Predictors of adherence to glaucoma treatment in a multisite study.
Ann Behav Med
; 49(1): 29-39, 2015 Feb.
Article
in En
| MEDLINE
| ID: mdl-25248302
ABSTRACT
BACKGROUND:
Poor adherence hinders glaucoma treatment. Studies have identified demographic and clinical predictors of adherence but fewer psychological variables.PURPOSE:
We examined predictors from four health behavior theories and past research.METHODS:
In the baseline phase of a three-site adherence study, before any intervention, 201 participants used electronic Medication Event Monitoring System (MEMS) bottles to monitor eyedrop use for 2 months, and completed questionnaires including self-reported adherence.RESULTS:
MEMS showed 79% adherence and self-report 94% (0.5-1.5 missed weekly doses), but they correlated only r(s) = 0.31. Self-efficacy, motivation, dose frequency, and nonminority race/ethnicity predicted 35% of variance in MEMS. Cues to action, self-efficacy, and intention predicted 20% of variance in self-reported adherence.CONCLUSIONS:
Self-efficacy, motivation, intention, cues to action, dose frequency, and race/ethnicity each independently predicted adherence. Predictors from all theories were supported in bivariate analyses, but additional study is needed. Researchers and clinicians should consider psychological predictors of adherence. (ClinicalTrials.gov ID# NCT01409421.).
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Health Behavior
/
Glaucoma
/
Health Knowledge, Attitudes, Practice
/
Medication Adherence
Type of study:
Clinical_trials
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Ann Behav Med
Journal subject:
CIENCIAS DO COMPORTAMENTO
Year:
2015
Type:
Article