Persistence of Glaucoma Patients With Web-Browser-Based Visual Field Test
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 8
- 试验地点
- 1
- 主要终点
- EyeSimplify Self-Test Adherence
研究概览
简要总结
The goal of this clinical trial is to assess patient persistence and adherence with a 6-month period of at-home visual field testing, using a novel web-based visual field test (EyeSimplify, M&S Technologies, Niles, IL).
The main questions this clinical trials aims to answer are:
- How adherent patients are to biweekly testing at home for 6 months, and
- How patients feel the ease of user experience of the test was, and
- Whether the EyeSimplify platform is able to detect any worsening of glaucoma-related visual field performance that can be corroborated by standard of care, office-based testing.
Participants will be given iPads with links to the EyeSimplify visual field test, and asked to take the EyeSimplify tests at home biweekly for six months. The test takes between 10 to 15 minutes to do and participants will have no additional responsibilities between tests.
Researchers will send reminders for patients to complete the at-home tests at periodic intervals, and if worsening on the at-home test platform is suggested by test results, researchers will arrange for return visits to the office to compare the EyeSimplify test results to standard-of-care, office-based testing. At the conclusion of the study, participant adherence to the 6-month biweekly testing schedule will be assessed and participants will be surveyed for their perceptions regarding the EyeSimplify platform's ease of usability and user experience.
详细描述
The purpose of this prospective study is to assess patient persistence and adherence with a 6-month period of at-home visual field testing using an iPad with a novel web-browser-based visual field test, the EyeSimplify platform (M&S Technologies, Niles, IL). Use of this test is intended to supplement, but not replace, regular clinic visits.
The proposed study will be conducted at the University of Iowa Hospitals and Clinics. We estimate 50 subjects will be recruited to participate in the study. Data collected will not include patient identifiers, but will instead be coded.
The research will involve prospective collection of visual field tests. Patients with suspected, mild, moderate, or severe glaucoma will be included. Clinical data including age, gender, ethnicity, visual acuity, intraocular pressure, severity of disease, past and comparative Humphrey HFA-III visual field test performance, EyeSimplify visual field test performance, and EyeSimplify usability survey will be recorded.
Following study recruitment, subjects will be asked to take EyeSimplify visual field tests at home biweekly for six months. They will have no additional responsibilities between tests. Subjects will access the EyeSimplify web browser on an iPad provided by the research team, using a link and login credentials provided to them by a research assistant. Upon logging into the EyeSimplify web browser, subjects will click the "Start Test" button found along the left side of the window and follow the prompts presented on screen to calibrate their screen. Screen calibration involves holding a driver's license/credit card/ID to the screen to ensure the test window is the appropriate dimensions. Following screen calibration, subjects will follow the test prompts presented on screen to complete their visual field test. Test results are automatically sent to the research assistant who issued the exam, so subjects may exit the browser after each test. Upon study completion, subjects will be asked to fill out a brief user experience survey.
M&S Technologies is the developer of the EyeSimplify visual field test platform. As the developers, M&S Technologies maintains a secure, encrypted, HIPAA-compliant database of test participants. This database includes patient profiles containing unique subject IDs (de-identified), birth year (but not specific date), and visual field testing results. Outside of this testing information, M&S Technologies does not have access to any additional patient information.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients between 18-100 years of age with suspected, mild, moderate, or severe glaucoma
排除标准
- •Non-English speakers, patients with systemic or ocular disease affecting central vision, best corrected visual acuity less than 20/80, neurocognitive or psychiatric disorders that would confound visual field testing, those with physical inability to perform testing, and astigmatism with absolute values greater than 2.00 diopters
研究组 & 干预措施
Single Arm
All patients will be in a single arm: patients will have one or both eyes (dependent on inclusion/exclusion criteria) tested with the EyeSimplify visual field test biweekly for 6 months.
干预措施: EyeSimplify web-browser-based visual field test (Device)
结局指标
主要结局
EyeSimplify Self-Test Adherence
时间窗: Subjects will be asked to self-test once every two weeks for six months.
For the purposes of this study, adherence is defined as number of times a subject self-tests divided by the number of times they are expected to self-test during the six-month study period. There will be a total of 14 expected self tests. Adherence will be evaluated at the conclusion of the six-month study period.
EyeSimplify Self-Test Persistence
时间窗: Subjects will be asked to self-test once every two weeks for six months.
For the purposes of this study, persistence is defined as the number of consecutive self-tests a subject completes without a lapse. Persistence will be evaluated at the conclusion of the six-month study period.
次要结局
- Visual Field Reliability Metric #3 - Fixation Loss Rate(This measurement will automatically be reported upon conclusion of each visual field test. Visual field testing is estimated to take 5-15 minutes for each visual field test. Testing will occur every two weeks for the six-month study period.)
- Visual Field Reliability Metric #1 - False Positive Rate(This measurement will automatically be reported upon conclusion of each visual field test. Visual field testing is estimated to take 5-15 minutes for each visual field test. Testing will occur every two weeks for the six-month study period.)
- Visual Field Reliability Metric #2 - False Negative Rate(This measurement will automatically be reported upon conclusion of each visual field test. Visual field testing is estimated to take 5-15 minutes for each visual field test. Testing will occur every two weeks for the six-month study period.)
- Visual Field Performance Metric #3 - Total Deviation(This measurement will automatically be reported upon conclusion of each visual field test. Visual field testing is estimated to take 5-15 minutes for each visual field test. Testing will occur every two weeks for the six-month study period.)
- Visual Field Performance Metric #1 - Mean Deviation(This measurement will automatically be reported upon conclusion of each visual field test. Visual field testing is estimated to take 5-15 minutes for each visual field test. Testing will occur every two weeks for the six-month study period.)
- Visual Field Performance Metric #2 - Pattern Standard Deviation(This measurement will automatically be reported upon conclusion of each visual field test. Visual field testing is estimated to take 5-15 minutes for each visual field test. Testing will occur every two weeks for the six-month study period.)
- Visual Field Performance Metric #4 - Foveal Threshold(This measurement will automatically be reported upon conclusion of each visual field test. Visual field testing is estimated to take 5-15 minutes for each visual field test. Testing will occur every two weeks for the six-month study period.)
- Visual Field Loss Trend Metric #2 - EyeSimplify Mean Deviation Progression Trend(This measurement will automatically be generated after five EyeSimplify visual field tests and is updated with each subsequent test. This metric will be recorded upon completion of the six-month study period.)
- EyeSimplify User Experience Question #4 - "How Hard or Easy Was it for You to Achieve a Functional Testing Environment for Yourself While Using the EyeSimplify Online Test?"(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
- Visual Field Loss Trend Metric #1 - Guided Progression Analysis Trend Analysis(This measurement will automatically be generated after five Humphrey visual field tests and is updated with each subsequent test.)
- EyeSimplify User Experience Question #1 - "Please Select What Type of Device You Used to Take Your EyeSimplify Visual Field Tests."(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
- EyeSimplify User Experience Question #2 - "Please Describe What Accessories, if Any, You Used to Take Your EyeSimplify Visual Field Tests."(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
- EyeSimplify User Experience Question #3 - "How Hard or Easy Was it for You to Achieve a Comfortable Testing Environment for Yourself While Using the EyeSimplify Online Test?"(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
- EyeSimplify User Experience Question #5 - "What Time of Day Did You Typically Take Your EyeSimplify Visual Field Tests?"(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
- EyeSimplify User Experience Question #10 - "How Much Anxiety or Concern Did You Have About Your Test Performance While Using the EyeSimplify Online Visual Field Test?"(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
- EyeSimplify User Experience Question #6 - "Please Describe the Level of Ambient Light You Typically Took Your EyeSimplify Visual Field Tests in."(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
- EyeSimplify User Experience Question #7 - "Did You Ever Have to Block Out Ambient Light Using Curtains or Other Methods When Taking Your EyeSimplify Visual Field Tests?"(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
- EyeSimplify User Experience Question #8 - "How Hard or Easy Was it for You to Navigate the EyeSimplify Website?"(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
- EyeSimplify User Experience Question #9 - "How Hard or Easy Was it to Understand the Instructions for the Visual Field Test Using EyeSimplify?"(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
- EyeSimplify User Experience Question #11 - "How Confident Were You Taking the EyeSimplify Visual Field Test by Yourself at Home?"(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
- EyeSimplify User Experience Question #12 - "If EyeSimplify Visual Field Testing Were Available for Regular Home Use Outside of This Study, Would You Use it?"(Subjects will respond to an approximately 5-10 minute survey at the conclusion of the six-month study period.)
研究者
Andrew Pouw, MD
Clinical Assistant Professor
University of Iowa