Details:

Alternative Title:
J Glaucoma
Personal Author:
Rhodes, Lindsay A. ; Register, Shilpa ; Asif, Irfan ; McGwin, Gerald ; Saaddine, Jinan ; ... More +
Rhodes, Lindsay A. ; Register, Shilpa ; Asif, Irfan ; McGwin, Gerald ; Saaddine, Jinan ; Nghiem, Van Thi Ha ; Owsley, Cynthia ; Girkin, Christopher A. ; Less -
Description:
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.
Subject:
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Article
Cataract
Diabetic Retinopathy
Eye Health Education
Financial Incentives
Glaucoma
Health Disparities
Telemedicine
Teleophthalmology
Vision Impairment

Source:
J Glaucoma. 30(5):371-379
Pubmed ID:
33492893
Pubmed Central ID:
PMC8084961
Document Type:
Journal Article ;
Funding:
K23 EY025724/EY/NEI NIH HHS/United States ; U01 DP006441/DP/NCCDPHP CDC HHS/United States ;
K23 EY025724/EY/NEI NIH HHS/United States ; U01 DP006441/DP/NCCDPHP CDC HHS/United States ; Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:9ce1be026132488d323b191fd81071c02b0b394aa31418f2c2b3c516e0ff9c3d
File Type:

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