Glaucoma

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“…Follow-up was only short term (6 weeks) and only the third group (with a reference chart and tele-reminder) experienced a small, but statistically significant, increase in adherence score, from 7.18 to 7.69 ( p =0.047). 54 In conclusion, a few small studies have suggested that frequent reminders might increase adherence in the short term, although their efficacy in the longer term has not been assessed.…”

Section: Improving Adherence To Topical Glaucoma Therapymentioning

confidence: 95%

Improving Adherence to Topical Medication in Patients with Glaucoma

Tapply¹,

Broadway²

2021

PPA

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The glaucomas form a heterogenous group of conditions, which collectively account for one of the most common irreversible causes of blindness worldwide. The only treatment, for which there is evidence, to stop or slow glaucomatous disease progression is to lower intraocular pressure (IOP); this is most often initially achieved with topical medication. Adherence to anti-glaucoma therapy is known to be low even when compared with adherence to therapy for other chronic conditions. We performed a PubMed search to review evidence as to how adherence to and persistence with anti-glaucoma medications might be improved. Approaches to improving adherence include technological (such as using smart drop bottles or automated reminders) use of instillation aids, improving communication with patient education and improving tolerability of eye drop formulations. There is limited short-term evidence that automated reminders can be effective and, unfortunately, instillation aids have not proved to be efficacious with respect to improving adherence. A range of factors have been identified which affect adherence and persistence, although only a multi-faceted approach has proven evidence of efficacy, compared to improved patient education alone. There is now a wider range of available preservative-free eye drops, which have been shown to be non-inferior in achieving IOP control, with fewer side effects and improved short-term adherence. Further studies relating to adherence are warranted, particularly given the projected increase in glaucoma prevalence worldwide.

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The Effect of Patient Education and Telemedicine Reminders on Adherence to Eye Drops for Glaucoma

Cited by 14 publications

References 21 publications

The WHO-ITU MyopiaEd Programme: A Digital Message Programme Targeting Education on Myopia and Its Prevention

The WHO-ITU MyopiaEd Programme: A Digital Message Programme Targeting Education on Myopia and Its Prevention

Glaucoma and Telemedicine

Improving Adherence to Topical Medication in Patients with Glaucoma

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