Citation Information :
Sng JJ, Ang BC, Hoo WC, Lim AP, Teo HY, Yip LW. The Effectiveness of a Nurse-led Glaucoma Education on Patient Knowledge and Compliance Motivation Levels: A 1-year Prospective Case Series. J Curr Glaucoma Pract 2023; 17 (3):149-156.
Purpose: To evaluate the impact of a nurse-led glaucoma education program on patient knowledge and compliance levels in an Asian population.
Materials and Methods: A 1-year prospective case series involving 69 adult glaucoma patients. Each patient attended a standardized nurse-led glaucoma education session. A questionnaire was administered by a single nurse-clinician and analyzed at three time points (preeducation for baseline, immediately posteducation, and at the 1-year follow-up) to evaluate for associations with patient knowledge and compliance motivation levels.
Results: A total of 64 patients were included in the final analysis. Patients with higher educational qualifications or who were employed had better baseline knowledge of glaucoma. Younger patients had higher baseline compliance motivation levels. Immediately posteducation, both median patient knowledge score and compliance motivation levels had a statistically significant increase. Patients on more glaucoma eye drops had greater immediate improvement in confidence in eye drop application. Patients with more positive Humphrey visual field mean deviation values had a greater immediate improvement in confidence in their understanding of glaucoma. A total of 34 patients were readministered the questionnaire at the 1-year time point. Median score for patient knowledge was highest at this point. Employed patients demonstrated better patient knowledge at baseline and at 1-year time point compared to unemployed patients. Unemployed patients experienced a significant improvement in scores from baseline to immediately posteducation, but improvement from immediately posteducation to the 1-year time point was insignificant was insignificant.
Conclusion: Our study has examined the effectiveness of a nurse-led glaucoma education program in an Asian population, demonstrating improvement in both patient knowledge and compliance motivation levels up to 1 year after intervention.
Mantravadi AV, Vadhar N. Glaucoma. Prim Care 2015;42(3):437–449. DOI: 10.1016/j.pop.2015.05.008
Taylor SA, Galbraith SM, Mills RP. Causes of non-compliance with drug regimens in glaucoma patients: a qualitative study. J Ocul Pharmacol Ther 2002;18(5):401–409. DOI: 10.1089/10807680260362687
Attebo K, Mitchell P, Cumming R, et al. Knowledge and beliefs about common eye diseases. Aust N Z J Ophthalmol 1997;25(4):283–287. DOI: 10.1111/j.1442-9071.1997.tb01516.x
Fraser S, Bunce C, Wormald R. Risk factors for late presentation in chronic glaucoma. Invest Ophthalmol Vis Sci 1999;40(10):2251–2257. PMID: 10476790.
Deokule S, Sadiq S, Shah S. Chronic open angle glaucoma: patient awareness of the nature of the disease, topical medication, compliance and the prevalence of systemic symptoms. Ophthalmic Physiol Opt 2004;24(1):9–15. DOI: 10.1046/j.1475-1313.2003.00155.x
Degineh H, Giorgis AT. Glaucoma awareness among ophthalmic patients at Menelik II Hospital, Addis Ababa, Ethiopia. Ethiop J Health Dev 2013;27(3):230–234.
R S, Sinha A, Shetty N. A study of awareness of glaucoma among ophthalmology out patients in a 2-Tier City, Tumkur. Indian J Clin Exp Ophthalmol 2015;1(3):156–158.
Loon SC, Jin J, Jin Goh M. The relationship between quality of life and adherence to medication in glaucoma patients in Singapore. J Glaucoma 2015;24(5):e36–e42. DOI: 10.1097/IJG.0000000000000007
Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q 1988;15(2):175–183. DOI: 10.1177/109019818801500203
Kingman S. Glaucoma is second leading cause of blindness globally. Bull World Health Organ 2004;82(11):887–888. PMID: 15640929.
Tham YC, Li X, Wong TY, et al. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology 2014;121(11):2081–2090. DOI: 10.1016/j.ophtha.2014.05.013
Baskaran M, Foo RC, Cheng CY, et al. The prevalence and types of glaucoma in an urban Chinese population: the Singapore Chinese Eye Study. JAMA Ophthalmol 2015;133(8):874–880. DOI: 10.1001/jamaophthalmol.2015.1110
Shen SY, Wong TY, Foster PJ, et al. The prevalence and types of glaucoma in Malay people: the Singapore Malay Eye Study. Invest Ophthalmol Vis Sci 2008;49(9):3846–3851. DOI: 10.1167/iovs.08-1759
Narayanaswamy A, Baskaran M, Zheng Y, et al. The prevalence and types of glaucoma in an urban Indian population: the Singapore Indian Eye Study. Investigative Ophthalmol Vis Sci 2013;54(7):4621–4627. DOI: 10.1167/iovs.13-11950
Cook TD. Major research analysis provides proof: patient education does make a difference. Promot Health 1984;5(6):4–5, 9. PMID: 10317577.
