Impact of Health Literacy and Other Factors on Glaucoma Patient Adherence in South India
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.
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Impact of Health Literacy and Other Factors on Glaucoma Patient Adherence in South India|
- Association between TOFHLA and REALM and the probability of return for follow-up visit [ Time Frame: 1 year from enrollemnt ] [ Designated as safety issue: No ]
- Association between religion, caste, education, socio-economic status, employment, and available time for doctor visits and the probability of return for follow-up visit. [ Time Frame: 1 year from enrollment ] [ Designated as safety issue: No ]
- 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. [ Time Frame: 1 year from enrollment ] [ Designated as safety issue: No ]
|Study Start Date:||June 2008|
|Study Completion Date:||October 2010|
|Primary Completion Date:||October 2010 (Final data collection date for primary outcome measure)|
Adequate Health Literacy (as determined by TOFHLA)
Inadequate Health Literacy (as determined by TOFHLA)
Many studies have shown the importance of health literacy on patient adherence in the United States (Juzych, M, et al., 2008; Muir, KW, et al., 2006). Low adherence in glaucoma patients leads to increased intraocular pressure, optic nerve damage, and blindness. To date, no research has been done with health literacy and patient adherence in the developing world.
We will use TOFHLA and REALM to assess the health literacy of glaucoma patients in Tamil Nadu, India. We will also survey other demographic information and patient knowledge of glaucoma. This information will be compared with follow-up rates to identify barriers to patient adherence.
|Aravind Eye Hospital|
|Madurai, Tamil Nadu, India, 625 020|
|Principal Investigator:||Benjamin R Curran, BS||Loyola University Chicago, Stritch School of Medicine|
|Study Director:||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|