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. 2023 Sep 12;12(6):2863–2880. doi: 10.1007/s40123-023-00797-8

Table 2.

Summary of proposed interventions to improve glaucoma medication adherence

Study Location Number of participants Proposed intervention Impact
Dreer et al. [23] University of Alabama at Birmingham (UAB) 15 Culturally informed health promotion program Medication adherence rates improved significantly in African American patients
Gupta et al. [33] India 500 Government subsidizes glaucoma medications Positive correlation between medication cost and adherence
Bilger et al. [34] Singapore 100 Adherence contingent rebates Patients in the rebate group were more adherent to medications 73.1% of the time after six months compared to 61.6% in non-rebate group
Kosoko et al. [41] Howard University School of Medicine, Washington, DC 438 Written instructions Question accuracy about glaucoma and management improved from 23.36 ± 30.8% to 88% in patients who did graduate high school and 8.46 ± 21.7% to 96% in patients who did not graduate high school
Muir et al. [42] Duke University Eye Center, Durham, NC 127 Literacy level appropriate glaucoma education video Number of days without medicine (DWM) similar between intervention and control group over 6 months
Miller et al. [43] University of Michigan Kellogg Eye Center 39 Support, Educate, Empower (SEE) program Improved medication adherence in lower economic groups (< $50,000)
Cate et al. [44, 45] Norwich, UK 208 Modified motivational interviewing called Behavior Change Counseling (BCC) No statistically significant difference in adherence between BCC patients and controls over 8 months
Newman-Casey et al. [46] University of Michigan Medical School Systematic review Varying interventions including Educational slideshow, pamphlet, questions answered by ophthalmic technician, education focused office visits, motivational interviews, and glaucoma club Improved glaucoma medication adherence
Gray et al. [47] University of Manchester, Manchester, UK 127 Personally tailored education plan Better knowledge of glaucoma treatment (p < 0.001) compared to controls
Norell et al. [48] Unknown Published 1979 82 Glaucoma education through slideshow and leaflet Decreased number of missed doses (p = 0.004)
Okeke et al. [49] Scheie Eye Institute, Philadelphia, Pennsylvania 196 Multimodal program with education, addressing barriers, and reminder system Statistically significant improved adherence rates for patients that at baseline had < 50% (p = 0.03) and > 75% (p < 0.0001) adherence rates
Hahn et al. [50] Albert Einstein College of Medicine, Bronx, New York 23 Ophthalmologists and 100 patients with glaucoma Physician communication techniques Improved interviewing technique by Ophthalmologists