Multimodal Physician Intervention to Detect Amblyopia

NCT01109459 | Completed

• 1 other identifier: EY015893
• Study Type: interventional
• Target: 136
• Locations: 1 country
• Sites: 1

Brief Summary

Current research shows low rates of quantitative vision screening at preschool ages in the medical home. This study targets providers (PCPs) to evaluate the effectiveness of a web-based intervention to improve knowledge about strabismus, amblyopia and preschool vision screening, to increase preschool vision screening rates, and to improve rates of diagnosis of strabismus and amblyopia by eye specialists.

Conditions

Amblyopia; Strabismus

Keywords

preschool; screening; cluster randomized; physician practice patterns; behavior; knowledge; attitudes; guideline adherence

Outcome Measures

Primary Outcomes (1)

• preschool vision screening by primary care providers

  A rate: number of claims for preschool vision screening (using a billing procedure code) / number of claims for well child exams (another billng code). These procedure codes are filed by primary care providers (PCPs). Rates are determined for individual Intervention, Control and non-participating eligible PCPs.

  1 year

Secondary Outcomes (1)

• Diagnosis of strabismus or amblyopia by eye specialists

  1 year

Study Arms (3)

Pediatric vision screening

EXPERIMENTAL

intervention

Other: Pediatric vision screening

Pediatric blood pressure screening

ACTIVE COMPARATOR

control

Other: Pediatric blood pressure screening

Primary care providers observation only

NO INTERVENTION

Observational

Interventions

Pediatric blood pressure screening OTHER

Website presenting case-based education with tailoring based on knowledge and interactive with responses collected on line. Has a tool box for office materials to promote and encourage guideline based performance.

Pediatric blood pressure screening

Pediatric vision screening OTHER

Website presenting case-based education about amblyopia and strabismus with tailoring based on knowledge and interactive with responses collected on line. Has a tool box for office materials to promote and encourage guideline based performance.

Pediatric vision screening

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• files Medicaid claims for at least 8 well child visits for children aged 3 or 4 years during one year,
• files claims under individual name,
• has internet access.

You may not qualify if:

• files fewer than 8 Medicaid claims for well child visits for children aged 3 or 4 years old during one year,
• files claims under a clinic name,
• does not have internet access.

Sponsors & Collaborators

• University of Alabama at Birmingham: lead
• National Eye Institute (NEI): collaborator

Study Sites (1)

University of Alabama at Birmingham

Birmingham, Alabama, 35243, United States

Location

Related Publications (3)

• Marsh-Tootle WL, Frazier MG, Kohler CL, Dillard CM, Davis K, Schoenberger YM, Wall TC. Exploring pre-school vision screening in primary care offices in Alabama. Optom Vis Sci. 2012 Oct;89(10):1521-31. doi: 10.1097/OPX.0b013e318269ca9f.

  PMID: 22982768 DERIVED

• Marsh-Tootle WL, McGwin G, Kohler CL, Kristofco RE, Datla RV, Wall TC. Efficacy of a web-based intervention to improve and sustain knowledge and screening for amblyopia in primary care settings. Invest Ophthalmol Vis Sci. 2011 Sep 9;52(10):7160-7. doi: 10.1167/iovs.10-6566.

  PMID: 21730344 DERIVED

• Wall TC, Marsh-Tootle WL, Crenshaw K, Person SD, Datla R, Kristofco RE, Hartmann EE. Design of a randomized clinical trial to improve rates of amblyopia detection in preschool aged children in primary care settings. Contemp Clin Trials. 2011 Mar;32(2):204-14. doi: 10.1016/j.cct.2010.10.009. Epub 2010 Oct 23.

  PMID: 20974292 DERIVED

MeSH Terms

Conditions

Amblyopia; Strabismus; Behavior

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vision Disorders; Sensation Disorders; Neurologic Manifestations; Eye Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Ocular Motility Disorders; Cranial Nerve Diseases

Study Officials

• Wendy L Marsh-Tootle, OD,MS

  University of Alabama at Birmingham

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: April 21, 2010
• First Posted: April 23, 2010
• Study Start: September 1, 2004
• Primary Completion: October 1, 2008
• Study Completion: October 1, 2008
• Last Updated: April 23, 2010

Record last verified: 2010-04

Locations

US (1)