Partnership for Glaucoma

Glaucoma Clinical Trial

Official title:

Expanding Quality Care for Glaucoma Through a Provider-Patient Partnership

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00672048
• Other study ID #: Pro00002593
• Secondary ID: R01EY018405-01
• Status: Completed
• Phase: N/A
• First received: May 4, 2008
• Last updated: January 3, 2014
• Start date: October 2007
• Est. completion date: July 2013

Study information

• Verified date: December 2013
• Source: Duke University
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to develop new ways of assisting patients with glaucoma and their eye doctors in using the recommendations from practice guidelines.

Description:

Glaucoma is a leading cause of blindness and visual impairment in the United States, particularly among disadvantaged populations. Despite the presence of therapies proven in NEI, randomized controlled trials that can be delivered by more than 18,000 ophthalmologists and 34,000 optometrists, almost nothing is known about the content and quality of glaucoma care delivered by non-MD providers such as optometrists. With the numbers of people with glaucoma expected to more than double in the next twenty years in the face of no more than a 15% increase in the supply of eye care providers, methods to better support appropriate and high-quality care for chronic eye diseases such as glaucoma delivered by optometrists will become as critical, if not more so, as techniques to enhance quality care among ophthalmologists.

Our study is a community-based, randomized, controlled trial that evaluates the suitability and effectiveness of a technology-based (tablet computer) intervention within the context of a novel partnership between optometrists and patients with glaucoma to improve the process quality of care and ultimately outcomes of care. By using successfully implemented technology in novel applications,and by building on the success of ongoing community-based quality improvement projects in our region, the study provides a means for rapid translation into community care if the intervention is successful.

Other known NCT identifiers

• NCT01733498

Recruitment information / eligibility

• Status: Completed
• Enrollment: 721
• Est. completion date: July 2013
• Est. primary completion date: July 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

-Diagnosis of open angle glaucoma with documented visual field loss.

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Glaucoma

Intervention

Other:
• Computer Tablet
A tablet computer based software application designed to collect structured clinical information from providers and patients at the point of care.
• Continuing Education Course
Annual standard continuing education
• Continuing education
Annual standard continuing education materials

Locations

Country	Name	City	State
United States	University of Alabama	Birmingham	Alabama
United States	Duke University	Durham	North Carolina

Sponsors (2)

Lead Sponsor	Collaborator
Duke University	University of Alabama at Birmingham

Country where clinical trial is conducted

United States, 

References & Publications (4)

Kacmaz RO, Arbanas JM, Lee PP, Lobach DF. Assessment of relative importance of tablet computer features in supporting direct electronic documentation of encounters by eye care professionals. AMIA Annu Symp Proc. 2005:1001. — View Citation

Lobach DF, Silvey GM, Macri JM, Hunt M, Kacmaz RO, Lee PP. Identifying and overcoming obstacles to point-of-care data collection for eye care professionals. AMIA Annu Symp Proc. 2005:465-9. — View Citation

Silvey GM, Lobach DF, Macri JM, Hunt M, Kacmaz RO, Lee PP. Overcoming obstacles to collecting narrative data from eye care professionals at the point-of-care. AMIA Annu Symp Proc. 2005:1116. — View Citation

Silvey GM, Lobach DF, Macri JM, Hunt M, Kacmaz RO, Lee PP. User interface considerations for collecting data at the point of care in the tablet PC computing environment. AMIA Annu Symp Proc. 2006:1096. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	To determine if innovative technology will improve process quality of care & important outcomes of care by optometrists in a cost-efficient manner while simultaneously empowering & including patients as part of the care process.		Baseline, Year 1 and Year 2	No