title: Strategies to Improve Glaucoma Compliance Based on Cross-Sectional Response-Based Data in a Tertiary Healthcare Center: The Glauco-Jung Study.
abstract: OBJECTIVE
  To elucidate compliance rates among glaucoma patients in a tertiary healthcare center, reasons for noncompliance and response-based-solutions to improve compl iance in the same cohort.
  
  
  METHODS
  In the Glauco-Jung study, a cross-sectional descriptive epidemiological one, information was obtained from 500 patients from 1st January, 2014 to 30th June, 2014. Patients were intercepted at entry point where they get their intraocular pressure (IOP) checked, wherein they were asked to fill an exhaustive questionnaire. At the same setting, they were also asked to demonstrate how they (or their relatives or helpers) instill eyedrops, following which any irregularities were brought to notice and corrected. Finally, they were also asked any suggestions to improve compliance to medications. Noncompliance rates were determined based on the number of patients who did not instill anti-glaucoma medications as per prescribed dosage or frequency schedule. Noncompliance rates were then evaluated by the Chi-square test for any association with distributions based on various parameters.
  
  
  RESULTS
  In case of a positive association, correlation coefficient was further calculated to know the strength of this association. No association was observed in distributions based on diet, associated co-morbidities, daily dosage frequency and side-effects experienced by patients. Positive association was noted in distributions based on age, sex, duration of treatment, social structure and number of medications (p < 0.05); but correlation coefficients were very weak (c < 0.3). Cost of medications not only had positive association but also had a very strong correlation coefficient (c = 0.9188), proving that cost of medications had a modest bearing on compliance rates.
  
  
  CONCLUSIONS
  The Glauco-Jung study concluded that besides availability of medications at reasonable cost, simplification of treatment regimen and interactive health education appear to be the most important factors for improving compliance so that patients do not feel guilty or inadequate because they have problems while administering their eyedrops. How to cite this article: Gupta VS, Sethi H, Naik M. Strategies to Improve Glaucoma Compliance Based on Cross-Sectional Response-Based Data in a Tertiary Healthcare Center: The Glauco-Jung Study. J Curr Glaucoma Pract 2015;9(2):38-46.
authors.affiliation: Consultant, Professor and Head, Department of Ophthalmology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors.forename: Vishnu S
authors.initials: VS
authors.lastname: Gupta
authors.affiliation: Consultant and Associate Professor, Department of Ophthalmology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors.forename: Harindersingh
authors.initials: H
authors.lastname: Sethi
authors.affiliation: Postgraduate Resident (3rd Year), Department of Ophthalmology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors.forename: Mayuresh
authors.initials: M
authors.lastname: Naik
keywords: Compliance; Cost of medications; Glaucoma.