Improved self-efficacy linked with improvement in glaucoma medication adherence
When patients with glaucoma have less glaucoma-related distress and more perceived self-efficacy they are more likely to adhere to medication regimens, according to a poster presented at the American Glaucoma Society Annual Meeting.
“Creating and implementing interventions to support glaucoma patients’ autonomy, self-efficacy and competence could improve glaucoma self-management, improve glaucoma medication adherence, and decrease the distress people feel from living with glaucoma,” the presenters said.
In this study, researchers used data from participants in the Support, Educate, Empower (SEE) personalized glaucoma coaching program pilot study.
Thirty-nine participants with glaucoma (≥40 years old, taking ≥1 medication) who self-reported poor medication adherence completed the SEE glaucoma coaching program and 4 validated surveys before and after the 7-month program.
After completing the program, medication adherence improved by an average of 21.4 ± 16.5% (mean ± standard deviation). The completed surveys also indicated increases in perceived competence in managing glaucoma, self-efficacy, and autonomous motivation for engaging in healthier behavior and decreases in distress from having glaucoma. Autonomy support from the glaucoma coach, assessed with Healthcare Climate Questionnaire (HCCQ), was 6.7± 0.5 (7-point scale).
When income and number of glaucoma medications were adjusted for, an increase in self-efficacy and a decrease in glaucoma-related distress were significantly associated with an increase in medication adherence.
Increases in perceived competence in managing glaucoma and higher HCCQ scores after completing the program were associated with decreasing distress from having glaucoma.
Cho J, et al. Impact of changes in patient-centered outcomes on glaucoma medication adherence and glaucoma-related distress among SEE Personalized Glaucoma Coaching Program participants. Presented at the American Glaucoma Society 2022 Annual Meeting.