{"id":6598,"date":"2022-11-03T21:21:50","date_gmt":"2022-11-04T01:21:50","guid":{"rendered":"https:\/\/www.med.unc.edu\/ophth\/?p=6598"},"modified":"2023-01-27T15:08:06","modified_gmt":"2023-01-27T20:08:06","slug":"question-asking-african-american-glaucoma-patients","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/ophth\/2022\/11\/question-asking-african-american-glaucoma-patients\/","title":{"rendered":"Improving African American Patient Question-Asking and Provider Education During Glaucoma Visits"},"content":{"rendered":"<p style=\"text-align: center\"><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S2589419622001880\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-6601\" src=\"https:\/\/www.med.unc.edu\/ophth\/wp-content\/uploads\/sites\/1268\/2022\/11\/Ophthalmology-Glaucoma-SeptOct-22-cover-e1667524608154.gif\" alt=\"\" width=\"200\" height=\"268\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><span data-contrast=\"auto\">African American glaucoma patients who report medication non-adherence* and are exposed before clinic visits to the importance of question-asking during appointments are significantly more likely to inquire about their condition than those who do not receive pre-visit prompts. In a study published in the September\/October 2022 <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S2589419622001880\"><i>Ophthalmology Glaucoma<\/i><\/a><\/span><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><span data-contrast=\"auto\">(Vol. 5\/Issue 5), UNC Department of Ophthalmology Chair and Kittner Family Distinguished Professor <\/span><b><span data-contrast=\"auto\">Donald Budenz, MD, MPH, <\/span><\/b><span data-contrast=\"auto\">joined clinical research ophthalmologists from Duke University Department of Ophthalmology and several private practices across the U.S., as well as investigators from UNC Eshelman School of Pharmacy, in publishing a study entitled, \u201cImproving black patient question-asking and provider education during glaucoma visits.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Funded by the Agency for Healthcare Research and Quality, this randomized, prospective trial tracked a cohort of 189 African American glaucoma trial enrollees assigned to either a usual care or an intervention group.\u00a0 Those assigned to the intervention group watched an educational video emphasizing the importance of asking questions during visits with one&#8217;s glaucoma specialist. They also received a glaucoma question prompt list to complete before clinic visits. Visits were audiotaped, and patients were interviewed after their appointment. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Study authors focused on two main outcome measures in observing both groups: 1) Whether study enrollees asked one or more questions during their recorded visits about glaucoma and glaucoma medications; and 2) The number of glaucoma and glaucoma medication areas the provider educated the patient about during the visit. Additional primary outcome measures included measuring intraocular pressure and surveying enrollees on self-reported glaucoma medication adherence.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Over a 12-month study, Dr. Budenz and colleagues found that African American patients in the trial\u2019s intervention group were significantly more likely than those in the usual care group to ask at least one question about glaucoma.\u00a0 Similarly, intervention group participants were significantly more likely to receive a wider range of education about glaucoma during clinic visits. The study concluded that providing a pre-visit glaucoma educational video and a question prompt list to black glaucoma patients who report medication non-adherence increases question-asking and provider education about glaucoma and glaucoma medications in this population. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Dr. Budenz stated: \u201cGlaucoma is the leading cause of blindness in African Americans. Our prior studies found that African Americans are significantly less likely to be educated about glaucoma by their ophthalmologists and significantly less likely to be adherent to their glaucoma medications than Caucasians. By providing patients with a question prompt list, we were able to significantly increase question asking of African American patients to their ophthalmologist, which improves education and, hopefully, compliance with therapy.\u201d\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">To read an online synopsis of this study, go to the September\/October 2022 issue of <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S2589419622001880\"><i><span data-contrast=\"none\">Ophthalmology Glaucoma<\/span><\/i><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">* <\/span><\/i>Study eligibility<i><span data-contrast=\"auto\">: African-American patients with a glaucoma diagnosis who were currently taking one or more glaucoma medications and reported being non-adherent.<\/span><\/i><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center\">To read coverage of this multi-disciplinary study in the University of North Carolina publication <em>The Well<\/em>, click <a href=\"https:\/\/thewell.unc.edu\/2023\/01\/26\/can-better-communication-improve-black-glaucoma-patient-outcomes\/\"><strong>here<\/strong><\/a>.<\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; African American glaucoma patients who report medication non-adherence* and are exposed before clinic visits to the importance of question-asking during appointments are significantly more likely to inquire about their condition than those who do not receive pre-visit prompts. In a study published in the September\/October 2022 Ophthalmology Glaucoma\u00a0(Vol. 5\/Issue 5), UNC Department of Ophthalmology &hellip; <a href=\"https:\/\/www.med.unc.edu\/ophth\/2022\/11\/question-asking-african-american-glaucoma-patients\/\" aria-label=\"Read more about Improving African American Patient Question-Asking and Provider Education During Glaucoma Visits\">Read more<\/a><\/p>\n","protected":false},"author":17488,"featured_media":6600,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[2],"tags":[],"class_list":["post-6598","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Improving African American Patient Question-Asking and Provider Education During Glaucoma Visits | Department of Ophthalmology<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/ophth\/2022\/11\/question-asking-african-american-glaucoma-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Improving African American Patient Question-Asking and Provider Education During Glaucoma Visits | Department of Ophthalmology\" \/>\n<meta property=\"og:description\" content=\"&nbsp; African American glaucoma patients who report medication non-adherence* and are exposed before clinic visits to the importance of question-asking during appointments are significantly more likely to inquire about their condition than those who do not receive pre-visit prompts. 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