What do people with glaucoma know about their condition? A comparative cross-sectional incidence and prevalence survey

Purpose:  To assess and compare glaucoma knowledge between patients with established glaucoma, newly diagnosed glaucoma and the general population. Methods:  208 glaucoma patients, 100 newly diagnosed glaucoma patients from three clinical centres and 100 controls from non‐ophthalmology outpatient cl...

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Veröffentlicht in:Clinical & experimental ophthalmology 2008-01, Vol.36 (1), p.13-18
Hauptverfasser: Danesh-Meyer, Helen V, Deva, Narme C, Slight, Carol, Tan, Yu Wee, Tarr, Ken, Carroll, Stuart C, Gamble, Greg
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container_end_page 18
container_issue 1
container_start_page 13
container_title Clinical & experimental ophthalmology
container_volume 36
creator Danesh-Meyer, Helen V
Deva, Narme C
Slight, Carol
Tan, Yu Wee
Tarr, Ken
Carroll, Stuart C
Gamble, Greg
description Purpose:  To assess and compare glaucoma knowledge between patients with established glaucoma, newly diagnosed glaucoma and the general population. Methods:  208 glaucoma patients, 100 newly diagnosed glaucoma patients from three clinical centres and 100 controls from non‐ophthalmology outpatient clinics, were recruited and completed a validated self‐administered true/false questionnaire assessing glaucoma knowledge. Demographic data were also recorded. Glaucoma knowledge score, out of a maximum of 22, and odds ratios (OR) with 95% confidence intervals (CI) of survey characteristics associated with falling in the lowest quartile of the overall knowledge score was evaluated for each study group. Results:  Established glaucoma patients had (median 17, interquartile range 15–19) marginally but significantly (P 
doi_str_mv 10.1111/j.1442-9071.2007.01624.x
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A comparative cross-sectional incidence and prevalence survey</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Danesh-Meyer, Helen V ; Deva, Narme C ; Slight, Carol ; Tan, Yu Wee ; Tarr, Ken ; Carroll, Stuart C ; Gamble, Greg</creator><creatorcontrib>Danesh-Meyer, Helen V ; Deva, Narme C ; Slight, Carol ; Tan, Yu Wee ; Tarr, Ken ; Carroll, Stuart C ; Gamble, Greg</creatorcontrib><description>Purpose:  To assess and compare glaucoma knowledge between patients with established glaucoma, newly diagnosed glaucoma and the general population. Methods:  208 glaucoma patients, 100 newly diagnosed glaucoma patients from three clinical centres and 100 controls from non‐ophthalmology outpatient clinics, were recruited and completed a validated self‐administered true/false questionnaire assessing glaucoma knowledge. Demographic data were also recorded. Glaucoma knowledge score, out of a maximum of 22, and odds ratios (OR) with 95% confidence intervals (CI) of survey characteristics associated with falling in the lowest quartile of the overall knowledge score was evaluated for each study group. Results:  Established glaucoma patients had (median 17, interquartile range 15–19) marginally but significantly (P &lt; 0.05) greater glaucoma knowledge scores than new patients (median 16, interquartile range 13–18). Both of these groups scored significantly better than the control population (median 13, interquartile range 10–14, P &lt; 0.05). Significant misconceptions regarding glaucoma include: 80% of all participants thought that topical medications could not have systemic side‐effects, 48% of established glaucoma patients believed symptoms would warn them of disease progression. One‐third of new patients considered blindness to be a common outcome of having glaucoma. For established patients, factors associated (P &lt; 0.05) with a lesser likelihood of scoring in the lowest quartile of the total score included having family (OR 0.33, 95% CI 0.11–0.98) or friends (OR 0.28, 95% CI 0.06–0.97) with glaucoma, being referred by an optometrist compared with general practitioner (OR 0.21, 95% CI 0.08–0.57), speaking English at home (OR 0.13, 95% CI 0.04–0.49) and being seen in the private health‐care sector (OR 0.13, 95% CI 0.04–0.42). Conclusion:  Patients with established glaucoma have only slightly greater knowledge than newly diagnosed patients, with both patient groups harbouring significant misconceptions regarding glaucoma. Educational programmes and material should be tailored to address these misconceptions.