Screening and Intervention for Glaucoma and Eye Health Through Telemedicine

Glaucoma Clinical Trial

— SIGHT  

Official title:

Sustainable Community Clinic Telemedicine-Based Glaucoma Screening

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04274764
• Other study ID #: HUM00169371
• Status: Recruiting
• Phase: N/A
• Start date: July 28, 2020
• Est. completion date: March 1, 2025

Study information

• Verified date: March 2023
• Source: University of Michigan
• Contact: Suzanne Winter, MS
• Phone: 7342328185
• Email: wsuzanne[@]med.umich.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a multiple site, randomized study that will assess the effects of personalized eHealth education and motivational-interviewing-based counseling on patient adherence to physician follow-up appointments.

Description:

The primary objective of this study is to evaluate the effects of personalized eHealth education and motivational-interviewing-based counseling on adherence to glaucoma follow-up care compared to standard education delivered by a trained staff member. Participants will be randomized in a 1:1 ratio to either standard education and care navigation or eHealth education, counseling and care navigation. The outcome measure of the participant seeing an Ophthalmologist for follow up care within 3 months was increased to 6 months. This modification was made due to ophthalmology visit appointments not being available within the 3 month timeframe.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 400
• Est. completion date: March 1, 2025
• Est. primary completion date: March 1, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 99 Years

Eligibility

Inclusion Criteria:

• > or = to 18 years of age

Exclusion Criteria:

• Sudden vision changes

• Significant eye pain

• Pregnant women

• Prisoners

• Cognitive impairment

Related Conditions & MeSH terms

• Glaucoma

Intervention

Behavioral:
• Personalized eHealth Education & Motivational Interviewing
This intervention uses a web-based application to generate personalized education materials for patients based on their eye health screening results and barriers to follow up care. A glaucoma counselor trained in brief, glaucoma-specific motivational interviewing (MI) uses the individualized content generated from this web- based application to form the basis of her conversation with the patient to coach the patient to engage in follow-up care.

Locations

Country	Name	City	State
United States	Hamilton Community Health Clinic	Flint	Michigan
United States	Hope Clinic	Ypsilanti	Michigan

Sponsors (2)

Lead Sponsor	Collaborator
University of Michigan	Centers for Disease Control and Prevention

Country where clinical trial is conducted

United States, 

References & Publications (1)

Newman-Casey PA, Killeen O, Miller S, MacKenzie C, Niziol LM, Resnicow K, Creswell JW, Cook P, Heisler M. A Glaucoma-Specific Brief Motivational Interviewing Training Program for Ophthalmology Para-professionals: Assessment of Feasibility and Initial Patient Impact. Health Commun. 2020 Feb;35(2):233-241. doi: 10.1080/10410236.2018.1557357. Epub 2018 Dec 20. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Physician Follow up	Participant was seen by an Ophthalmologist for needed follow up care within 6 months of recommended appointment time.	6 months

External Links

•   Hamilton Clinic
•   Hope Clinic