title: [Is there a need for a therapeutic education with patients suffering with open-angle glaucoma? Preliminary inquiry regarding knowledge and patient adherence].
abstract: OBJECTIVE
  To evaluate the knowledge and compliance of patients with open-angle glaucoma in order to propose an approach by therapeutic education, validated for other chronic pathologies.
  
  
  METHODS
  A questionnaire-based interview of all patients in the waiting room of the glaucoma center is performed by the same health care professional.
  
  
  RESULTS
  Out of 200 patients, 73% know they will need to be treated throughout their lives and 95% are aware of the risk of blindness in the absence of appropriate treatment. However, 16% respond that they can be cured, and 54% believe that treatment can save their eyesight. Knowledge increases with the length of follow-up of patients at the glaucoma center beyond one year, but the progress is still insufficient in their confidence that treatment can save their eyesight (36% to 57%), and in the decrease in the number of patients who forget their treatment (56% to 30%).
  
  
  CONCLUSIONS
  Cognitive knowledge is insufficient to encourage the patient to comply with treatment. It is necessary to consider therapeutic patient education (TPE) techniques, such as described by WHO, in group and/or individual sessions, aimed at building the patient's confidence that treatment can delay the progression of the disease and blindness, strengthening his/her capacity to properly administer the eye drops, managing his/her treatment and coping with frequent side effects. Within this framework, our knowledge of the patients' representations of their glaucoma and its treatment must improve.
authors.affiliation: CHNO des Quinze-Vingts, 28, rue de Charenton, 75012 Paris, France. Electronic address: pascale.dugast@sfr.fr.
authors.forename: P
authors.initials: P
authors.lastname: Dugast
authors.affiliation: 5, place de la République, 75003 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Thiboust
authors.affiliation: CHNO des Quinze-Vingts, 28, rue de Charenton, 75012 Paris, France.
authors.forename: E
authors.initials: E
authors.lastname: Blumen-Ohana
authors.affiliation: CHNO des Quinze-Vingts, 28, rue de Charenton, 75012 Paris, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Nordmann
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001766:Blindness / Q000209:etiology; D018450:Disease Progression; D005260:Female; D005902:Glaucoma, Open-Angle / Q000209:etiology / Q000628:therapy; D006801:Humans; D019359:Knowledge; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009883:Ophthalmic Solutions / Q000627:therapeutic use; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000592:standards; D010465:Perception; D011795:Surveys and Questionnaires
chemical_list: D009883:Ophthalmic Solutions
keywords: Adherence; Compliance; Connaissance; Glaucome à angle ouvert; Knowledge; Observance; Open-angle glaucoma; Therapeutic patient education; Éducation thérapeutique du patient