Orthoptists work effectual by using an improved compliance enhanced programme and a training course on compliance.
ID
Bron
Verkorte titel
Aandoening
Amblyopia
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Whether the orthoptists work effectual, based on measurements (i.e. questionnaires) at the start of the study, before and after the training course, and at the end of the second year.
Achtergrond van het onderzoek
For one year children are referred as usual from Child Health Care centres (CHC) via the general practitioner to hospitals located in low-SES neighbourhoods to ophthalmologist or orthoptist. Those children get occlusion therapy by the orthoptist as usual. Orthoptic findings and patient flows will be registered, and compliance with occlusion therapy in 3-6 years old children, who are newly diagnosed with amblyopia, will be monitored. A training course on detection and prevention of non-compliance will be developed and given to the orthoptists at the end of year one. In the second year, the implementation phase will follow, where orthoptists will carry out the changings in the primary process i.e. (1) use the information programme, (2) check in the CHC-referrals, (3) pay attention to good communication towards parents, (4) take more measures of information hand outs for foreign parents with low-SES, with support from compliance-predictable software. Primary outcome is whether the orthoptists work effectual, based on measurements at the start of the study, before and after the course, and at the end of the second year.
Secondary, the electronic occlusion measurements for compliance, the fraction realized CHC-referrals and the overall acuity improvement will be determined.
Doel van het onderzoek
Orthoptists work effectual by using an improved compliance enhanced programme and a training course on compliance.
Onderzoeksproduct en/of interventie
At end of year one orthoptist receive a three-days training course on compliance with amblyopia prevention. Strategies and techniques to reduce non-compliance are given during the training.
All children included in the first year are the control group: receive standard orthoptic care.
All children included in the second year is the intervention group: receive the improved educational cartoon story together with a calendar and reward stickers, and a one-page information sheet for the parents. The cartoon is designed as a picture story, without text and is designed from a child’s perspective.
Publiek
Department of Ophthalmology, Room Ba 104,
P.O. Box 2040
H.J. Simonsz
Dr Molewaterplein 50
Rotterdam 3000 CA
The Netherlands
+31 (0)10 4087275 / 7276
simonsz@compuserve.com
Wetenschappelijk
Department of Ophthalmology, Room Ba 104,
P.O. Box 2040
H.J. Simonsz
Dr Molewaterplein 50
Rotterdam 3000 CA
The Netherlands
+31 (0)10 4087275 / 7276
simonsz@compuserve.com
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1. All newly diagnosed children with an inter-ocular difference in visual acuity of >2 logMAR, strabismus and/or an anisometropia or a deprivation (e.g. cataract);
2. Age: 3 – 6 years;
3. Both genders;
4. Children living in an area with low-SES in the four big cities of the Netherlands.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. Children with equal visual acuity between the eyes (less than one logMAR line of difference in visual acuity between eyes);
2. Previous treatment for amblyopia, neurological disorder, medication, other eye disorder, decreased visual acuity caused by brain damage or trauma.
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL652 |
| NTR-old | NTR713 |
| Ander register | : N/A |
| ISRCTN | ISRCTN22835481 |