Pantalon A, Feraru C. Non-parametric tests in detecting glaucoma progression. Rom J Ophthalmol 2017;61(3):212–218. DOI: 10.22336/rjo.2017.39
Rosdahl JA, Muir KW. Finding the best glaucoma questionnaire: a qualitative and quantitative evaluation of glaucoma knowledge assessments. Clin Ophthalmol 2015;9:1845–1852. DOI: 10.2147/OPTH.S90332
Gray TA, Fenerty C, Harper R, et al. Preliminary survey of educational support for patients prescribed ocular hypotensive therapy. Eye (Lond) 2010;24(12):1777–1786. DOI: 10.1038/eye.2010.121
Skalicky SE, D'Mellow G, House P, et al. Glaucoma Australia educational impact study: a randomized short-term clinical trial evaluating the association between glaucoma education and patient knowledge, anxiety and treatment satisfaction. Clin Exp Ophthalmol 2018;46(3):222–231. DOI: 10.1111/ceo.13016
Rhodes LA, Huisingh CE, McGwin G Jr, et al. Eye Care Quality and Accessibility Improvement in the Community (EQUALITY): impact of an eye health education program on patient knowledge about glaucoma and attitudes about eye care. Patient Relat Outcome Meas 2016;7:37–48. DOI: 10.2147/PROM.S98686
Djafari F, Lesk MR, Giguere CE, et al. Impact of a brief educational intervention on glaucoma persistence: a randomized controlled clinical trial. Ophthalmic Epidemiol 2015;22(6):380–386. DOI: 10.3109/09286586.2015.1083036
Kim S, Stewart JF, Emond MJ, et al. The effect of a brief education program on glaucoma patients. J Glaucoma 1997;6(3):146–151. PMID: 9211136.
Rosenthal AR, Zimmerman JF, Tanner J. Educating the glaucoma patient. Br J Ophthalmol 1983;67(12):814–817. DOI: 10.1136/bjo.67.12.814
Maharana PK, Rai VG, Pattebahadur R, et al. Awareness and knowledge of glaucoma in Central India: a hospital-based study. Asia Pac J Ophthalmol (Phila) 2017;6(3):243–249. doi: 10.22608/APO.2015166
Danesh-Meyer HV, Deva NC, Slight C, et al. What do people with glaucoma know about their condition? A comparative cross-sectional incidence and prevalence survey. Clin Exp Ophthalmol 2008;36(1):13–18. DOI: 10.1111/j.1442-9071.2007.01624.x
Hoevenaars JG, Schouten JS, van den Borne B, et al. Socioeconomic differences in glaucoma patients’ knowledge, need for information and expectations of treatments. Acta Ophthalmol Scand 2006;84(1):84–91. DOI: 10.1111/j.1600-0420.2005.00587.x
Saw SM, Gazzard G, Friedman D, et al. Awareness of glaucoma, and health beliefs of patients suffering primary acute angle closure. Br J Ophthalmol 2003;87(4):446–449. DOI: 10.1136/bjo.87.4.446
Smith LK, Thompson JR, Woodruff G, et al. Social deprivation and age at presentation in amblyopia. J Public Health Med 1994;16(3):348–351. PMID: 7999389.
Paasche-Orlow MK, Parker RM, Gazmararian JA, et al. The prevalence of limited health literacy. J Gen Intern Med 2005;20(2):175–184. DOI: 10.1111/j.1525-1497.2005.40245.x
Juzych MS, Randhawa S, Shukairy A, et al. Functional health literacy in patients with glaucoma in urban settings. Arch Ophthalmol 2008;126(5):718–724. DOI: 10.1001/archopht.126.5.718
Osman EA, Alqarni BA, AlHasani SS, et al. Compliance of glaucoma patients to ocular hypotensive medications among the Saudi population. J Ocul Pharmacol Ther 2016;32(1):50–54. DOI: 10.1089/jop.2015.0052
Olthoff CM, Schouten JS, van de Borne BW, et al. Noncompliance with ocular hypotensive treatment in patients with glaucoma or ocular hypertension an evidence-based review. Ophthalmology 2005;112(6):953–961. DOI: 10.1016/j.ophtha.2004.12.035
Granstrom PA. Glaucoma patients not compliant with their drug therapy: clinical and behavioural aspects. Br J Ophthalmol 1982;66(7):464–470.
Ashaye AO, Adeoye AO. Characteristics of patients who dropout from a glaucoma clinic. J Glaucoma 2008;17(3):227–232. DOI: 10.1097/IJG.0b013e31815768b3
Gupta V, Chandra A, Yogi R, et al. Prevalence and causes of patient dropout after glaucoma surgery. Ophthalmic Epidemiol 2013;20(1):40–44. DOI: 10.3109/09286586.2012.741278