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...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-04-01
|
| Series: | Healthcare |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9032/9/4/426 |
| _version_ | 1797538638101217280 |
|---|---|
| author | Stefanie Frech Rudolf F. Guthoff Amin Gamael Christian Helbig Annette Diener Manuela Ritzke Anja Wollny Attila Altiner |
| author_facet | Stefanie Frech Rudolf F. Guthoff Amin Gamael Christian Helbig Annette Diener Manuela Ritzke Anja Wollny Attila Altiner |
| author_sort | Stefanie Frech |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-10T12:33:16Z |
| format | Article |
| id | doaj.art-da3ce56d2a6a4eb8ba564a7de87b057a |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T12:33:16Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-da3ce56d2a6a4eb8ba564a7de87b057a2023-11-21T14:28:58ZengMDPI AGHealthcare2227-90322021-04-019442610.3390/healthcare9040426Patterns and Facilitators for the Promotion of Glaucoma Medication Adherence—A Qualitative StudyStefanie Frech0Rudolf F. Guthoff1Amin Gamael2Christian Helbig3Annette Diener4Manuela Ritzke5Anja Wollny6Attila Altiner7Department of Ophthalmology, Rostock University Medical Center, Doberaner Str. 140, 18057 Rostock, GermanyDepartment of Ophthalmology, Rostock University Medical Center, Doberaner Str. 140, 18057 Rostock, GermanyOphthalmic Care Unit, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyInstitute of General Practice, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyInstitute of General Practice, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyInstitute of General Practice, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyInstitute of General Practice, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyInstitute of General Practice, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyPrimary 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.https://www.mdpi.com/2227-9032/9/4/426primary open-angle glaucomaadherencequalitative study |
| spellingShingle | Stefanie Frech Rudolf F. Guthoff Amin Gamael Christian Helbig Annette Diener Manuela Ritzke Anja Wollny Attila Altiner Patterns and Facilitators for the Promotion of Glaucoma Medication Adherence—A Qualitative Study Healthcare primary open-angle glaucoma adherence 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 | primary open-angle glaucoma adherence qualitative study |
| url | https://www.mdpi.com/2227-9032/9/4/426 |
| work_keys_str_mv | AT stefaniefrech patternsandfacilitatorsforthepromotionofglaucomamedicationadherenceaqualitativestudy AT rudolffguthoff patternsandfacilitatorsforthepromotionofglaucomamedicationadherenceaqualitativestudy AT amingamael patternsandfacilitatorsforthepromotionofglaucomamedicationadherenceaqualitativestudy AT christianhelbig patternsandfacilitatorsforthepromotionofglaucomamedicationadherenceaqualitativestudy AT annettediener patternsandfacilitatorsforthepromotionofglaucomamedicationadherenceaqualitativestudy AT manuelaritzke patternsandfacilitatorsforthepromotionofglaucomamedicationadherenceaqualitativestudy AT anjawollny patternsandfacilitatorsforthepromotionofglaucomamedicationadherenceaqualitativestudy AT attilaaltiner patternsandfacilitatorsforthepromotionofglaucomamedicationadherenceaqualitativestudy |