Trial Outcomes & Findings for Educational Intervention to Adopt SLT as First-Line Glaucoma Treatment (NCT NCT03365778)

NCT ID: NCT03365778

Last Updated: 2020-01-30

Results Overview

Percentage of patients who elect the Selective Laser Trabeculoplasty (SLT), as treatment for lowering eye pressure, compared between a group receiving SLT Educational Intervention and a Usual Care group. Follow-up eye examinations will be screened for a 6-month period to assess number of completed SLTs.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

86 participants

Primary outcome timeframe

1 hour

Results posted on

2020-01-30

Participant Flow

Participant milestones

Participant milestones
Measure
Patient Educational Intervention Group
Patients receive educational materials regarding selective laser trabeculoplasty (SLT) versus topical medication (ophthalmic eye drops) to lower eye pressure. Educational intervention: Patients will respond to 5 questions regarding selective laser trabeculoplasty (SLT) versus topical medication to lower eye pressure. Then they will receive educational materials including 20 printed slides and view a 3 minute video on safety and efficacy of SLT. If patients agree to SLT, assistance in scheduling will be provided.
Usual Care Group
Patients receive standard of care. Usual care: Patients will respond to 5 questions regarding selective laser trabeculoplasty (SLT) versus topical medication to lower eye pressure. No other guidance will be provided.
Ophthalmologist Educational Intervention Group
General ophthalmologists, ophthalmology residents, and glaucoma specialists in the Wills Eye Hospital physician contact database received an online survey and educational slide presentation regarding selective laser trabeculoplasty (SLT).
Overall Study
STARTED
16
17
53
Overall Study
COMPLETED
16
17
53
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patient Educational Intervention Group
n=16 Participants
Patients receive educational materials regarding selective laser trabeculoplasty (SLT) versus topical medication (ophthalmic eye drops) to lower eye pressure. Educational intervention: Patients will respond to 5 questions regarding selective laser trabeculoplasty (SLT) versus topical medication to lower eye pressure. Then they will receive educational materials including 20 printed slides and view a 3 minute video on safety and efficacy of SLT. If patients agree to SLT, assistance in scheduling will be provided.
Usual Care Group
n=17 Participants
Patients receive standard of care. Usual care: Patients will respond to 5 questions regarding selective laser trabeculoplasty (SLT) versus topical medication to lower eye pressure. No other guidance will be provided.
Ophthalmologist Educational Intervention Group
n=53 Participants
General ophthalmologists, ophthalmology residents, and glaucoma specialists in the Wills Eye Hospital physician contact database received online survey and educational slide presentation regarding selective laser trabeculoplasty (SLT). No other personal information i.e. age, gender, ethnicity, race was provided by these participants.
Total
n=86 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=16 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
0 Participants
n=17 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
0 Participants
n=33 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
Age, Categorical
Between 18 and 65 years
8 Participants
n=16 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
8 Participants
n=17 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
16 Participants
n=33 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
Age, Categorical
>=65 years
8 Participants
n=16 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
9 Participants
n=17 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
17 Participants
n=33 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
Sex: Female, Male
Female
8 Participants
n=16 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
7 Participants
n=17 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
15 Participants
n=33 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
Sex: Female, Male
Male
8 Participants
n=16 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
10 Participants
n=17 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
18 Participants
n=33 Participants • Ophthalmologists did not provide personal information such as date of birth, gender, ethnicity, race. Baseline characteristics in this group only include number of general ophthalmologists, ophthalmology residents and glaucoma specialists.
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=16 Participants
1 Participants
n=17 Participants
0 Participants
n=53 Participants
2 Participants
n=86 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=16 Participants
14 Participants
n=17 Participants
0 Participants
n=53 Participants
23 Participants
n=86 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
6 Participants
n=16 Participants
2 Participants
n=17 Participants
53 Participants
n=53 Participants
61 Participants
n=86 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=16 Participants
0 Participants
n=17 Participants
0 Participants
n=53 Participants
0 Participants
n=86 Participants
Race (NIH/OMB)
Asian
1 Participants
n=16 Participants
0 Participants
n=17 Participants
0 Participants
n=53 Participants
1 Participants
n=86 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=16 Participants
0 Participants
n=17 Participants
0 Participants
n=53 Participants
0 Participants
n=86 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=16 Participants
13 Participants
n=17 Participants
0 Participants
n=53 Participants
18 Participants
n=86 Participants
Race (NIH/OMB)
White
5 Participants
n=16 Participants
2 Participants
n=17 Participants
0 Participants
n=53 Participants
7 Participants
n=86 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=16 Participants
0 Participants
n=17 Participants
0 Participants
n=53 Participants
0 Participants
n=86 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=16 Participants
2 Participants
n=17 Participants
53 Participants
n=53 Participants
60 Participants
n=86 Participants
Region of Enrollment
United States
16 participants
n=16 Participants
17 participants
n=17 Participants
53 participants
n=53 Participants
86 participants
n=86 Participants
Type of Ophthalmologist
General ophthalmologists
0 Participants
Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.
0 Participants
Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.
26 Participants
n=53 Participants • Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.
26 Participants
n=53 Participants • Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.
Type of Ophthalmologist
Ophthalmology Residents
0 Participants
Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.
0 Participants
Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.
5 Participants
n=53 Participants • Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.
5 Participants
n=53 Participants • Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.
Type of Ophthalmologist
Glaucoma Specialists
0 Participants
Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.
0 Participants
Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.
22 Participants
n=53 Participants • Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.
22 Participants
n=53 Participants • Patient Educational Intervention and Usual Care Groups are not compared in Type of Ophthalmologist baseline data.

