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Health Literacy and Success with Glaucoma Drop Administration.

Publication ,  Journal Article
Kang, JM; Chatterjee, A; Rosdahl, JA; Bosworth, HB; Woolson, S; Olsen, M; Sexton, M; Kirshner, M; Muir, KW
Published in: Ophthalmol Glaucoma
2022

PURPOSE: To assess the relationship between health literacy and successful glaucoma drop administration. DESIGN: Substudy of a single-site interventional randomized controlled trial. PARTICIPANTS: Veterans receiving care at the Durham Veterans Affairs Eye Clinic who had a diagnosis of open-angle glaucoma were recruited if they endorsed poor drop adherence. METHODS: Participants underwent a health literacy evaluation using the Rapid Estimate of Adult Literacy in Medicine (REALM) as well as a qualitative assessment of eye drop administration technique using 3 different criteria: (1) the drop was instilled in the eye, (2) only 1 drop was dispensed, and (3) the bottle was not potentially contaminated. A multivariate logistic regression model was used to assess the association of REALM score and successful drop administration, adjusting for age, disease severity, and Veterans Administration Care Assessment Needs (CAN) score. MAIN OUTCOME MEASURES: Successful drop administration. RESULTS: Of the 179 participants with REALM scores and observed drop administration, 78% read at a high school level (HSL) or more and 22% read at less than HSL. Of the 179 participants, 87% (n = 156) successfully instilled the drop into the eye (criterion 1). A greater proportion of participants who read at HSL or more successfully instilled the drop in the eye compared with those reading at less than HSL (90.6% vs. 75.0%; P = 0.02). Rates of success with criterion 1 were similar across different levels of visual field severity. Care Assessment Needs scores were not statistically significant between those who did and those did not have successful overall drop technique. CONCLUSIONS: Poor health literacy may be associated with decreased successful drop instillation in the eye in patients with glaucoma. Screening for and considering health literacy in developing interventions to improve glaucoma self-management may improve treatment adherence in a vulnerable population.

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Published In

Ophthalmol Glaucoma

DOI

EISSN

2589-4196

Publication Date

2022

Volume

5

Issue

1

Start / End Page

26 / 31

Location

United States

Related Subject Headings

  • Medication Adherence
  • Humans
  • Health Literacy
  • Glaucoma, Open-Angle
  • Glaucoma
  • Antihypertensive Agents
  • Adult
 

Citation

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Chicago
ICMJE
MLA
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Kang, J. M., Chatterjee, A., Rosdahl, J. A., Bosworth, H. B., Woolson, S., Olsen, M., … Muir, K. W. (2022). Health Literacy and Success with Glaucoma Drop Administration. Ophthalmol Glaucoma, 5(1), 26–31. https://doi.org/10.1016/j.ogla.2021.05.004
Kang, J Minjy, Ayan Chatterjee, Jullia A. Rosdahl, Hayden B. Bosworth, Sandra Woolson, Maren Olsen, Malina Sexton, Miriam Kirshner, and Kelly W. Muir. “Health Literacy and Success with Glaucoma Drop Administration.Ophthalmol Glaucoma 5, no. 1 (2022): 26–31. https://doi.org/10.1016/j.ogla.2021.05.004.
Kang JM, Chatterjee A, Rosdahl JA, Bosworth HB, Woolson S, Olsen M, et al. Health Literacy and Success with Glaucoma Drop Administration. Ophthalmol Glaucoma. 2022;5(1):26–31.
Kang, J. Minjy, et al. “Health Literacy and Success with Glaucoma Drop Administration.Ophthalmol Glaucoma, vol. 5, no. 1, 2022, pp. 26–31. Pubmed, doi:10.1016/j.ogla.2021.05.004.
Kang JM, Chatterjee A, Rosdahl JA, Bosworth HB, Woolson S, Olsen M, Sexton M, Kirshner M, Muir KW. Health Literacy and Success with Glaucoma Drop Administration. Ophthalmol Glaucoma. 2022;5(1):26–31.
Journal cover image

Published In

Ophthalmol Glaucoma

DOI

EISSN

2589-4196

Publication Date

2022

Volume

5

Issue

1

Start / End Page

26 / 31

Location

United States

Related Subject Headings

  • Medication Adherence
  • Humans
  • Health Literacy
  • Glaucoma, Open-Angle
  • Glaucoma
  • Antihypertensive Agents
  • Adult