</description><identifier>ISSN: 1442-6404</identifier><identifier>EISSN: 1442-9071</identifier><identifier>DOI: 10.1111/j.1442-9071.2007.01624.x</identifier><identifier>PMID: 18190599</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Aged ; Aged, 80 and over ; Blindness - etiology ; Cross-Sectional Studies ; Female ; glaucoma ; Glaucoma - complications ; Glaucoma - drug therapy ; Glaucoma - epidemiology ; Glaucoma - physiopathology ; Health Knowledge, Attitudes, Practice ; Health Resources ; Humans ; Incidence ; Information Dissemination - methods ; knowledge ; Male ; Middle Aged ; misconception ; New Zealand - epidemiology ; Ophthalmology - methods ; patient education ; Patient Education as Topic - methods ; Prevalence ; Surveys and Questionnaires</subject><ispartof>Clinical &amp; experimental ophthalmology, 2008-01, Vol.36 (1), p.13-18</ispartof><rights>2008 The Authors</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4054-42da4174849cb79e08da260d15b45d420758100b32b6779b6b656767dfb37f863</citedby><cites>FETCH-LOGICAL-c4054-42da4174849cb79e08da260d15b45d420758100b32b6779b6b656767dfb37f863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1442-9071.2007.01624.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1442-9071.2007.01624.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18190599$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Danesh-Meyer, Helen V</creatorcontrib><creatorcontrib>Deva, Narme C</creatorcontrib><creatorcontrib>Slight, Carol</creatorcontrib><creatorcontrib>Tan, Yu Wee</creatorcontrib><creatorcontrib>Tarr, Ken</creatorcontrib><creatorcontrib>Carroll, Stuart C</creatorcontrib><creatorcontrib>Gamble, Greg</creatorcontrib><title>What do people with glaucoma know about their condition? A comparative cross-sectional incidence and prevalence survey</title><title>Clinical &amp; experimental ophthalmology</title><addtitle>Clin Exp Ophthalmol</addtitle><description>Purpose:  To assess and compare glaucoma knowledge between patients with established glaucoma, newly diagnosed glaucoma and the general population. Methods:  208 glaucoma patients, 100 newly diagnosed glaucoma patients from three clinical centres and 100 controls from non‐ophthalmology outpatient clinics, were recruited and completed a validated self‐administered true/false questionnaire assessing glaucoma knowledge. Demographic data were also recorded. Glaucoma knowledge score, out of a maximum of 22, and odds ratios (OR) with 95% confidence intervals (CI) of survey characteristics associated with falling in the lowest quartile of the overall knowledge score was evaluated for each study group. Results:  Established glaucoma patients had (median 17, interquartile range 15–19) marginally but significantly (P &lt; 0.05) greater glaucoma knowledge scores than new patients (median 16, interquartile range 13–18). Both of these groups scored significantly better than the control population (median 13, interquartile range 10–14, P &lt; 0.05). Significant misconceptions regarding glaucoma include: 80% of all participants thought that topical medications could not have systemic side‐effects, 48% of established glaucoma patients believed symptoms would warn them of disease progression. One‐third of new patients considered blindness to be a common outcome of having glaucoma. For established patients, factors associated (P &lt; 0.05) with a lesser likelihood of scoring in the lowest quartile of the total score included having family (OR 0.33, 95% CI 0.11–0.98) or friends (OR 0.28, 95% CI 0.06–0.97) with glaucoma, being referred by an optometrist compared with general practitioner (OR 0.21, 95% CI 0.08–0.57), speaking English at home (OR 0.13, 95% CI 0.04–0.49) and being seen in the private health‐care sector (OR 0.13, 95% CI 0.04–0.42). Conclusion:  Patients with established glaucoma have only slightly greater knowledge than newly diagnosed patients, with both patient groups harbouring significant misconceptions regarding glaucoma. 