Glaucoma
Conditions
Brief summary
The study will be conducted to examine the feasibility of using a Health Coach for improving the ophthalmic care of glaucoma patients. Patients taking glaucoma medications will have a coaching intervention and adherence to glaucoma drops will be monitored using a dose-recording device. The dosing data will be analyzed to examine the effect on adherence and qualitative interviews at the conclusion of the study will be used to examine which elements of the coaching experience were most helpful in the glaucoma patient population.
Detailed description
Glaucoma medication adherence will be tracked using a dose recording device to record eye drop usage.
Interventions
BEHAVIORALHealth Coach
Sponsors
Duke University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult whose age is \>18 years * Diagnosed with glaucoma * Patient of Duke Glaucoma Service * Prescribed or using topical glaucoma eye medication for at least 6 months * Primarily self-administering his or her eye drops * English speaking * Patient should be able to use the telephone for the coaching intervention, * Patient should be available by phone to complete the coaching intervention * Patient should be willing and able to use the MEMS (Medication Event Monitoring System) device for recording medication use * Patient must be willing and able to come to the Eye Center for an exit interview and to return the MEMS device * Patient must be able to give consent
Exclusion criteria
* Patient should be excluded if he or she may need glaucoma surgery or laser during the 6 months of the study period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glaucoma Medication Adherence | 6 Months | Glaucoma medication adherence will be tracked using a dose recording device to record eye drop usage. The average of the participants percentage of time they adhered to using the medication will be reported. |
Countries
United States
Participant flow
Recruitment details
9 participants signed consent. 5 participants decided not to participate after signing consent and did not start study. 4 participants started and completed the study.
Participants by arm
| Arm | Count |
|---|---|
| Health Coach Health Coach is conducted to see if it improves ophthalmic care for glaucoma patients.
Health Coach | 4 |
| Total | 4 |
Baseline characteristics
| Characteristic | Health Coach |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 4 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants |
| Age, Continuous | 73 years |
| Region of Enrollment United States | 4 participants |
| Sex: Female, Male Female | 1 Participants |
| Sex: Female, Male Male | 3 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 4 |
| serious Total, serious adverse events | 0 / 4 |
Outcome results
Primary
Glaucoma Medication Adherence
Glaucoma medication adherence will be tracked using a dose recording device to record eye drop usage. The average of the participants percentage of time they adhered to using the medication will be reported.
Time frame: 6 Months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Health Coach | Glaucoma Medication Adherence | 72 percentage of adherence time | Standard Deviation 27 |