Access to and Experiences with, e-Health Technology Among Glaucoma Patients and Their Relationship with Medication Adherence.

Journal Article (Journal Article)

Background: As online health information becomes common, it is important to assess patients' access to and experiences with online resources. Introduction: We examined whether glaucoma patients' technology usage differs by medication adherence and whether adherence is associated with online education experiences. Materials and Methods: We included 164 adults with glaucoma taking ≥1 glaucoma medication. Participants completed a survey including demographic and health information, the Morisky Adherence Scale, and questions about online glaucoma resource usage. Differences in technology access, adherence, and age were compared with chi-squared, Fisher exact, and two-sample t-tests. Results: Mean age was 66 years. Twenty-six percent reported poor adherence. Eighty percent had good technology access. Seventy-three percent of subjects with greater technology access wanted online glaucoma information and yet only 14% of patients had been directed to online resources by physicians. There was no relationship between technological connectivity and adherence (p = 0.51). Nonadherent patients were younger (mean age 58 years vs. 66 years for adherent patients, p = 0.002). Nonadherence was associated with negative feelings about online searches (68% vs. 42%, p = 0.06). Discussion: Younger, poorly adherent patients navigate online glaucoma resources without physician input. These online searches are often unsatisfying. Technology should be leveraged to create high quality, online glaucoma resources that physicians can recommend to provide guidance for disease self-management.

Full Text

Duke Authors

Cited Authors

  • Newman-Casey, PA; Killeen, OJ; Renner, M; Robin, AL; Lee, P; Heisler, M

Published Date

  • December 2018

Published In

Volume / Issue

  • 24 / 12

Start / End Page

  • 1026 - 1035

PubMed ID

  • 29683401

Pubmed Central ID

  • PMC6299846

Electronic International Standard Serial Number (EISSN)

  • 1556-3669

Digital Object Identifier (DOI)

  • 10.1089/tmj.2017.0324


  • eng

Conference Location

  • United States