Evaluation of the Effects of Education and Counseling Provided to Patients Via Distance Nursing After Cataract Surgery on Regular Use of Medications and Patient Satisfaction. CAT-TELEMED (Cataract - Telemedicine) TNCat-25 (Tele-Nursing Cataract - 2025)

NCT07262866 | Active Not Recruiting DMC

• 1 other identifier: B.30.2.ATA.0.01.00/587
• Study Type: interventional
• Target: 128
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled study aims to investigate the effects of tele-nursing-based education and counseling on medication adherence and patient satisfaction following cataract surgery. Cataract surgery is a common procedure, especially among the elderly, to improve visual function. However, the postoperative period is critical, and the success of the treatment greatly depends on whether patients use their prescribed eye drops and medications correctly and consistently. Patient satisfaction with the healthcare experience also plays a key role in overall outcomes. The main hypothesis of this study is that structured education and counseling provided remotely by nurses (tele-nursing) will lead to better medication adherence and higher satisfaction compared to standard postoperative care. Participants undergoing cataract surgery will be randomly assigned into two groups: Intervention group: Will receive tele-nursing education and counseling via scheduled phone calls. Control group: Will receive routine postoperative care with no additional support. Nurses in the intervention group will educate patients on medication usage, eye care, possible complications, and other relevant topics after surgery. Follow-up calls will allow patients to ask questions and receive continuous support. Both medication adherence and patient satisfaction will be measured using validated scales. Data will be analyzed using SPSS (Statistical Package for the Social Sciences) statistical software. The results of this study may demonstrate the potential benefits of integrating tele-health interventions into postoperative care, especially in ophthalmology. It may also highlight the critical role of nurses in delivering remote patient education and support, contributing to the growing field of digital health.

Conditions

Cataract Patients; Cataract After Surgery; Cataract Surgery

Keywords

Cataract; Cataract surgery; tele-nursing

Outcome Measures

Primary Outcomes (2)

• Visual Analog Scale - Satisfaction (VAS-S)

  Patient satisfaction will be assessed using the Visual Analog Scale - Satisfaction (VAS-S). This scale ranges from 0 to 10, where: 0 = No satisfaction, 10 = Highest possible satisfaction. Higher scores indicate better patient satisfaction

  Postoperative day 30

• Medication Adherence Reporting Scale

  Medication adherence will be evaluated using the Medication Adherence Self-Report Scale, a 5-item, 5-point Likert-type self-report scale. The scale total score ranges from 5 to 25, where: 5 = Lowest medication adherence, 25 = Highest medication adherence, Higher scores indicate better medication adherence.

  Postoperative day 30

Study Arms (2)

Tele-nursing Education

EXPERIMENTAL

Patients receive structured tele-nursing education and counseling through scheduled phone calls on postoperative days 1, 7, 15, and 30. The education includes medication adherence, eye care, symptom and complication management, nutrition, and balance precautions. Daily SMS(Short Message Service) reminders are sent during the first postoperative week to support medication adherence, followed by twice-weekly SMS (Short Message Service) reminders during weeks 2 to 4.

Behavioral: Structured Tele-Nursing Education and Counseling

Standard Postoperative Care

NO INTERVENTION

Patients receive standard postoperative care without tele-nursing education or SMS (Short Message Service) reminders. They are contacted by phone once weekly for general follow-up during the first postoperative month.

Interventions

Structured Tele-Nursing Education and Counseling BEHAVIORAL

This intervention is distinguished by its use of a combined tele-nursing approach involving scheduled telephone counseling and frequent SMS (Short Message Service) reminders to enhance medication adherence and patient satisfaction after cataract surgery. It provides continuous, personalized remote support focusing on symptom management, complication awareness, nutrition, and medication compliance over a 30-day postoperative period. Unlike traditional care models that rely on in-person visits or infrequent follow-ups, this intervention integrates real-time communication with automated reminders, improving patient engagement and outcomes.

Also known as: Tele-Nursing Follow-up Program, Postoperative Remote Counseling, Cataract Surgery Tele-Care

Tele-nursing Education

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged 18 years and older
• Patients who voluntarily agree to participate in the study
• Patients able to communicate in Turkish
• Patients who own a personal mobile phone
• Patients who can read text messages or have a relative at home who can assist them after discharge
• Patients without hearing impairments
• Patients undergoing eye surgery (cataract surgery) for the first time

You may not qualify if:

• Patients under 18 years of age
• Patients who do not volunteer to participate in the study
• Patients who do not understand Turkish and cannot communicate in Turkish
• Patients with any psychiatric illness
• Patients with hearing or perception problems

Sponsors & Collaborators

• Züleyha Sönmez: lead
• Ataturk University: collaborator

Study Sites (1)

Atatürk University

Erzurum, 25000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Cataract

Interventions

Counseling

Condition Hierarchy (Ancestors)

Lens Diseases; Eye Diseases

Intervention Hierarchy (Ancestors)

Mental Health Services; Behavioral Disciplines and Activities; Community Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• AYŞEGÜL YAYLA, ASSOCIATE PROFESSOR

  Ataturk University

  PRINCIPAL INVESTIGATOR

• WORK Ataturk University

  Atatürk Üniversitesi 25240 Erzurum/ TURKEY

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: research assistant

Model Details: This study uses a parallel design in which participants are randomly assigned to one of two groups: an intervention group receiving structured tele-nursing education and counseling, and a control group receiving standard postoperative care. The groups are followed simultaneously throughout the study period without crossover.

Study Record Dates

• First Submitted: November 21, 2025
• First Posted: December 4, 2025
• Study Start: January 16, 2025
• Primary Completion: June 11, 2025
• Study Completion: December 28, 2025
• Last Updated: December 4, 2025

Record last verified: 2025-12

Locations

TU (1)