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Article: Randomized Control Trial of the Impact of Patient Decision Aid Developed for Chinese Primary Open-Angle Glaucoma Patients

TitleRandomized Control Trial of the Impact of Patient Decision Aid Developed for Chinese Primary Open-Angle Glaucoma Patients
Authors
Issue Date27-Mar-2023
PublisherKarger Publishers
Citation
Ophthalmic Research, 2023, v. 66, n. 6, p. 669-676 How to Cite?
Abstract

Introduction: Patient decision aid (PDA) is a tool to prompt shared decision-making. The aim of this study was to evaluate the impact of a PDA on Chinese primary open-angle glaucoma patients. Methods: All subjects were randomized into control and PDA group. The questionnaires, including 1) glaucoma knowledge; 2) 8-item Morisky medication adherence scale (MMAS-8); 3) 10-item glaucoma medication adherence self-efficacy scale (GMASES-10); and 4) 16-item decision conflict scale (DCS), were evaluated at baseline, 3- and 6-month follow-up. Results: Totally, 156 subjects participated in this study, including 77 in the control group and 79 in the PDA group. Compared to the control group, PDA group showed around 1 point more improvement in disease knowledge at both 3 and 6 months (both p < 0.05), 2.5 (95% CI: [1.0, 4.1]) and 1.9 (95% CI: [0.2, 3.7]) points more improvement in GMASES-10 at 3 and 6 months, respectively, and reduction in DCS by 8.8 (95% CI: [4.6, 12.9]) points more at 3 months and 13.5 (95% CI: [8.9, 18.0]) points more at 6 months. No difference was detected in MMAS-8. Conclusion: PDA led to improvement in disease knowledge and self-confidence in medication adherence and reduced decision conflict compared to control group for at least 6 months.


Persistent Identifierhttp://hdl.handle.net/10722/340882
ISSN
2023 Impact Factor: 2.0
2023 SCImago Journal Rankings: 0.838

 

DC FieldValueLanguage
dc.contributor.authorZhu, Ming Ming-
dc.contributor.authorChoy, Bonnie NK-
dc.contributor.authorLam, Wendy WT-
dc.contributor.authorShum, Jennifer WH -
dc.date.accessioned2024-03-11T10:48:00Z-
dc.date.available2024-03-11T10:48:00Z-
dc.date.issued2023-03-27-
dc.identifier.citationOphthalmic Research, 2023, v. 66, n. 6, p. 669-676-
dc.identifier.issn0030-3747-
dc.identifier.urihttp://hdl.handle.net/10722/340882-
dc.description.abstract<p><strong><em>Introduction:</em></strong> Patient decision aid (PDA) is a tool to prompt shared decision-making. The aim of this study was to evaluate the impact of a PDA on Chinese primary open-angle glaucoma patients. <strong><em>Methods:</em></strong> All subjects were randomized into control and PDA group. The questionnaires, including 1) glaucoma knowledge; 2) 8-item Morisky medication adherence scale (MMAS-8); 3) 10-item glaucoma medication adherence self-efficacy scale (GMASES-10); and 4) 16-item decision conflict scale (DCS), were evaluated at baseline, 3- and 6-month follow-up. <strong><em>Results:</em></strong> Totally, 156 subjects participated in this study, including 77 in the control group and 79 in the PDA group. Compared to the control group, PDA group showed around 1 point more improvement in disease knowledge at both 3 and 6 months (both <em>p</em> < 0.05), 2.5 (95% CI: [1.0, 4.1]) and 1.9 (95% CI: [0.2, 3.7]) points more improvement in GMASES-10 at 3 and 6 months, respectively, and reduction in DCS by 8.8 (95% CI: [4.6, 12.9]) points more at 3 months and 13.5 (95% CI: [8.9, 18.0]) points more at 6 months. No difference was detected in MMAS-8. <strong><em>Conclusion:</em></strong> PDA led to improvement in disease knowledge and self-confidence in medication adherence and reduced decision conflict compared to control group for at least 6 months.<br></p>-
dc.languageeng-
dc.publisherKarger Publishers-
dc.relation.ispartofOphthalmic Research-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titleRandomized Control Trial of the Impact of Patient Decision Aid Developed for Chinese Primary Open-Angle Glaucoma Patients-
dc.typeArticle-
dc.identifier.doi10.1159/000530071-
dc.identifier.volume66-
dc.identifier.issue6-
dc.identifier.spage669-
dc.identifier.epage676-
dc.identifier.eissn1423-0259-
dc.identifier.issnl0030-3747-

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