Screening and Intervention for Glaucoma and Eye Health Through Telemedicine

NCT ID: NCT04274764

Last Updated: 2025-03-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

622 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-28

Study Completion Date

2024-03-28

Brief Summary

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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.

Detailed Description

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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.

This study is embedded in a CDC-funded program to engage people from medically underserved areas in glaucoma screening. Participants who screened positive for glaucoma or suspected glaucoma were randomized in a 1:1 ratio to either the standard education and care navigation arm or the eHealth education, counseling, and care navigation arm.

Conditions

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Glaucoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be assigned at a 1:1 ratio to the study intervention.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Personalized eHealth Education & Motivational Interviewing

Personalized eHealth Glaucoma Education \& Motivational Interviewing

Group Type EXPERIMENTAL

Personalized eHealth Education & Motivational Interviewing

Intervention Type BEHAVIORAL

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.

Standard Education

Participant will receive standard glaucoma education.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

\- \> or = to 18 years of age

Exclusion Criteria

* Sudden vision changes
* Significant eye pain
* Pregnant women
* Prisoners
* Cognitive impairment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centers for Disease Control and Prevention

FED

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Paula Anne Newman-Casey

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Paula Anne Newman-Casey, MD

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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Hamilton Community Health Clinic

Flint, Michigan, United States

Site Status

Hope Clinic

Ypsilanti, Michigan, United States

Site Status

Countries

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United States

References

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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.

Reference Type BACKGROUND
PMID: 31878800 (View on PubMed)

Flaharty K, Niziol LM, Woodward MA, Elam A, Bicket A, Killeen OJ, Zhang J, Johnson L, Kershaw M, John DA, Wood SK, Musch DC, Newman-Casey PA. Association of Contrast Sensitivity With Eye Disease and Vision-Related Quality of Life. Am J Ophthalmol. 2024 May;261:176-186. doi: 10.1016/j.ajo.2024.01.021. Epub 2024 Jan 26.

Reference Type DERIVED
PMID: 38281569 (View on PubMed)

Newman-Casey PA, Aliancy J, Lu MC, Woodward MA, Hicks PM, Niziol LM, Musch DC, Bicket AK, John D, Killeen O, Wood SD, Johnson L, Kershaw M, Zhang J, Elam AR. Social Deprivation and the Risk of Screening Positive for Glaucoma in the MI-SIGHT Telemedicine-Based Glaucoma Detection Program. Ophthalmology. 2023 Oct;130(10):1053-1065. doi: 10.1016/j.ophtha.2023.05.021. Epub 2023 May 19.

Reference Type DERIVED
PMID: 37211338 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Informed Consent Form

View Document

Related Links

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Other Identifiers

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5-U01-DP-006442-05-00

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

5U01DP006442-05

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HUM00169371

Identifier Type: -

Identifier Source: org_study_id

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