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A comparative cross-sectional incidence and prevalence survey</title><author>Danesh-Meyer, Helen V ; Deva, Narme C ; Slight, Carol ; Tan, Yu Wee ; Tarr, Ken ; Carroll, Stuart C ; Gamble, Greg</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4054-42da4174849cb79e08da260d15b45d420758100b32b6779b6b656767dfb37f863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blindness - etiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>glaucoma</topic><topic>Glaucoma - complications</topic><topic>Glaucoma - drug therapy</topic><topic>Glaucoma - epidemiology</topic><topic>Glaucoma - physiopathology</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Resources</topic><topic>Humans</topic><topic>Incidence</topic><topic>Information Dissemination - methods</topic><topic>knowledge</topic><topic>Male</topic><topic>Middle Aged</topic><topic>misconception</topic><topic>New Zealand - epidemiology</topic><topic>Ophthalmology - methods</topic><topic>patient education</topic><topic>Patient Education as Topic - methods</topic><topic>Prevalence</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Danesh-Meyer, Helen V</creatorcontrib><creatorcontrib>Deva, Narme C</creatorcontrib><creatorcontrib>Slight, Carol</creatorcontrib><creatorcontrib>Tan, Yu Wee</creatorcontrib><creatorcontrib>Tarr, Ken</creatorcontrib><creatorcontrib>Carroll, Stuart C</creatorcontrib><creatorcontrib>Gamble, Greg</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical &amp; experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Danesh-Meyer, Helen V</au><au>Deva, Narme C</au><au>Slight, Carol</au><au>Tan, Yu Wee</au><au>Tarr, Ken</au><au>Carroll, Stuart C</au><au>Gamble, Greg</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What do people with glaucoma know about their condition? A comparative cross-sectional incidence and prevalence survey</atitle><jtitle>Clinical &amp; experimental ophthalmology</jtitle><addtitle>Clin Exp Ophthalmol</addtitle><date>2008-01</date><risdate>2008</risdate><volume>36</volume><issue>1</issue><spage>13</spage><epage>18</epage><pages>13-18</pages><issn>1442-6404</issn><eissn>1442-9071</eissn><abstract>Purpose:  To assess and compare glaucoma knowledge between patients with established glaucoma, newly diagnosed glaucoma and the general population. Methods:  208 glaucoma patients, 100 newly diagnosed glaucoma patients from three clinical centres and 100 controls from non‐ophthalmology outpatient clinics, were recruited and completed a validated self‐administered true/false questionnaire assessing glaucoma knowledge. Demographic data were also recorded. Glaucoma knowledge score, out of a maximum of 22, and odds ratios (OR) with 95% confidence intervals (CI) of survey characteristics associated with falling in the lowest quartile of the overall knowledge score was evaluated for each study group. Results:  Established glaucoma patients had (median 17, interquartile range 15–19) marginally but significantly (P &lt; 0.05) greater glaucoma knowledge scores than new patients (median 16, interquartile range 13–18). Both of these groups scored significantly better than the control population (median 13, interquartile range 10–14, P &lt; 0.05). Significant misconceptions regarding glaucoma include: 80% of all participants thought that topical medications could not have systemic side‐effects, 48% of established glaucoma patients believed symptoms would warn them of disease progression. One‐third of new patients considered blindness to be a common outcome of having glaucoma. For established patients, factors associated (P &lt; 0.05) with a lesser likelihood of scoring in the lowest quartile of the total score included having family (OR 0.33, 95% CI 0.11–0.98) or friends (OR 0.28, 95% CI 0.06–0.97) with glaucoma, being referred by an optometrist compared with general practitioner (OR 0.21, 95% CI 0.08–0.57), speaking English at home (OR 0.13, 95% CI 0.04–0.49) and being seen in the private health‐care sector (OR 0.13, 95% CI 0.04–0.42). Conclusion:  Patients with established glaucoma have only slightly greater knowledge than newly diagnosed patients, with both patient groups harbouring significant misconceptions regarding glaucoma. Educational programmes and material should be tailored to address these misconceptions.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>18190599</pmid><doi>10.1111/j.1442-9071.2007.01624.x</doi><tpages>6</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Blindness - etiology
Cross-Sectional Studies
Female
glaucoma
Glaucoma - complications
Glaucoma - drug therapy
Glaucoma - epidemiology
Glaucoma - physiopathology
Health Knowledge, Attitudes, Practice
Health Resources
Humans
Incidence
Information Dissemination - methods
knowledge
Male
Middle Aged
misconception
New Zealand - epidemiology
Ophthalmology - methods
patient education
Patient Education as Topic - methods
Prevalence
Surveys and Questionnaires
title What do people with glaucoma know about their condition? A comparative cross-sectional incidence and prevalence survey
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