Educational intervention to adopt selective laser trabeculoplasty as first-line glaucoma treatment: Randomized controlled trial: Educational intervention on selective laser trabeculoplasty
| Autor: | Carina Sanvicente, Rose A Hamershock, Lisa A Hark, Judie Tran, L. Jay Katz, Lucas Bonafede, Qiang Zhang, Jonathan S. Myers, Evelyn Tran, Eric Shiuey, Colleen Withers |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
genetic structures Selective laser trabeculoplasty business.industry Lasers First line Glaucoma Trabeculectomy General Medicine medicine.disease law.invention Ophthalmology Treatment Outcome Randomized controlled trial law Intervention (counseling) Physical therapy Humans Medicine Laser Therapy business Glaucoma Open-Angle Intraocular Pressure |
| Zdroj: | European Journal of Ophthalmology. 32:1538-1546 |
| ISSN: | 1724-6016 1120-6721 0336-5778 |
| DOI: | 10.1177/11206721211018365 |
| Popis: | Purpose: To determine the efficacy of an educational intervention on patient adoption and attitudes toward selective laser trabeculoplasty (SLT) as first-line treatment for glaucoma. Methods: This study is a randomized controlled trial. Subjects include 33 patients within 1-year diagnosis of either primary open-angle glaucoma, ocular hypertension, or pseudoexfoliation syndrome. After informed consent, subjects were randomly assigned to a Usual Care or Educational Intervention group. All subjects completed a pre-intervention questionnaire. The Educational Intervention group was shown a slideshow presentation and a 3-min video and given a post-intervention questionnaire. Follow-up examinations were reviewed for 6 months to determine subject completion of SLT, the primary outcome. Secondary outcomes include assessment of attitude toward SLT before and after intervention. Results: Age, gender, and baseline characteristics between the groups did not differ. The Usual Care group had a higher proportion of African Americans (77% vs 31%, p = 0.04). At 6 months following the intervention, 63% of subjects underwent SLT compared to 35% of Usual Care subjects ( p = 0.12). Older age was associated with decreased SLT uptake (OR 0.90, 95% CI 0.82–0.99, p = 0.03). Prior to the intervention, there were no differences in attitudes of both groups regarding SLT therapy. Nineteen percent of Educational Intervention subjects changed positively toward SLT ( p = 0.08) and 50% scheduled an SLT appointment after intervention ( p = 0.005). Conclusions: A slideshow and video-based educational intervention may positively enhance patient adoption of SLT. Clinical trial registration name, number, URL: Educational Intervention to Adopt SLT as First-Line Glaucoma Treatment, NCT03365778, https://clinicaltrials.gov/ct2/show/NCT03365778 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|