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Health coaching for glaucoma care: a pilot study using mixed methods

Authors Vin A, Schneider S, Muir K, Rosdahl J

Received 23 July 2015

Accepted for publication 29 August 2015

Published 22 October 2015 Volume 2015:9 Pages 1931—1943

DOI https://doi.org/10.2147/OPTH.S92935

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Gokcen Gökçe

Peer reviewer comments 4

Editor who approved publication: Dr Scott Fraser


Anita Vin,1 Suzanne Schneider,2 Kelly W Muir,1,3 Jullia A Rosdahl1

1Department of Ophthalmology, Duke University, Durham, NC, 2Department of Health Philosophy and Promotion, Maryland University of Integrative Health, Laurel, MD, 3Durham VA Medical Center, Durham, NC, USA

Introduction: Adherence to glaucoma medications is essential for successful treatment of the disease but is complex and difficult for many of our patients. Health coaching has been used successfully in the treatment of other chronic diseases. This pilot study explores the use of health coaching for glaucoma care.
Methods: A mixed methods study design was used to assess the health coaching intervention for glaucoma patients. The health coaching intervention consisted of four to six health coaching sessions with a certified health coach via telephone. Quantitative measures included demographic and health information, adherence to glaucoma medications (using the visual analog adherence scale and medication event monitoring system), and an exit survey rating the experience. Qualitative measures included a precoaching health questionnaire, notes made by the coach during the intervention, and an exit interview with the subjects at the end of the study.
Results: Four glaucoma patients participated in the study; all derived benefits from the health coaching. Study subjects demonstrated increased glaucoma drop adherence in response to the coaching intervention, in both visual analog scale and medication event monitoring system. Study subjects’ qualitative feedback reflected a perceived improvement in both eye and general health self-care. The subjects stated that they would recommend health coaching to friends or family members.
Conclusion: Health coaching was helpful to the glaucoma patients in this study; it has the potential to improve glaucoma care and overall health.

Keywords: motivation, behavior change, adherence, medication, health

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