Impact of Health Literacy and Other Factors on Glaucoma Patient Adherence in South India

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT00694876

Enrollment

250

Registered

2008-06-11

Start date

2008-06-30

Completion date

2010-10-31

Last updated

2012-11-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Glaucoma, Health Literacy, Patient Noncompliance

Keywords

Health Literacy, Patient Nonadherence, Patient Noncompliance, Follow Up, India, Glaucoma

Brief summary

The purpose of this study is to determine how health literacy impacts glaucoma patient adherence (as measured by following up with the doctor) in Tamil Nadu, India. We hypothesize that individuals with better health literacy will have higher rates of follow-up with their ophthalmologist.

Detailed description

Many studies have shown the importance of health literacy on patient adherence in the United States (Juzych, M, et al., 2008; Muir, KW, et al., 2006). Low adherence in glaucoma patients leads to increased intraocular pressure, optic nerve damage, and blindness. To date, no research has been done with health literacy and patient adherence in the developing world. We will use TOFHLA and REALM to assess the health literacy of glaucoma patients in Tamil Nadu, India. We will also survey other demographic information and patient knowledge of glaucoma. This information will be compared with follow-up rates to identify barriers to patient adherence.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to 69 Years

Healthy volunteers

Inclusion criteria

* Better than 20/100 corrected vision in better eye * Must live within 50 miles of Aravind Eye Hospital * Clinical diagnosis of primary glaucoma * Paying patient

Design outcomes

Primary

Measure	Time frame
Association between TOFHLA and REALM and the probability of return for follow-up visit	1 year from enrollemnt

Secondary

Measure	Time frame
Association between religion, caste, education, socio-economic status, employment, and available time for doctor visits and the probability of return for follow-up visit.	1 year from enrollment
Association between marital status, number of dependents, family history of glaucoma, travel, need for an escort, understanding of glaucoma, and paying status and the probability of return for follow-up visit.	1 year from enrollment

Countries

India

Outcome results