Alabama Screening and Intervention for Glaucoma and Eye Health Through Telemedicine (AL-SIGHT): Study Design and Methodology
| Autor: | Cynthia Owsley, Jinan B. Saaddine, Gerald McGwin, Shilpa J. Register, Christopher A. Girkin, Lindsay A. Rhodes, Van T. Nghiem, Irfan Asif |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Intraocular pressure
Telemedicine Visual acuity genetic structures Eye disease MEDLINE Glaucoma Article Tonometry Ocular 03 medical and health sciences 0302 clinical medicine medicine Humans Mass Screening Intraocular Pressure business.industry Diabetic retinopathy medicine.disease eye diseases Ophthalmology Alabama 030221 ophthalmology & optometry Optometry sense organs medicine.symptom business 030217 neurology & neurosurgery Patient education |
| Zdroj: | J Glaucoma |
| ISSN: | 1057-0829 |
| Popis: | Prcis This paper presents the methods and protocol of a community-based telemedicine program to identify glaucoma and other eye diseases. Purpose To describe the study rationale and design of the Alabama Screening and Intervention for Glaucoma and eye Health through Telemedicine (AL-SIGHT) project. Methods The study will implement and evaluate a telemedicine-based detection strategy for glaucoma, diabetic retinopathy, and other eye diseases in at-risk patients seen at federally qualified health centers located in rural Alabama. The study will compare the effectiveness of the remote use of structural and functional ocular imaging devices to an in-person exam. Study participants will receive a remote ocular assessment consisting of visual acuity, intraocular pressure, visual field testing, and imaging of the retina and optic nerve with spectral domain optical coherence tomography, and the data will be reviewed by an ophthalmologist and optometrist. It will also compare the effectiveness of financial incentives along with a validated patient education program versus a validated patient education program alone in improving follow-up adherence. Finally, cost and cost-effectiveness analyses will be performed on the telemedicine program compared to standard in-person care using effectiveness measured in numbers of detected eye disease cases. Conclusions The study aims to develop a model eye health system using telemedicine to prevent vision loss and address eye health among underserved and at-risk populations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|