Screening and Intervention for Glaucoma and Eye Health Through Telemedicine

Study Overview
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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.

Official Title
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Sustainable Community Clinic Telemedicine-Based Glaucoma Screening

Conditions
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Glaucoma

Intervention / Treatment
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* Behavioral: Personalized eHealth Education & Motivational Interviewing


Participation Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants will be assigned at a 1:1 ratio to the study intervention.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Personalized eHealth Education & Motivational Interviewing<br>Personalized eHealth Glaucoma Education & Motivational Interviewing | Behavioral: Personalized eHealth Education & Motivational Interviewing<br>* 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.<br>|
| No Intervention: Standard Education<br>Participant will receive standard glaucoma education. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physician Follow up | Participant was seen by an Ophthalmologist for needed follow up care within 6 months of recommended appointment time. | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Telemedicine, Motivational interviewing, Health Coaching