Developing and Testing a Model to Identify Preventive Vision Loss Among Older Patients in General Practice
- Conditions
- GlaucomaDiabetic RetinopathyVision Impairment and BlindnessAge-Related Macular DegenerationCataract
- Registration Number
- NCT07015034
- Lead Sponsor
- University of Copenhagen
- Brief Summary
In this cohort study, the investigators will test vision screenings in Danish general practice for patients over 70 years of age with minimum one chronic condition. The main outcome is detection of vision impairment and secondary outcome is detection of conditions needing ophthalmologic follow-up but not presenting vision impairment at present time.
- Detailed Description
Introduction: The number of people living with visual impairment is increasing. Visual impairment causes loss in quality of life and reduce self-care abilities. The burden of disease is heavy for people experiencing visual impairment and their relatives. The severity and progression of age-related eye diseases are dependent on the time of detection and treatment options, making timely access to healthcare critical in reducing visual impairment. General practice plays a key role in public health by managing preventive healthcare, diagnostics and treatment of chronic conditions. General practitioners (GPs) coordinate services from other healthcare professionals. More involvement of the primary sector could potentially be valuable in detecting visual impairment.
Methods: Investigators apply the Medical Research Council framework for complex interventions to develop a primary care intervention with the GP as a key actor, aimed at identifying and coordinating care for patients with low vision. The development process will engage patients, relatives and relevant health professional stakeholders. The investigators will pilot test the feasibility of the intervention in a real-world general practice setting. The intervention model will be developed through a participatory approach using qualitative and creative methods such as graphical facilitation. The project aims to explore the potentials and limitations of general practice in relation to detection of preventable vision loss.
Ethics and dissemination: Ethics approval is obtained from local authority and the study meets the requirements from the Declaration of Helsinki. Dissemination is undertaken through research papers and to the broader public through podcasts and patient organisations.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 460
- +70 years
- One or more chronic diseases
- Are followed by GP du to chronic disease
- Dementia diagnosis
- Known eye-diseases or are currently followed by private ophtalmologist
- Not able to understand Danish
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Primary Outcome Measures
Name Time Method vision below 0,7 habitual vision on the best seeing eye From enrollment in GP setting and diagnostic tests to ophtalmologist review two weeks hereafter The main outcome is detected vision impairment defined as a vision below 0,7 habitual vision on the best seeing eye with both eyes open wearing their current glasses if any
- Secondary Outcome Measures
Name Time Method detection of eye-diseases From enrollment in GP setting and diagnostic tests to ophtalmologist review two weeks hereafter Secondary outcome is detected eye-diseases and changes in the eye or retina causing a potential vision impairment on a later stage. Investigators specifically screen for glaucoma, cataract, age-related macular degeneration (AMD), but other conditions can be detected as well.
Trial Locations
- Locations (2)
Louise Uhre General Practice
🇩🇰Køge, Denmark
Søndre Lægehus (GP practice)
🇩🇰Køge, Denmark
Louise Uhre General Practice🇩🇰Køge, DenmarkLouise UhreContact+4556650042sdralle1a@gmail.com