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

NCT ID: NCT00694876

Last Updated: 2012-11-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-06-30

Study Completion Date

2010-10-31

Brief Summary

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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

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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.

Conditions

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Patient Noncompliance Health Literacy Glaucoma

Keywords

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Health Literacy Patient Nonadherence Patient Noncompliance Follow Up India Glaucoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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1

Adequate Health Literacy (as determined by TOFHLA)

No interventions assigned to this group

2

Inadequate Health Literacy (as determined by TOFHLA)

No interventions assigned to this group

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Robin, Alan L., M.D.

INDIV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Benjamin R Curran, BS

Role: PRINCIPAL_INVESTIGATOR

Loyola University Chicago, Stritch School of Medicine

Alan L Robin, MD

Role: STUDY_DIRECTOR

University of Maryland; Johns Hopkins University, Wilmer Institute and Bloomberg School of Public Health

Ramaswami Krishnadas, DO, DNB

Role: STUDY_DIRECTOR

Aravind Eye Hospital, CMO

Scott D Smith, MD, MPH

Role: STUDY_DIRECTOR

The Cleveland Clinic

Locations

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Aravind Eye Hospital

Madurai, Tamil Nadu, India

Site Status

Countries

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India

References

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Juzych MS, Randhawa S, Shukairy A, Kaushal P, Gupta A, Shalauta N. Functional health literacy in patients with glaucoma in urban settings. Arch Ophthalmol. 2008 May;126(5):718-24. doi: 10.1001/archopht.126.5.718.

Reference Type BACKGROUND
PMID: 18474786 (View on PubMed)

Muir KW, Santiago-Turla C, Stinnett SS, Herndon LW, Allingham RR, Challa P, Lee PP. Health literacy and adherence to glaucoma therapy. Am J Ophthalmol. 2006 Aug;142(2):223-6. doi: 10.1016/j.ajo.2006.03.018.

Reference Type BACKGROUND
PMID: 16876500 (View on PubMed)

Friedman DS, Hahn SR, Gelb L, Tan J, Shah SN, Kim EE, Zimmerman TJ, Quigley HA. Doctor-patient communication, health-related beliefs, and adherence in glaucoma results from the Glaucoma Adherence and Persistency Study. Ophthalmology. 2008 Aug;115(8):1320-7, 1327.e1-3. doi: 10.1016/j.ophtha.2007.11.023. Epub 2008 Mar 5.

Reference Type BACKGROUND
PMID: 18321582 (View on PubMed)

Other Identifiers

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Health Literacy

Identifier Type: -

Identifier Source: org_study_id