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Personalized behavior change program for glaucoma patients with poor adherence: a pilot interventional cohort study with a pre-post design

Overview of attention for article published in Pilot and Feasibility Studies, July 2018
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Title
Personalized behavior change program for glaucoma patients with poor adherence: a pilot interventional cohort study with a pre-post design
Published in
Pilot and Feasibility Studies, July 2018
DOI 10.1186/s40814-018-0320-6
Pubmed ID
Authors

Paula Anne Newman-Casey, Leslie M. Niziol, Chamisa K. Mackenzie, Kenneth Resnicow, Paul P. Lee, David C. Musch, Michele Heisler

Abstract

About half of people with glaucoma do not adhere to their recommended medications. Interventions for other chronic conditions have successfully utilized reminder systems and motivational interviewing (MI)-based counseling. This study was designed to pilot a personalized intervention that leverages these strategies to assess their impact on medication adherence in glaucoma patients. Glaucoma patients taking ≥ 1 medication will be pre-screened by telephone survey for adherence to their medication(s). Those who self-report poor adherence will be enrolled in a 3-month monitoring period to measure medication adherence using electronic medication monitors. Participants who are non-adherent (take </=80% of their medication doses) over the 3-month run in phase will be eligible for the study. We plan to enroll 57 participants who are non-adherent to their medications. Participants' adherence will then be continuously measured with electronic medication monitors, by self-report, and via pharmacy refill data over 2 years, during which two successively more resource-intensive components of an intervention aimed to improve medication adherence will be administered. The first component is a 3-month period of reminders (audio and/or visual) and text message or automated phone call if a dose of medication is not taken within a pre-specified time frame. The second component is a 6-month MI-based counseling program with a trained glaucoma counselor. This component uses the eyeGuide, a computer-based personalized behavior change program that enables para-professional staff to provide personalized education and counseling for glaucoma. The primary outcome is change in medication adherence. The secondary outcomes include changes in clinical outcomes (intraocular pressure, IOP, and IOP fluctuation) and psychosocial mediators of adherence (e.g., competence, energy for change and satisfaction). Participants will undergo semi-structured interviews at 12 months to give feedback about the counseling program in order to improve it. This pilot study will provide insight into ways to deliver more personalized health care to non-adherent glaucoma patients in order to better support them in managing their chronic disease. Retrospectively registered with ClinicalTrials.gov (NCT03159247).

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 66 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 66 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 12 18%
Student > Master 9 14%
Student > Postgraduate 5 8%
Other 5 8%
Lecturer 3 5%
Other 12 18%
Unknown 20 30%
Readers by discipline Count As %
Medicine and Dentistry 20 30%
Pharmacology, Toxicology and Pharmaceutical Science 4 6%
Psychology 3 5%
Nursing and Health Professions 3 5%
Agricultural and Biological Sciences 2 3%
Other 10 15%
Unknown 24 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 August 2018.
All research outputs
#18,645,475
of 23,098,660 outputs
Outputs from Pilot and Feasibility Studies
#855
of 1,049 outputs
Outputs of similar age
#253,705
of 329,730 outputs
Outputs of similar age from Pilot and Feasibility Studies
#31
of 35 outputs
Altmetric has tracked 23,098,660 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,049 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.9. This one is in the 6th percentile – i.e., 6% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 329,730 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 35 others from the same source and published within six weeks on either side of this one. This one is in the 8th percentile – i.e., 8% of its contemporaries scored the same or lower than it.