Clinical trial NCT06226935: Comparative Analysis of Glaucoma Screening Uptake Among First-Degree Relatives in Community-Based and Hospital-Based Approaches
Official title: Comparative Analysis of Glaucoma Screening Uptake Among First-Degree Relatives in Community-Based and Hospital-Based Approaches
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Evaluate the Differences in Glaucoma Screening Uptake Among FDRs in Community and Hospital-based
Keywords: Glaucoma Screening
First-Degree Relatives
Community-Based Approach
Hospital-Based Approach
Familial Risk Factors
Lead sponsor: Phrapokklao Hospital,Thailand
Sponsor class: OTHER
First posted: 2024-01-26
Enrollment: 1304
Sex: ALL
Minimum age (years): 40
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: These probands were then divided into two non-randomized groups: The first group, hospital-based, included all probands receiving treatment in the ophthalmology outpatient department from 1 dec 2022 to 28 feb 2023. These patients received information about glaucoma from ophthalmologists and registered ophthalmic nurses, along with a brochure.

These patients were asked to invite FDRs-parents, siblings, and offspring aged 40 years and above - to participate screening.

The second group, community-based, involved randomly selecting districts in Chanthaburi In this group, village health volunteers trained in glaucoma knowledge by ophthalmologists distributed brochures and educated patients and FDRs, similar to the hospital-based group. These FDRs were then invited to participate in the glaucoma screening program one month later, with ophthalmologists at health stations near homes in Muang district and Laem Sing Hospital between 1 mar 2023 to 31 may 2023.

Brief summary: In conclusion, the study shows that the hospital-based group had a significantly higher screening uptake than the community-based group, reflecting that information from ophthalmologists and registered ophthalmic nurses is more effective and well-received than that from village health volunteers. The study suggests that increasing education and support for village health volunteers could enhance screening uptake. Factors influencing uptake include the age of FDRs, place of residence, education, presenting VA of probands, and treatment of probands. Utilizing this study's findings, spreading knowledge and training health officials at the district and sub-district levels could increase understanding of glaucoma and improve communication with the general public and at-risk groups, potentially increasing the response rate. Additionally, implementing a national free screening glaucoma program for at-risk populations, both in and outside hospitals, and organizing mobile screening units at the district level could be an effective prevention strategy against permanent vision loss from glaucoma.


Eligibility criteria: Inclusion Criteria:

* All patients with POAG who had a treatment history in the ophthalmology outpatient department of Prapokklao Hospital, Chanthaburi Province, were identified from the Electronic Medical Record (EMR) database with the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) " Primary open angle glaucoma H40.1" between 1 january 2022 to 31 october 2022. A total of 1304 patients were included in this study.

Exclusion Criteria:

* Excluding those with closed-angle glaucoma and secondary glaucoma due to other conditions such as accidents, post-surgical complications, uveitis, or congenital.

Primary outcomes:
measure: This study aimed to evaluate the differences in glaucoma screening uptake among FDRs in community and hospital-based settings
timeFrame: Jan 1,2022-May 31,2023
Secondary outcomes:
measure: This study investigated the determinants influencing participation in glaucoma screening programs and the prevalence of glaucoma in FDRs.
timeFrame: Jan 1,2022-May 31,2023
Other outcomes:
Locations:
city: Chanthaburi
country: Thailand
facility: Phrapokklao Hospital
Study officials:
References: