NCT02798848

Brief Summary

This pilot randomized controlled trial (RCT) will test the methodology for a full RCT of assistive technologies for children/young people with low vision/blindness. The investigators will recruit 40 students age 10-18 years in India and the UK, who will be randomised into two groups. Apple iPads will be the active intervention; the control arm will be the local standard low-vision aid care. Primary outcomes will be acceptance/usage and accessibility of the device and trial feasibility measures. Exploratory outcomes will be validated measures of vision-related quality of life for children/young people as well as validated measures of reading and educational outcomes. In addition, the investigators will carry out semistructured interviews with the participants and their teachers, and attempt to evaluate cost-effectiveness.

Trial Health

47
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2016

Geographic Reach
2 countries

3 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2016

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

April 19, 2016

Completed
2 months until next milestone

First Posted

Study publicly available on registry

June 14, 2016

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2016

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2017

Completed
Last Updated

June 14, 2016

Status Verified

April 1, 2016

Enrollment Period

9 months

First QC Date

April 19, 2016

Last Update Submit

June 8, 2016

Conditions

Outcome Measures

Primary Outcomes (3)

  • acceptance/usage, measured as ordinal variable by participant diary

    0 = no acceptance, 1 = acceptance as described, 2 = used frequently

    six months

  • accessibility measured as ordinal variable as score on a touch-based game, "Piano Tiles"

    0 = not accessible, 1 = accessible with help, 2 = accessible independently

    six months

  • recruitment rates into the trial

    recruitment rate and reasons for not taking part

    six months

Secondary Outcomes (5)

  • Cardiff Visual Ability Questionnaire for Children (CVAQC) score

    six months

  • LV Prasad Functional Vision Questionnaire

    six months

  • Impact of Vision Impairment for Children (IVI_C) Questionnaire

    six months

  • Neale Analysis of Reading Ability (NARA)

    six months

  • International Reading Speed Texts (IREST)

    six months

Study Arms (2)

Assistive technology: tablet computer

EXPERIMENTAL

iPad tablet computers

Device: Tablet computer

Standard optical low vision devices

ACTIVE COMPARATOR

standard optical devices including magnifiers, telescopes, CCTV

Device: Tablet computer

Interventions

iPad

Assistive technology: tablet computerStandard optical low vision devices

Eligibility Criteria

Age10 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • age 10-18 years
  • low vision, defined as "best corrected visual acuity (BCVA) for distance between - less than 6/18 (0.48 logMAR) and 3/60 (1.30 logMAR) in the better eye" (WHO) ability to read printed material
  • no previous or current use of a tablet computer for educational purposes We will include students who have access to a tablet computer already, but only use it for recreational purposes. We will also include students who use a laptop. We will also include students who use or have previously used optical low-vision aids such as magnifiers, telescopes and CCTV systems.

You may not qualify if:

  • current or previous use of a tablet computer for educational purposes

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Meera and L B Deshpande Centre for Sight Enhancement, L V Prasad Eye Institute

Hyderabad, India

RECRUITING

South Essex Partnership Foundation Trust - Child Development Centre Bedford

Bedford, United Kingdom

ACTIVE NOT RECRUITING

Moorfields Eye Hospital

London, EC1V 2PD, United Kingdom

RECRUITING

Related Publications (2)

  • Gothwal VK, Thomas R, Crossland M, Bharani S, Sharma S, Unwin H, Xing W, Khabra K, Dahlmann-Noor A. Randomized Trial of Tablet Computers for Education and Learning in Children and Young People with Low Vision. Optom Vis Sci. 2018 Sep;95(9):873-882. doi: 10.1097/OPX.0000000000001270.

  • Crossland MD, Thomas R, Unwin H, Bharani S, Gothwal VK, Quartilho A, Bunce C, Dahlmann-Noor A. Tablet computers versus optical aids to support education and learning in children and young people with low vision: protocol for a pilot randomised controlled trial, CREATE (Children Reading with Electronic Assistance To Educate). BMJ Open. 2017 Jun 21;7(6):e015939. doi: 10.1136/bmjopen-2017-015939.

MeSH Terms

Conditions

Vision, Low

Condition Hierarchy (Ancestors)

Vision DisordersSensation DisordersNeurologic ManifestationsNervous System DiseasesEye DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Annegret Dahlmann-Noor, PhD

    Moorfields Eye Hospital NHS Foundation Trust

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 19, 2016

First Posted

June 14, 2016

Study Start

March 1, 2016

Primary Completion

December 1, 2016

Study Completion

February 1, 2017

Last Updated

June 14, 2016

Record last verified: 2016-04

Data Sharing

IPD Sharing
Will not share

Locations