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Motivational interviewing or reminders for glaucoma medication adherence: Results of a multi-site randomised controlled trial.
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- Author(s): Cook, Paul F.; Schmiege, Sarah J.; Mansberger, Steven L.; Sheppler, Christina; Kammer, Jeffrey; Fitzgerald, Timothy; Kahook, Malik Y.
- Source:
Psychology & Health; Feb2017, Vol. 32 Issue 2, p145-165, 21p, 1 Diagram, 3 Charts, 1 Graph- Subject Terms:
ANALYSIS of covariance; CHI-squared test; STATISTICAL correlation; DRUG monitoring; DRUGS; GLAUCOMA; LONGITUDINAL method; PATIENT compliance; PATIENT satisfaction; PROBABILITY theory; QUESTIONNAIRES; REGRESSION analysis; RESEARCH; RESEARCH funding; STATISTICAL sampling; SCALE analysis (Psychology); SELF-evaluation; MATHEMATICAL variables; COMORBIDITY; STATISTICAL power analysis; EFFECT sizes (Statistics); RANDOMIZED controlled trials; MOTIVATIONAL interviewing; TREATMENT effectiveness; PRE-tests & post-tests; HEALTH care reminder systems; MEDICAL coding; OCULAR hypertension; INTRACLASS correlation - Source:
- Additional Information
- Subject Terms:
- Abstract: Objective:Nonadherence reduces glaucoma treatment efficacy. Motivational interviewing (MI) is a well-studied adherence intervention, but has not been tested in glaucoma. Reminder interventions also may improve adherence. Design:201 patients with glaucoma or ocular hypertension were urn-randomised to receive MI delivered by an ophthalmic technician (OT), usual care or a minimal behavioural intervention (reminder calls). Main Outcome Measures:Outcomes included electronic monitoring with Medication Event Monitoring System (MEMS) bottles, two self-report adherence measures, patient satisfaction and clinical outcomes. Multilevel modelling was used to test differences in MEMS results by group over time; ANCOVA was used to compare groups on other measures. Results:Reminder calls increased adherence compared to usual care based on MEMS,p = .005, and self-report,p = .04. MI had a nonsignificant effect but produced higher satisfaction than reminder calls,p = .007. Treatment fidelity was high on most measures, with observable differences in behaviour between groups. All groups had high baseline adherence that limited opportunities for change. Conclusion:Reminder calls, but not MI, led to better adherence than usual care. Although a large literature supports MI, reminder calls might be a cost-effective intervention for patients with high baseline adherence. Replication is needed with less adherent participants. [ABSTRACT FROM PUBLISHER]
- Abstract: Copyright of Psychology & Health is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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