Applying the resources and supports in self-management framework to examine ophthalmologist-patient communication and glaucoma medication adherence.


Journal Article

Little is known about how ophthalmologist-patient communication over time is associated with glaucoma patient long-term adherence. The purpose of our study was to examine the association between provider use of components of the resources and supports in self-management model when communicating with patients and adherence to glaucoma medications measured electronically over an 8-month period. In this longitudinal prospective cohort study, the main variables studied were ophthalmologist communication-individualized assessment, collaborative goal setting and skills enhancement. Patients with glaucoma who were newly prescribed or on glaucoma medications were recruited from six ophthalmology clinics. Patients' baseline and next follow-up visits were videotape-recorded. Patients were interviewed after their visits. Patients used medication event monitoring systems (MEMS) for 8 months after enrollment into the study, and adherence was measured electronically using MEMS for 240 days after their visits. Two hundred and seventy-nine patients participated. Patient race and regimen complexity were negatively associated with glaucoma medication adherence over an 8-month period. Provider communication behaviors, including providing education and positive reinforcement, can improve patient adherence to glaucoma medications over an 8-month period.

Full Text

Duke Authors

Cited Authors

  • Sleath, B; Carpenter, DM; Blalock, SJ; Sayner, R; Muir, KW; Slota, C; Giangiacomo, AL; Hartnett, ME; Tudor, G; Robin, AL

Published Date

  • October 2015

Published In

Volume / Issue

  • 30 / 5

Start / End Page

  • 693 - 705

PubMed ID

  • 26338986

Pubmed Central ID

  • 26338986

Electronic International Standard Serial Number (EISSN)

  • 1465-3648

Digital Object Identifier (DOI)

  • 10.1093/her/cyv034


  • eng

Conference Location

  • England