A prospective study of the effect of education on non-compliant behaviour in contact lens wear

Claydon, Bridget E., Efron, Nathan and Woods, Craig 1997, A prospective study of the effect of education on non-compliant behaviour in contact lens wear, Ophthalmic and physiological optics, vol. 17, no. 2, pp. 137-146.

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Title A prospective study of the effect of education on non-compliant behaviour in contact lens wear
Author(s) Claydon, Bridget E.
Efron, Nathan
Woods, Craig
Journal name Ophthalmic and physiological optics
Volume number 17
Issue number 2
Start page 137
End page 146
Total pages 10
Publisher Wiley - Blackwell Publishing
Place of publication Oxford, England
Publication date 1997-03
ISSN 0275-5408
1475-1313
Keyword(s) adolescent
contact lenses
double-blind method
equipment contamination
health knowledge
attitudes
practice
middle aged
patient education
prospective studies
treatment refusal
Summary The contact lens practitioner and patient present a specific case for the study of non-compliance in areas such as hygiene, solution use, appointment attendance and wearing times. Education is one of the factors thought to influence compliance among patients in general health care situations and contact lens practitioners are encouraged to educate patients in the care and maintenance of contact lenses. A prospective, randomized, controlled and double masked study was performed to assess the effect of a‘compliance enhancement strategy’ on levels of compliance among contact lens wearers over twelve months. Eighty experienced contact lens patients were randomly allocated to two experimental groups. A standard level of contact lens instruction was applied to the first group and in addition the compliance enhancement strategy was applied to patients assigned to the second group. The strategy consisted of extra education for patients using a video, booklets, posters, a checklist and a health care contract. Patients were given free supplies of RelMu multipurpose solution and Medalist 38 soft contact lenses IBausch and Lomb, Rochester. New York). Compliance levels were assessed at a twelve month aftercare appointment by demonstration and questionnaire. The results indicate that the compliance enhancement strategy had little significant effect on the compliance levels of the patients to whom it was applied. The population of contact lens wearers were generally very compliant and the contact lenses and care regimen were clinically successful. The possibility that the assessment of non–compliance was not adequately sensitive to highlight small differences in non-compliant, behaviour is discussed. The standard level of eduction applied to this sample of contact lens patients was adequate to ensure generally high levels of compliance with the simple care and maintenance regimen recommended.
Language eng
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©1997, The College of Optometrists
Persistent URL http://hdl.handle.net/10536/DRO/DU:30047566

Document type: Journal Article
Collection: School of Medicine
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