A Taxonomy of Behavior Change Techniques for Improving Medication Adherence in Primary Open-Angle Glaucoma

Many interventions aiming to improve medication adherence in primary open-angle glaucoma (POAG) have yielded equivocal findings. This equivocacy has been attributed to several factors, including limited incorporation of health behavior theory and patient preference into intervention design. In this...

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Main Authors: Shervonne Poleon, Michael Twa, Yu-Mei Schoenberger-Godwin, Matthew Fifolt, Lyne Racette
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/joph/9917724
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author Shervonne Poleon
Michael Twa
Yu-Mei Schoenberger-Godwin
Matthew Fifolt
Lyne Racette
author_facet Shervonne Poleon
Michael Twa
Yu-Mei Schoenberger-Godwin
Matthew Fifolt
Lyne Racette
author_sort Shervonne Poleon
collection DOAJ
description Many interventions aiming to improve medication adherence in primary open-angle glaucoma (POAG) have yielded equivocal findings. This equivocacy has been attributed to several factors, including limited incorporation of health behavior theory and patient preference into intervention design. In this study, we performed a literature review of interventions aiming to improve medication adherence in POAG to develop a taxonomy of behavior change techniques (BCTs). Eligible studies measured medication adherence using electronic monitors for a minimum of 3 months. For each study, we evaluated the effectiveness of the BCTs, their basis in health behavior theory, and their usefulness in day-to-day management of POAG by surveying a sample of patients and providers. Twelve studies were included. BCTs included knowledge shaping (education), prompts (reminders), behavioral rehearsal (eye drop instillation training), and pharmacological support (combination monotherapy vs. polytherapy). Knowledge shaping, prompts, health coaching, and motivational interviewing led to an improvement in medication adherence and were perceived as being most useful in day-to-day management of POAG. Taxonomies of BCTs can help researchers to improve the design and effectiveness of interventions for improving medication adherence in POAG.
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spelling doaj-art-ca49ed25ba9f4cb98e561a3de7bbf1832025-08-20T03:06:43ZengWileyJournal of Ophthalmology2090-00582025-01-01202510.1155/joph/9917724A Taxonomy of Behavior Change Techniques for Improving Medication Adherence in Primary Open-Angle GlaucomaShervonne Poleon0Michael Twa1Yu-Mei Schoenberger-Godwin2Matthew Fifolt3Lyne Racette4Department of Ophthalmology and Visual SciencesCollege of OptometryDivision of Preventive MedicineDepartment of Health Policy and OrganizationDepartment of Ophthalmology and Visual SciencesMany interventions aiming to improve medication adherence in primary open-angle glaucoma (POAG) have yielded equivocal findings. This equivocacy has been attributed to several factors, including limited incorporation of health behavior theory and patient preference into intervention design. In this study, we performed a literature review of interventions aiming to improve medication adherence in POAG to develop a taxonomy of behavior change techniques (BCTs). Eligible studies measured medication adherence using electronic monitors for a minimum of 3 months. For each study, we evaluated the effectiveness of the BCTs, their basis in health behavior theory, and their usefulness in day-to-day management of POAG by surveying a sample of patients and providers. Twelve studies were included. BCTs included knowledge shaping (education), prompts (reminders), behavioral rehearsal (eye drop instillation training), and pharmacological support (combination monotherapy vs. polytherapy). Knowledge shaping, prompts, health coaching, and motivational interviewing led to an improvement in medication adherence and were perceived as being most useful in day-to-day management of POAG. Taxonomies of BCTs can help researchers to improve the design and effectiveness of interventions for improving medication adherence in POAG.http://dx.doi.org/10.1155/joph/9917724
spellingShingle Shervonne Poleon
Michael Twa
Yu-Mei Schoenberger-Godwin
Matthew Fifolt
Lyne Racette
A Taxonomy of Behavior Change Techniques for Improving Medication Adherence in Primary Open-Angle Glaucoma
Journal of Ophthalmology
title A Taxonomy of Behavior Change Techniques for Improving Medication Adherence in Primary Open-Angle Glaucoma
title_full A Taxonomy of Behavior Change Techniques for Improving Medication Adherence in Primary Open-Angle Glaucoma
title_fullStr A Taxonomy of Behavior Change Techniques for Improving Medication Adherence in Primary Open-Angle Glaucoma
title_full_unstemmed A Taxonomy of Behavior Change Techniques for Improving Medication Adherence in Primary Open-Angle Glaucoma
title_short A Taxonomy of Behavior Change Techniques for Improving Medication Adherence in Primary Open-Angle Glaucoma
title_sort taxonomy of behavior change techniques for improving medication adherence in primary open angle glaucoma
url http://dx.doi.org/10.1155/joph/9917724
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