title: Effects of a contact lens subscriber replacement program on patient lens care behavior in Japan.
abstract: OBJECTIVE
  Compliance with practitioner recommended lens care guidelines was assessed and compared in two test groups: patients belonging to a subscription membership group and a nonaffiliated group of 2-week frequent replacement (2WFR) soft contact lens wearers.
  
  
  METHODS
  Wearers (143 members and 149 nonmembers), whose clinical records were available for 18-24 months from September 2010 to August 2012, were queried by a written questionnaire: (1) source of lens purchase; (2) "rub" or "no-rub" care solution; (3) replacement interval of lens care products; (4) lens cleaning method; (5) noncompliant behaviors; and (6) replacement frequency of lens storage cases.
  
  
  RESULTS
  The questionnaires were completed by 104 members and 100 nonmembers. Of member group wearers, 63.0% correctly recognized the types of lens care products used ("rub', "no-rub") vs. 77.4% of nonmembers. Of member wearers, 82.2% used "rub" and rubbed each time vs. 76.3% of nonmembers. The replacement interval for care products was 26.2% (members) and 27.6% (nonmembers) for 1 month or less, while replacement frequency of storage cases was 22.3% and 19.2% for 1 month or less in each group respectively. There were no significant differences observed between each of these group comparisons (p>0.05, Fisher exact test).
  
  
  CONCLUSIONS
  Compliance with practitioner recommended lens care regimens was equally poor in both test groups. Subscription membership of CLs which does not provide lens care products is not accompanied by an increase in compliance with lens care practices.
authors.affiliation: Shimamoto Eye Clinic, 2-1207 Kida, Fukui 918-8105, Japan.
authors.forename: Yukari
authors.initials: Y
authors.lastname: Ariwaka
authors.affiliation: GPR & Research Department, Menicon Co., Ltd., 3-21-19, Aoi, Naka-ku, Nagoya, Aichi 460-0006, Japan. Electronic address: h-ichijima@menicon-net.co.jp.
authors.forename: Hideji
authors.initials: H
authors.lastname: Ichijima
authors.affiliation: Shimamoto Eye Clinic, 2-1207 Kida, Fukui 918-8105, Japan.
authors.forename: Shiro
authors.initials: S
authors.lastname: Shimamoto
authors.affiliation: GPR & Research Department, Menicon Co., Ltd., 3-21-19, Aoi, Naka-ku, Nagoya, Aichi 460-0006, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sakata
authors.affiliation: Department of Ophthalmology, University of Texas, Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75235-9057, USA.
authors.forename: H Dwight
authors.initials: HD
authors.lastname: Cavanagh
mesh_terms: D000328:Adult; D003263:Contact Lenses, Hydrophilic / Q000600:supply & distribution*; D004209:Disposable Equipment; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D010349:Patient Compliance / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: 2-Week frequent replacement contact lenses; Compliance; Lens care; Membership system