PRIMARY outcome

Timeframe: 1 hour

Percentage of patients who elect the Selective Laser Trabeculoplasty (SLT), as treatment for lowering eye pressure, compared between a group receiving SLT Educational Intervention and a Usual Care group. Follow-up eye examinations will be screened for a 6-month period to assess number of completed SLTs.

Outcome measures

Outcome measures
Measure
Educational Intervention Group
n=16 Participants
Patients receive educational materials regarding selective laser trabeculoplasty (SLT) versus topical medication (ophthalmic eye drops) to lower eye pressure. Educational intervention: Patients will respond to 5 questions regarding selective laser trabeculoplasty (SLT) versus topical medication to lower eye pressure. Then they will receive educational materials including 20 printed slides and view a 3 minute video on safety and efficacy of SLT. If patients agree to SLT, assistance in scheduling will be provided.
Usual Care Group
n=17 Participants
Patients receive standard of care. Usual care: Patients will respond to 5 questions regarding selective laser trabeculoplasty (SLT) versus topical medication to lower eye pressure. No other guidance will be provided.
Completion of Selective Laser Trabeculoplasty (SLT)
10 Participants
6 Participants

PRIMARY outcome

Timeframe: 1 hour

Population: Usual Care group not included since they did not receive education intervention.

Attitudes were assessed in the Patient Educational Intervention group before and immediately following intervention to determine how receptive they were regarding Selective Laser Trabeculoplasty (SLT) as a therapy to lowering eye pressure as compared to the more common therapy of daily eye drops.

Outcome measures

Outcome measures
Measure
Educational Intervention Group
n=16 Participants
Patients receive educational materials regarding selective laser trabeculoplasty (SLT) versus topical medication (ophthalmic eye drops) to lower eye pressure. Educational intervention: Patients will respond to 5 questions regarding selective laser trabeculoplasty (SLT) versus topical medication to lower eye pressure. Then they will receive educational materials including 20 printed slides and view a 3 minute video on safety and efficacy of SLT. If patients agree to SLT, assistance in scheduling will be provided.
Usual Care Group
Patients receive standard of care. Usual care: Patients will respond to 5 questions regarding selective laser trabeculoplasty (SLT) versus topical medication to lower eye pressure. No other guidance will be provided.
Measure Educational Effects of Selective Laser Trabeculoplasty (SLT)
Pre-Intervention Yes
0 Participants
0 Participants
Measure Educational Effects of Selective Laser Trabeculoplasty (SLT)
Post-Intervention Yes
12 Participants
0 Participants

SECONDARY outcome

Timeframe: 30 minutes

To evaluate barriers for widespread adoption of selective laser trabeculoplasty (SLT) as first line treatment of high eye pressure, we assessed the beliefs and attitudes of ophthalmologists regarding SLT. An educational slide presentation and survey targeted physicians to increase awareness and consideration of SLT earlier in the glaucoma treatment paradigm. Number of respondents who currently offer laser treatment for newly diagnosed glaucoma patients.

Outcome measures

Outcome measures
Measure
Educational Intervention Group
n=53 Participants
Patients receive educational materials regarding selective laser trabeculoplasty (SLT) versus topical medication (ophthalmic eye drops) to lower eye pressure. Educational intervention: Patients will respond to 5 questions regarding selective laser trabeculoplasty (SLT) versus topical medication to lower eye pressure. Then they will receive educational materials including 20 printed slides and view a 3 minute video on safety and efficacy of SLT. If patients agree to SLT, assistance in scheduling will be provided.
Usual Care Group
Patients receive standard of care. Usual care: Patients will respond to 5 questions regarding selective laser trabeculoplasty (SLT) versus topical medication to lower eye pressure. No other guidance will be provided.
Measure Educational Effects of Selective Laser Trabeculoplasty (SLT) Among Ophthalmologists
45 Participants

Adverse Events

Patient Educational Intervention Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Usual Care Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ophthalmologist Educational Intervention Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Clinical Research Coordinator

Wills Eye Hospital

Phone: 215-928-3213

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place