SEE Program Strengthens Adherence
Personalized glaucoma coaching program boosts medication adherence and reduces stress in randomized trial
By
Alun Evans
March 4, 2026
Clinical Scorecard: SEE Program Strengthens Adherence
At a Glance
Category Detail
Condition Glaucoma
Key Mechanisms Motivational interviewing, personalized multimedia education, automated medication reminders, real-time feedback
Target Population Adults with glaucoma self-reporting poor adherence to ocular hypotensive medication
Care Setting University of Michigan and Henry Ford Health System
Key Highlights
SEE program improved adherence from 64% to 78% compared to 58% in controls 55% of SEE participants achieved at least 80% adherence versus 24% in controls Significant reduction in glaucoma-related distress in SEE participants Intervention included in-person sessions and phone calls with a trained coach Study supports multifaceted, personalized adherence interventions over single-component strategies
Guideline-Based Recommendations
Diagnosis
Assess self-reported adherence in patients with glaucoma
Management
Implement motivational interviewing-based coaching to enhance medication adherence
Monitoring & Follow-up
Use electronic bottle monitors to track adherence rates
Risks
Consider emotional burden and regimen-related distress in treatment plans
Patient & Prescribing Data
Adults with glaucoma experiencing poor medication adherence
Personalized coaching and education can significantly improve adherence and reduce distress
Clinical Best Practices
Incorporate structured coaching and motivational interviewing in patient education Utilize technology for real-time adherence monitoring and feedback Tailor educational content to individual patient needs
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