title: Systematic review of educational interventions to improve glaucoma medication adherence.
abstract: Adherence to prescribed glaucoma medications is often poor, and proper adherence can be challenging for patients. We systematically reviewed the literature and identified eight studies using educational interventions to improve glaucoma medication adherence. Overall, five of the eight studies found that educational interventions lead to a significant improvement in medication adherence, and two additional studies found a trend towards improvement. Using information from this systematic review and Health Behavior Theory, we constructed a conceptual framework to illustrate how counseling and education can improve glaucoma medication adherence. More rigorous studies grounded in Health Behavior Theory with adequately powered samples and longer follow-up are needed.
authors.affiliation: Department of Ophthalmology & Visual Sciences, University of Michigan Medical School, Ann Arbor, Michigan 48105, USA. panewman@med.umich.edu
authors.forename: Paula Anne
authors.initials: PA
authors.lastname: Newman-Casey
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Weizer
authors.forename: Michele
authors.initials: M
authors.lastname: Heisler
authors.forename: Paul P
authors.initials: PP
authors.lastname: Lee
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Stein
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use*; D005901:Glaucoma / Q000188:drug therapy*; D006801:Humans; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D016903:Drug Monitoring
chemical_list: D000959:Antihypertensive Agents