Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01673815
Other study ID # H11-01885
Secondary ID
Status Completed
Phase N/A
First received August 20, 2012
Last updated August 23, 2012
Start date August 2011
Est. completion date August 2012

Study information

Verified date August 2012
Source University of British Columbia
Contact n/a
Is FDA regulated No
Health authority Canada: Health Canada
Study type Interventional

Clinical Trial Summary

Fundoscopy is an important aspect of the neurological examination, but can be challenging in uncooperative children. This study explored whether viewing a video (selected by patient or caregiver) during eye examination improves the success, duration and ease of pediatric fundoscopy.

Hypothesis: Showing a short video clip during a fundoscopic exam will increase the probability of successfully visualizing the optic disk and reduce the amount of time needed to perform a fundoscopic exam in children between 1-8 years old.


Description:

The purpose of this study is to examine whether showing a video clip with sound of the patient's choice can improve the ease of fundoscopic exam as defined by improved success of visualizing the optic disk and the reduction in time needed to perform the exam. The investigators will also examine the physician's and caregiver's perception on whether the video was effective in improving the ease of the exam. The purpose of the video is to capture the visual attention of the patient thereby allowing the physician to swiftly perform the fundoscopic exam. The literature has suggested that young patients are most uncooperative, therefore the investigators will focus our study on younger patients 1-8 years old.


Recruitment information / eligibility

Status Completed
Enrollment 60
Est. completion date August 2012
Est. primary completion date March 2012
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Both
Age group 1 Year to 8 Years
Eligibility Inclusion Criteria:

- 1-8 years old

- Capable of visualizing the video monitor

- Patient has 2 examinable eyes

Exclusion Criteria:

- Blind patient

- Patients < 1 or > 8 years old

Study Design

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


Related Conditions & MeSH terms


Intervention

Other:
Video (played on a computer monitor)
The intervention is a video (of the patient or caregiver's choice) which is played on a computer monitor during the fundoscopic examination.

Locations

Country Name City State
Canada BC Children's Hospital Vancouver British Columbia

Sponsors (1)

Lead Sponsor Collaborator
University of British Columbia

Country where clinical trial is conducted

Canada, 

References & Publications (5)

Cok OY. Anaesthesia for eye examination. Current Anaesthesia & Critical Care 2008 February 2009;20(1):46.

Colares V, Richman L. Factors associated with uncooperative behavior by Brazilian preschool children in the dental office. ASDC J Dent Child. 2002 Jan-Apr;69(1):87-91, 13. — View Citation

de la Barra F, Toledo V, Rodríguez J. Prediction of behavioral problems in Chilean schoolchildren. Child Psychiatry Hum Dev. 2005 Spring;35(3):227-43. — View Citation

Hussein MA, Coats DK, Paysse EA. Use of the RetCam 120 for fundus evaluation in uncooperative children. Am J Ophthalmol. 2004 Feb;137(2):354-5. — View Citation

Jan MM. Neurological examination of difficult and poorly cooperative children. J Child Neurol. 2007 Oct;22(10):1209-13. Review. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Success rate of visualizing the optic disk within 60 seconds To determine whether showing a video clip with sound of the patient's choice can improve the success of fundoscopic exam in children as defined by the ability to visualize the optic disk within 60 seconds. At the time of fundoscopy exam No
Secondary Reduction in the amount of time needed to visualize the optic disk. To determine whether showing a video clip with sound of the patient's choice can reduce the amount of time needed to perform a successful fundoscopic exam. At the time of fundoscopy exam No
Secondary Improvement in the physician's and caregiver's (parent/legal guardian) perception of the ease of the fundoscopic exam. Improvement in the physician's and caregiver's (parent/legal guardian) perception of the ease of the fundoscopic exam as determined by a 10 point likert scale (1 being easiest and 10 being hardest). At the time of fundoscopy exam No