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Patterns and Facilitators for the Promotion of Glaucoma Medication Adherence—A Qualitative Study

Primary open-angle glaucoma (POAG) is a chronic optic neuropathy causing irreversible nerve fiber damage. Initially asymptomatic, it progresses slowly without any notable sign of vision loss, thus early detection and treatment is essential. The standard treatment being non-invasive topical administr...

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Autores principales: Frech, Stefanie, Guthoff, Rudolf F., Gamael, Amin, Helbig, Christian, Diener, Annette, Ritzke, Manuela, Wollny, Anja, Altiner, Attila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8067555/
https://www.ncbi.nlm.nih.gov/pubmed/33916976
http://dx.doi.org/10.3390/healthcare9040426
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author Frech, Stefanie
Guthoff, Rudolf F.
Gamael, Amin
Helbig, Christian
Diener, Annette
Ritzke, Manuela
Wollny, Anja
Altiner, Attila
author_facet Frech, Stefanie
Guthoff, Rudolf F.
Gamael, Amin
Helbig, Christian
Diener, Annette
Ritzke, Manuela
Wollny, Anja
Altiner, Attila
author_sort Frech, Stefanie
collection PubMed
description Primary open-angle glaucoma (POAG) is a chronic optic neuropathy causing irreversible nerve fiber damage. Initially asymptomatic, it progresses slowly without any notable sign of vision loss, thus early detection and treatment is essential. The standard treatment being non-invasive topical administration of eye drops harbors the problem of patients not being adherent. This study aimed to explore the experiences and thoughts of glaucoma patients about their medication management to improve our knowledge on how adherence works for the individual patient. Narrative interviews were conducted with 21 glaucoma patients. Data were analyzed using inductive content analysis and the documentary method. Different patterns of adherence were identified which depended on personal biographies, living conditions, or the patient’s knowledge about the disease. Interpreting eye drop medication as a ritual, a task, or routine was helpful for some patients, whereas other patients, who were aware of the consequences of not taking the drops, were motivated by intrinsic or extrinsic factors. The patterns identified here represent strategies for managing and adhering to daily glaucoma medication at an individual level. Linking daily drop application or medication intake to these patterns may help to promote correct medication management of patients with chronic diseases who lack a regular medication regimen.
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spelling pubmed-80675552021-04-25 Patterns and Facilitators for the Promotion of Glaucoma Medication Adherence—A Qualitative Study Frech, Stefanie Guthoff, Rudolf F. Gamael, Amin Helbig, Christian Diener, Annette Ritzke, Manuela Wollny, Anja Altiner, Attila Healthcare (Basel) Article Primary open-angle glaucoma (POAG) is a chronic optic neuropathy causing irreversible nerve fiber damage. Initially asymptomatic, it progresses slowly without any notable sign of vision loss, thus early detection and treatment is essential. The standard treatment being non-invasive topical administration of eye drops harbors the problem of patients not being adherent. This study aimed to explore the experiences and thoughts of glaucoma patients about their medication management to improve our knowledge on how adherence works for the individual patient. Narrative interviews were conducted with 21 glaucoma patients. Data were analyzed using inductive content analysis and the documentary method. Different patterns of adherence were identified which depended on personal biographies, living conditions, or the patient’s knowledge about the disease. Interpreting eye drop medication as a ritual, a task, or routine was helpful for some patients, whereas other patients, who were aware of the consequences of not taking the drops, were motivated by intrinsic or extrinsic factors. The patterns identified here represent strategies for managing and adhering to daily glaucoma medication at an individual level. Linking daily drop application or medication intake to these patterns may help to promote correct medication management of patients with chronic diseases who lack a regular medication regimen. MDPI 2021-04-07 /pmc/articles/PMC8067555/ /pubmed/33916976 http://dx.doi.org/10.3390/healthcare9040426 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Frech, Stefanie
Guthoff, Rudolf F.
Gamael, Amin
Helbig, Christian
Diener, Annette
Ritzke, Manuela
Wollny, Anja
Altiner, Attila
Patterns and Facilitators for the Promotion of Glaucoma Medication Adherence—A Qualitative Study
title Patterns and Facilitators for the Promotion of Glaucoma Medication Adherence—A Qualitative Study
title_full Patterns and Facilitators for the Promotion of Glaucoma Medication Adherence—A Qualitative Study
title_fullStr Patterns and Facilitators for the Promotion of Glaucoma Medication Adherence—A Qualitative Study
title_full_unstemmed Patterns and Facilitators for the Promotion of Glaucoma Medication Adherence—A Qualitative Study
title_short Patterns and Facilitators for the Promotion of Glaucoma Medication Adherence—A Qualitative Study
title_sort patterns and facilitators for the promotion of glaucoma medication adherence—a qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8067555/
https://www.ncbi.nlm.nih.gov/pubmed/33916976
http://dx.doi.org/10.3390/healthcare9040426
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