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

NCT00694876 | Completed

• 1 other identifier: Health Literacy
• Study Type: observational
• Target: 250
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Patient Noncompliance; Health Literacy; Glaucoma

Keywords

Health Literacy; Patient Nonadherence; Patient Noncompliance; Follow Up; India; Glaucoma

Outcome Measures

Primary Outcomes (1)

• Association between TOFHLA and REALM and the probability of return for follow-up visit

  1 year from enrollemnt

Secondary Outcomes (2)

• Association between religion, caste, education, socio-economic status, employment, and available time for doctor visits and the probability of return for follow-up visit.

  1 year from enrollment

• Association between marital status, number of dependents, family history of glaucoma, travel, need for an escort, understanding of glaucoma, and paying status and the probability of return for follow-up visit.

  1 year from enrollment

Study Arms (2)

1

Adequate Health Literacy (as determined by TOFHLA)

2

Inadequate Health Literacy (as determined by TOFHLA)

Eligibility Criteria

• Age: 18 Years - 69 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Glaucoma Patients from Aravind Eye Hospital at Madurai, Tamil Nadu, India

You may qualify if:

• 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

Sponsors & Collaborators

• Robin, Alan L., M.D.: lead

Study Sites (1)

Aravind Eye Hospital

Madurai, Tamil Nadu, 625 020, India

Location

Related Publications (3)

• 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.

  PMID: 18474786 BACKGROUND

• 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.

  PMID: 16876500 BACKGROUND

• 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.

  PMID: 18321582 BACKGROUND

MeSH Terms

Conditions

Patient Compliance; Glaucoma

Condition Hierarchy (Ancestors)

Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior; Ocular Hypertension; Eye Diseases

Study Officials

• Benjamin R Curran, BS

  Loyola University Chicago, Stritch School of Medicine

  PRINCIPAL INVESTIGATOR

• Alan L Robin, MD

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

  STUDY DIRECTOR

• Ramaswami Krishnadas, DO, DNB

  Aravind Eye Hospital, CMO

  STUDY DIRECTOR

• Scott D Smith, MD, MPH

  The Cleveland Clinic

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: INDIV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 7, 2008
• First Posted: June 11, 2008
• Study Start: June 1, 2008
• Primary Completion: October 1, 2010
• Study Completion: October 1, 2010
• Last Updated: November 30, 2012

Record last verified: 2012-11

Locations

IN (1)