IMPACT OF SELF-EFFICACY THEORY ON IMPROVING ADHERENCE OF OLDER ADULTS PATIENTS WITH GLAUCOMA'S MEDICATION
DOI:
https://doi.org/10.47604/jhmn.1160Keywords:
Self-Efficacy, Medication Adherence, Older Adults, GlaucomaAbstract
Purpose: This study was aimed to measure the impact of self-efficacy theory to improve medication adherence among older adults' patients with glaucoma.
Methodology: A quasi-experimental design was used to investigate the study hypotheses.
Study Sample: A total of 284 older adults with glaucoma were screened to select non-adherent patients with medication. The recruited study sample was (152) who are non-adherent with glaucoma medication divided equally into (76 study group) and (76 control group). Setting: the study was conducted at the outpatient clinics of Ophthalmology at University Hospital, Shebin El-Kom, Egypt. Tools: three tools were used for the purpose of data collection (I) Bio-socio-demographic characteristics questionnaire; (II) Medication Adherence Rating Scale (III) Glaucoma Medication Self-Efficacy Scale.
Findings: The findings revealed that the mean age of the studied sample was 74.86+4.63 (non-adherent to medication). Patients age and presence of more than three multiple chronic illnesses with poly-medications are the highest risk factors of adherence to medications (OR = 10.9; 95% CI 6.8 -16.32, P = 0.000); (OR = 12.6; 95% CI 8.2 -18.4, P = 0.000) and (OR = 13.2; 95% CI 7.4 -19.8, P = 0.000) respectively. Participants who received the intervention program showed a significant improvement in their self-efficacy in overcoming medication adherence barriers compared to the control group. An improvement of the self-efficacy in their ability in carrying out glaucoma medication correctly compared to the control group was shown by highly statistically significant differences between total mean scores at (t =3.426, P =.001; t =17.174, P=.000; t =18.141, P=.000) respectively. The intervention program of glaucoma medication management had a positive impact on the patients' outcomes compared to the control group. There is a statistically significant difference between patients' feelings and thoughts pre and post-intervention was detected.
Unique contribution to theory, practice and policy: The findings confirm the effectiveness of an intervention/educational program based on self-efficacy theory in terms of improving glaucoma medication adherence among older adults. Glaucoma's medication principles should be discussed at regular intervals based on patients' needs and the barriers they are facing.
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3. World Health Organization. Situation Analysis of VISION 2020 in the WHO South-East Asia Region. 2012.
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5. Abu Hussein NB, Eissa IM, Abdel-Kader AA. Analysis of Factors Affecting Patients' Compliance to Topical Antiglaucoma Medications in Egypt as a Developing Country Model. J Ophthalmol., 2015. https://www.ncbi.nlm.nih.gov/pubmed/26167292.
6. Amin AM, Kamel AIM, El-Ashkar MGA. Corneal Topographic changes after sub scleral trabeculectomy. AIMJ 2020 February. doi:10.21608.
7. Khalaf FR, Qayed M, Fahmy HD, Wasfi EI, Mohamed AG. Employees Knowledge about
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8. Smaje A, Clark MW, Raj R, Orlu M, Davis D, Rawle M. Factors associated with medication adherence in older patients: A systematic review. Aging Med (Milton). 2018 Dec; 1(3): 254-266.
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11. Vos T. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study. Lancet 2016; 388: 1545-602.
12. Zhong H, et al. The Prevalence of Glaucoma in Adult Rural Chinese Populations of the Bai
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13. National Eye Institute. Glaucoma: The "silent thief begins to tell its secrets". 2015 January. Archived from the original on 23 July,2014.
14. Mantravadi AV, Vadhar N. Glaucoma - Primary Care: Clinics in Office Practice, 2015 Sept; Volume 41, Issue 3,P437-449 DOI: https://doi.org/10.1016/j.pop.
15. Vin A, Schneider S, Muir KW, Rosdahl JA. Health coaching for glaucoma care: a pilot study
using mixed methods. Clinical ophthalmology (Auckland, N.Z.). 2015 Oct 22; 9:1931-43.
16. Sleath B, et al. Ophthalmologist-patient communication, self-efficacy, and glaucoma medication adherence. Ophthalmology, 2015 Apr 1; 122(4):748-54.
17. Vos T, Flaxman AD, Naghavi M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380: 2163-96.
18. Mahmoodi H, Jalalizad NF, Shaghaghi A, Shooshtari S, Jafarabadi MA, Allahverdipour H. Gender Based Cognitive Determinants Of Medication Adherence In Older Adults With Chronic Conditions. Patient Preference and Adherence, 2019 October 15; Volume:13 Pages 1733"”1744. DOI https://doi.org/10.2147/PPA.S219193.
