Scott A Davis1, Delesha M Carpenter2, Susan J Blalock2, Donald L Budenz3, Charles Lee4, Kelly W Muir5, Alan L Robin6, Betsy Sleath7. 1. Division of Pharmaceutical Outcomes and Policy, University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC, USA. Electronic address: sdavis81@email.unc.edu. 2. Division of Pharmaceutical Outcomes and Policy, University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC, USA. 3. Department of Ophthalmology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. 4. Alexor LLC, Morrisville, NC, USA. 5. Department of Ophthalmology, Duke University School of Medicine, Durham, NC, USA; Durham VA HSR&D, Durham, NC, USA. 6. Department of Ophthalmology, University of Michigan, Ann Arbor, MI, USA; Wilmer Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA. 7. Division of Pharmaceutical Outcomes and Policy, University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC, USA; Cecil G. Sheps Center for Health Services Research, Chapel Hill, NC, USA.
Abstract
OBJECTIVE: To determine the effectiveness of an online video intervention in improving self-efficacy and eye drop application technique in glaucoma patients. METHODS: We randomized ninety-two patients with primary open-angle glaucoma, all who self-administer their eye drops, to either watch the 4-minute Meducation® eye drop technique video in the intervention group, or a nutrition video in the control group. We assessed five eye drop technique steps using objective video recordings at baseline, immediately after watching the video, and 1 month later. We used linear regression models to determine whether the intervention group had better self-efficacy and technique than the control group. RESULTS: Adjusted for baseline technique and other covariates, eye drop technique averaged 0.73 steps better in intervention patients than controls immediately after the video (p = 0.003) and 0.63 steps better at 1 month (p = 0.01). Adjusted for baseline self-efficacy, intervention patients had better eye drop technique self-efficacy than controls immediately after the video (p = 0.02) and at 1 month (p = 0.02). CONCLUSION: A short educational video can significantly improve glaucoma patients' short-term self-efficacy and eye drop technique. PRACTICE IMPLICATIONS: Videos may provide an inexpensive, convenient way to deliver eye drop technique education in any provider's office or online.
RCT Entities:
OBJECTIVE: To determine the effectiveness of an online video intervention in improving self-efficacy and eye drop application technique in glaucomapatients. METHODS: We randomized ninety-two patients with primary open-angle glaucoma, all who self-administer their eye drops, to either watch the 4-minute Meducation® eye drop technique video in the intervention group, or a nutrition video in the control group. We assessed five eye drop technique steps using objective video recordings at baseline, immediately after watching the video, and 1 month later. We used linear regression models to determine whether the intervention group had better self-efficacy and technique than the control group. RESULTS: Adjusted for baseline technique and other covariates, eye drop technique averaged 0.73 steps better in intervention patients than controls immediately after the video (p = 0.003) and 0.63 steps better at 1 month (p = 0.01). Adjusted for baseline self-efficacy, intervention patients had better eye drop technique self-efficacy than controls immediately after the video (p = 0.02) and at 1 month (p = 0.02). CONCLUSION: A short educational video can significantly improve glaucomapatients' short-term self-efficacy and eye drop technique. PRACTICE IMPLICATIONS: Videos may provide an inexpensive, convenient way to deliver eye drop technique education in any provider's office or online.
Authors: Kevin J Schneider; Cecilia N Hollenhorst; Autumn N Valicevic; Leslie M Niziol; Michele Heisler; David C Musch; Stephen M Cain; Paula-Anne Newman-Casey Journal: Ophthalmol Glaucoma Date: 2020-08-08
Authors: Benjamin R Childs; Mary A Breslin; Mai P Nguyen; Natasha M Simske; Paul S Whiting; Aswinkumar Vasireddy; Heather A Vallier Journal: Trauma Surg Acute Care Open Date: 2020-06-03