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Adherence, compliance, persistence and concordance in the management of glaucoma, Part I

Cox, C. L. (2012). Adherence, compliance, persistence and concordance in the management of glaucoma, Part I. International Journal of Ophthalmic Practice, 2(6), pp. 260-264.


Adherence is laden with difficulties in relation to the management of glaucoma. Perhaps a significant issue associated with a lack of the aforementioned is associated with the patient's failure to recognize there is a need to administer their eye drops as prescribed. Undoubtedly the greatest issue is that patients experience no pain with their debilitating eye disease. It is not until there is considerable loss of vision that awareness of the need to administer eye drops becomes a reality. Understanding the complexities of adherence and its association with compliance, persistence and concordance as discussed in this article can assist the healthcare practitioner in developing models of care that help the patient in self management of their glaucoma. This article is published in two parts. Part I addresses the background to issues associated with adherence in glaucoma management including definition of terms, assessing adherence and barriers and interventions to improve adherence. Part 2 addresses the theory of adherence and self management of chronic open angle glaucoma (COAG). It provides perspectives, theories and models that can be employed to improve adherence in the self-management of glaucoma.

Publication Type: Article
Subjects: R Medicine > RE Ophthalmology
R Medicine > RT Nursing
Departments: School of Health & Psychological Sciences > Nursing
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