19. Lee S, Jiang L, Dowdy D, Hong YA, Ory MG. Attitudes, Beliefs, and Cost-Related Medication Nonadherence Among Adults Aged 65 or Older with Chronic Diseases. Prev Chronic Dis 2018; 15:180190. DOI: http://dx.doi.org/10.5888/pcd15.180190external icon.
20. Patton DE, Cadogan CA, Ryan C, Francis JJ, Gormley GJ, Passmore P, Kerse N, Hughes CM. Improving adherence to multiple medications in older people in primary care: Selecting intervention components to address patient-reported barriers and facilitators. Health Expect. 2018 Feb; 21(1):138-148. doi: 10.1111/hex.12595.
21. Patton DE, Hughes CM, Cadogan CA, Ryan CA. Theory-Based Interventions to Improve Medication Adherence in Older Adults Prescribed Polypharmacy: A Systematic Review. Drugs and Aging, 2017; 34:97-113 DOI 10.1007/s40266-016-0426-6.
22. Sleath B, et al., Development of an instrument to measure glaucoma medication self-efficacy and outcome expectations. Eye (2010) 24, 624-631.
23. Kashiwagi K, Furuya T. Persistence with topical glaucoma therapy among newly diagnosed Japanese patients. Japanese Journal of Ophthalmology, 2014: volume 58, pages 68-74.
24. Campbell J, Schwartz G, LaBounty B, Kowalski J, Patel V. Patient adherence and persistence with topical ocular hypotensive therapy in real-world practice: a comparison of bimatoprost 0.01% and travoprost Z 0.004% ophthalmic solutions. 2014 May; Volume 4:8 Pages 927-935.
25. McVeigh K, Vakros G. The eye drop chart: A pilot study for improving administration of and compliance with topical treatments in glaucoma patients. Clinical ophthalmology, 2015 May. DOI: 10.2147/OPTH.S82909.
26. Verloo H, Chiolero A, Kiszio B, Kampel T, Santschi V. Nurse interventions to improve medication adherence among discharged older adults: a systematic review. Age & Ageing, 2017 Sept; 46(5):747-754. doi: 10.1093/ageing/afx076.
27. Iuga AO and McGuire MJ. Adherence and health care costs. Risk Manag Healthc Policy. 2014 Feb 20; 7:35-44. doi: 10.2147/RMHP.S19801.
28. Al-Lawati S. Report on Patient Non-adherence in Ireland. Dublin: Pfizer Healthcare Ireland, Irish Pharmacy Union, Irish patients' Association; 2014 March; Pp 52.
29. Vrijens B, et al., A new taxonomy for describing and defining adherence to medications. Br J
Clin Pharmacol. 2012 May; 73(5):691-705. doi: 10.1111/j.1365-2125.2012.04167
30. Lopez-Garrido G. Self-efficacy. Simply Psychology, Aug 09, 2020, https://www .simply psychology.org/self-efficacy.html
31. Conner MT. Cognitive Determinants of Health Behavior. Handbook of Behavioral Medicine.
2010 August; pp 19-30. DOI: 10.1007/978-0-387-09488-5_2
32. Bandura A. Social cognitive theory: an agentic perspective. Annu Rev Psychol., 2001; 52:1-26.
doi: 10.1146/annurev.psych.52.1.1.
33. Redmond BF. Self- efficacy Theory: Do I Think that I can succeed in my work? Work attitudes & motivations. (2010), The Pennsylvania state University; World Campus
34. Bandura A. Self-efficacy: toward a unifying theory of behavioral change Psychol Rev. 1977
Mar; 84(2): 191-215. doi: 10.1037//0033-295x.84.2.191.
35. Schunk DH. "Goal Setting and Self-Efficacy During Self-Regulated Learning" . Educational Psychologist, 2010 Jun 08; Pages 71-86.
36. Conner M, & Norman P. Predicting health behavior (2nd ed.). Buckingham, England: Open University Press. 2005.
37. Porter LW, Bigley GA, Steers RM. Motivation and Work Behavior. McGraw-Hill Irwin, Digital format Book, 2011 April; (7th ed.), p. 131-132.
38. Bandura A. Social Learning Theory, Alexandria, VA: Prentice Hall, 1977, pp. 247, ISBN 978-0- 13-816744-8.
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2020-10-29
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Abou-El-Soud, F. A., & Mohamed, H. S. (2020). IMPACT OF SELF-EFFICACY THEORY ON IMPROVING ADHERENCE OF OLDER ADULTS PATIENTS WITH GLAUCOMA’S MEDICATION. Journal of Health, Medicine and Nursing, 5(4), 44 – 70. https://doi.org/10.47604/jhmn.1160
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