Original Investigation

Effect of the Support, Educate, Empower Personalized Glaucoma Coaching Program on Medication Adherence

JAMA Ophthalmology 10.1001/jamaophthalmol.2026.0001

February 26, 2026 at 11:00 AM EST

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Does a personalized, glaucoma health coaching program increase medication adherence compared with standard written education in adults with glaucoma and poor self-reported adherence?In this parallel 1:1 randomized clinical trial (n = 235), participants who received the Support, Educate, Empower (SEE) intervention had clinically and significantly better medication adherence than those receiving standard written education. Glaucoma-related distress also decreased more in intervention participants.This personalized intervention improved glaucoma medication adherence and glaucoma-related distress more than standard written education, which may confer both improvements in disease control and in quality of life.

Corresponding Author: Paula Anne Newman-Casey, MD, MS, Department of Ophthalmology and Visual Sciences, University of Michigan, 1000 Wall St, Ann Arbor, MI 48105 (panewman@med.umich.edu).

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