Diabetic Retinopathy
Conditions
Keywords
Diabetes, Diabetic Retinopathy Screening, Ophthalmic Telemedicine, Comparative Effectiveness Research
Brief summary
This project aims to: 1) evaluate the long-term effectiveness of telemedicine to detect diabetic retinopathy when compared to traditional surveillance methods, 2) identify the health belief factors related to adherence with annual diabetic eye exams, and 3) determine the cost-effectiveness of the telemedicine system from the perspective of the community clinic, the third-party payer, and the individual patient.
Interventions
PROCEDUREOphthalmic Telemedicine
Participants receiving the intervention have digital images of their retina captured with a non-mydriatic camera. The images are then sent to Devers Eye Institute for review and report generation.
Sponsors
Centers for Disease Control and Prevention
Oregon Health and Science University
Legacy Health System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* diabetic, at least 18 years old, patient at a participating health clinic
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Participants that Receive Annual Eye Exam | Baseline; Change from Baseline at 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years (number of follow-up exams depends on number of years enrolled in the study) | This outcome measure will be used to determine (1) whether the telemedicine system increases the proportion of participants that receive an annual eye exam, and (2) what health belief factors are associated with adherence. |
Countries
United States
Outcome results
None listed