title: Provider Education about Glaucoma and Glaucoma Medications during Videotaped Medical Visits.
abstract: Objective. The purpose of this study was to examine how patient, physician, and situational factors are associated with the extent to which providers educate patients about glaucoma and glaucoma medications, and which patient and provider characteristics are associated with whether providers educate patients about glaucoma and glaucoma medications. Methods. Patients with glaucoma who were newly prescribed or on glaucoma medications were recruited and a cross-sectional study was conducted at six ophthalmology clinics. Patients' visits were videotape recorded and patients were interviewed after visits. Generalized estimating equations were used to analyze the data. Results. Two hundred and seventy-nine patients participated. Providers were significantly more likely to educate patients about glaucoma and glaucoma medications if they were newly prescribed glaucoma medications. Providers were significantly less likely to educate African American patients about glaucoma. Providers were significantly less likely to educate patients of lower health literacy about glaucoma medications. Conclusion. Eye care providers did not always educate patients about glaucoma or glaucoma medications. Practice Implications. Providers should consider educating more patients about what glaucoma is and how it is treated so that glaucoma patients can better understand their disease. Even if a patient has already been educated once, it is important to reinforce what has been taught before.
authors.affiliation: UNC Eshelman School of Pharmacy and Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, CB No. 7590, Chapel Hill, NC 27599-7590, USA.
authors.forename: Betsy
authors.initials: B
authors.lastname: Sleath
authors.affiliation: Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Blalock
authors.affiliation: Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
authors.forename: Delesha M
authors.initials: DM
authors.lastname: Carpenter
authors.affiliation: Department of Ophthalmology, School of Medicine, Duke University, Durham, NC 27710, USA ; Health Services Research and Development, Durham VA Medical Center, Durham, NC 27710, USA.
authors.forename: Kelly W
authors.initials: KW
authors.lastname: Muir
authors.affiliation: Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
authors.forename: Robyn
authors.initials: R
authors.lastname: Sayner
authors.affiliation: Glaucoma Service and Research Center, UNC Kittner Eye Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
authors.forename: Scott
authors.initials: S
authors.lastname: Lawrence
authors.affiliation: Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA 30322, USA.
authors.forename: Annette L
authors.initials: AL
authors.lastname: Giangiacomo
authors.affiliation: Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, UT 84132, USA.
authors.forename: Mary Elizabeth
authors.initials: ME
authors.lastname: Hartnett
authors.affiliation: Department of Science and Mathematics, Institutional Research, Husson University, Bangor, ME 04401, USA.
authors.forename: Gail
authors.initials: G
authors.lastname: Tudor
authors.affiliation: Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, UT 84132, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Goldsmith
authors.affiliation: Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21209, USA ; Department of Ophthalmology, School of Medicine, Johns Hopkins University, Baltimore, MD 21209, USA.
authors.forename: Alan L
authors.initials: AL
authors.lastname: Robin