JAMA Network JAMA Ophthalmology : Support, Educate, Empower Program and Medication Adherence
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Feb 26, 2026 Paula Anne Newman-Casey, associate professor of ophthalmology at the University of Michigan and lead author of the SEE trial, discusses a personalized glaucoma coaching program. She talks about the scope of medication nonadherence. She explains how the SEE program was designed, its format of in-person sessions and coach calls, trial results showing improved adherence, and considerations for wider implementation.
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Resident Moment That Sparked The Trial
- Paula Anne Newman-Casey recalled patients not taking prescribed glaucoma meds and one older veteran who stopped after his wife died.
- That moment as a resident motivated her to ask more about adherence before escalating treatment.
Attention Trumps Written Instructions
- Patients value attention and are more likely to commit when they articulate their own reasons to adhere rather than being told what to do.
- The program uses motivational interviewing to shift patients from being instructed to self-generated motivation and habit formation.
Implement Human Coaching With Data Feedback
- Use human coaches trained in motivational interviewing rather than robots or passive kiosks to increase engagement.
- Offer three in-person sessions plus monthly coach calls, and use electronic adherence data to guide conversations.