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Abstract #76984 Published in IGR 19-3

Access to and Experiences with e-Health Technology Among Glaucoma Patients and Their Relationship with Medication Adherence

Newman-Casey PA; Killeen OJ; Renner M; Robin AL; Lee P; Heisler M
Telemedicine Journal and E-Health: the Official Journal of the American Telemedicine Association 2018; 0:

See also comment(s) by Ivan Goldberg •

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BACKGROUND: As online health information becomes common, it is important to assess patients' access to and experiences with online resources. INTRODUCTION: We examined whether glaucoma patients' technology usage differs by medication adherence and whether adherence is associated with online education experiences. MATERIALS AND METHODS: We included 164 adults with glaucoma taking ≥1 glaucoma medication. Participants completed a survey including demographic and health information, the Morisky Adherence Scale, and questions about online glaucoma resource usage. Differences in technology access, adherence, and age were compared with chi-squared, Fisher exact, and two-sample t-tests. RESULTS: Mean age was 66 years. Twenty-six percent reported poor adherence. Eighty percent had good technology access. Seventy-three percent of subjects with greater technology access wanted online glaucoma information and yet only 14% of patients had been directed to online resources by physicians. There was no relationship between technological connectivity and adherence (p = 0.51). Nonadherent patients were younger (mean age 58 years vs. 66 years for adherent patients, p = 0.002). Nonadherence was associated with negative feelings about online searches (68% vs. 42%, p = 0.06). DISCUSSION: Younger, poorly adherent patients navigate online glaucoma resources without physician input. These online searches are often unsatisfying. Technology should be leveraged to create high quality, online glaucoma resources that physicians can recommend to provide guidance for disease self-management.

1 Department of Ophthalmology & Visual Sciences, Kellogg Eye Center, University of Michigan Medical School , Ann Arbor, Michigan.

Full article

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Classification:

11.17 Cooperation with medical therapy e.g. persistency, compliance, adherence (Part of: 11 Medical treatment)

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