Amblyopia Clinical Trial
Official title:
Electronic Recording of Compliance With Occlusion Therapy for Amblyopia: 1 Effects of Patient Education on Compliance 2 Predictors for Non-Compliance
The purpose of this study was to determine whether compliance with occlusion therapy for amblyopia could be improved and, secondly, if risk factors for non-compliance could be identified.
Non-compliance is a limiting factor for success of occlusion therapy for amblyopia (lazy
eye) in childhood. It is responsible for approximately 1% of the adult population being
unable to read with the amblyopic eye. The researchers used electronic monitoring of
compliance to investigate predictors and a remedy for non-compliance.
Methods: In a prospective randomised controlled trial, compliance was measured for one week
every three months during 30 months in newly diagnosed amblyopic children in The Hague,
Frankfurt and Leicester. The family’s social-economic and ethnic background was assessed
through a questionnaire. Children were randomised to receive either an educational cartoon
story explaining, without text, the rationale for treatment to the child with reward
stickers and an information sheet, or a picture to colour. All received standard orthoptic
care by a treating orthoptist, who was unaware of the randomisation. The electronic device
and educational programme were distributed via home-visits by researchers. The primary
outcome measure was percentage of compliance (realised/prescribed occlusion time). The
secondary outcome measure was influence of social-economic, ethnic and clinical factors on
compliance.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind, Primary Purpose: Treatment
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