Comparative Analysis of Glaucoma Screening Uptake Among First-Degree Relatives in Community-Based and Hospital-Based Approaches

NCT06226935 | Completed

• 1 other identifier: Phrapokklao Hospital
• Study Type: observational
• Target: 1,304
• Locations: 1 country
• Sites: 1

Brief Summary

In conclusion, the study shows that the hospital-based group had a significantly higher screening uptake than the community-based group, reflecting that information from ophthalmologists and registered ophthalmic nurses is more effective and well-received than that from village health volunteers. The study suggests that increasing education and support for village health volunteers could enhance screening uptake. Factors influencing uptake include the age of FDRs, place of residence, education, presenting VA of probands, and treatment of probands. Utilizing this study's findings, spreading knowledge and training health officials at the district and sub-district levels could increase understanding of glaucoma and improve communication with the general public and at-risk groups, potentially increasing the response rate. Additionally, implementing a national free screening glaucoma program for at-risk populations, both in and outside hospitals, and organizing mobile screening units at the district level could be an effective prevention strategy against permanent vision loss from glaucoma.

Conditions

Evaluate the Differences in Glaucoma Screening Uptake Among FDRs in Community and Hospital-based

Keywords

Glaucoma Screening; First-Degree Relatives; Community-Based Approach; Hospital-Based Approach; Familial Risk Factors

Outcome Measures

Primary Outcomes (1)

• This study aimed to evaluate the differences in glaucoma screening uptake among FDRs in community and hospital-based settings

  All patients with POAG who had a treatment history in OPD of Prapokklao Hospital, Chanthaburi Province, were identified from EMR database with ICD-10 "H40.1". These probands were then divided into two non-randomized groups: The first group, hospital-based, these patients received information from ophthalmologists and registered ophthalmic nurses, along with a brochure .Subsequently, these patients were asked to invite their FDRs - aged 40 years and above - to participate in screening. The second group, community-based, involved randomly selecting districts in Chanthaburi Province for screening, including Muang and Laem Sing districts. After excluded the patients already participating in the hospital-based group from the EMR database, 682 probands remained in the second group. In this group, village health volunteers trained in glaucoma knowledge by ophthalmologists distributed brochures and educated patients and FDRs.

  Jan 1,2022-May 31,2023

Secondary Outcomes (1)

• This study investigated the determinants influencing participation in glaucoma screening programs and the prevalence of glaucoma in FDRs.

  Jan 1,2022-May 31,2023

Eligibility Criteria

• Age: 40 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

These probands were then divided into two non-randomized groups: The first group, hospital-based, included all probands receiving treatment in the ophthalmology outpatient department from 1 dec 2022 to 28 feb 2023. These patients received information about glaucoma from ophthalmologists and registered ophthalmic nurses, along with a brochure. These patients were asked to invite FDRs-parents, siblings, and offspring aged 40 years and above - to participate screening. The second group, community-based, involved randomly selecting districts in Chanthaburi In this group, village health volunteers trained in glaucoma knowledge by ophthalmologists distributed brochures and educated patients and FDRs, similar to the hospital-based group. These FDRs were then invited to participate in the glaucoma screening program one month later, with ophthalmologists at health stations near homes in Muang district and Laem Sing Hospital between 1 mar 2023 to 31 may 2023.

You may qualify if:

• All patients with POAG who had a treatment history in the ophthalmology outpatient department of Prapokklao Hospital, Chanthaburi Province, were identified from the Electronic Medical Record (EMR) database with the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) " Primary open angle glaucoma H40.1" between 1 january 2022 to 31 october 2022. A total of 1304 patients were included in this study.

You may not qualify if:

• Excluding those with closed-angle glaucoma and secondary glaucoma due to other conditions such as accidents, post-surgical complications, uveitis, or congenital.

Sponsors & Collaborators

• Phrapokklao Hospital,Thailand: lead

Study Sites (1)

Phrapokklao Hospital

Chanthaburi, 22000, Thailand

Location

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Target Duration: 6 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: ophthalmology department

Study Record Dates

• First Submitted: January 18, 2024
• First Posted: January 26, 2024
• Study Start: January 1, 2022
• Primary Completion: December 1, 2022
• Study Completion: May 31, 2023
• Last Updated: January 30, 2024

Record last verified: 2024-01

Locations

TH (1)