Davis Scott A, Carpenter Delesha M, Blalock Susan J, Budenz Donald L, Lee Charles, Muir Kelly W, Robin Alan L, Sleath Betsy
Division of Pharmaceutical Outcomes and Policy, University of North Carolina Eshelman School of Pharmacy, Chapel Hill, North Carolina.
Department of Ophthalmology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Optom Vis Sci. 2019 May;96(5):325-330. doi: 10.1097/OPX.0000000000001375.
Glaucoma patients express a strong need for practical instruction on instilling eye drops correctly. To maximize the benefit of a video intervention to improve eye drop technique, patients recommend that video education be provided both in the clinic setting and online.
The purposes of this study were to (1) describe glaucoma patients' perspectives on how to improve an online eye drop technique video and how to disseminate it to other glaucoma patients and (2) examine how these perspectives differ across demographics.
Glaucoma patients (N = 43) who viewed an online eye drop technique educational video as part of a randomized controlled trial were interviewed to assess their overall rating of the video on a 4-point scale, with whom they had watched the video, whether they would recommend the video to others, how the video helped them, how they would recommend improving the video, and how they would like the video to be disseminated to other glaucoma patients.
Patients' mean (SD) rating of the video was 3.4 (0.8), with a higher mean rating of 3.8 among African Americans (P = .02). All 43 patients said that they would recommend that others watch the video. Patients most commonly said that the video helped them learn to block the tear duct correctly, put the cap down on its side, mix the medication correctly, and close the eye after instillation. Patients preferred viewing the video in the doctor's office examination room and a website.
Eye drop technique videos should be disseminated in the doctor's office and online. Health systems that integrate educational videos into their everyday practice may be able to use technique videos to improve patient technique at low cost and little time burden to the provider.
青光眼患者强烈需要关于正确滴眼药水的实用指导。为了使视频干预在改善滴眼药水技术方面的益处最大化，患者建议在临床环境和在线平台都提供视频教育。
本研究的目的是：（1）描述青光眼患者对于如何改进在线滴眼药水技术视频以及如何将其传播给其他青光眼患者的看法；（2）研究这些看法在不同人口统计学特征上的差异。
作为随机对照试验的一部分观看了在线滴眼药水技术教育视频的43名青光眼患者接受了访谈，以评估他们对该视频的总体评分（采用4分制）、与谁一起观看了视频、是否会向他人推荐该视频、视频如何帮助了他们、他们建议如何改进视频以及他们希望视频如何传播给其他青光眼患者。
患者对视频的平均（标准差）评分为3.4（0.8），非裔美国人的平均评分较高，为3.8（P = 0.02）。所有43名患者均表示会推荐他人观看该视频。患者最常表示视频帮助他们学会了正确阻塞泪道、将瓶盖侧放、正确混合药物以及滴药后闭眼。患者更喜欢在医生办公室检查室和网站上观看视频。
滴眼药水技术视频应在医生办公室和在线平台传播。将教育视频整合到日常实践中的卫生系统或许能够利用技术视频以低成本且给提供者带来很少时间负担的方式来改善患者的技术。
