Other Disorders of Optic Disc, Bilateral
Conditions
Keywords
optic disk, fundoscopy, pediatric, clinical examination
Brief summary
Fundoscopy is an important aspect of the neurological examination, but can be challenging in uncooperative children. This study explored whether viewing a video (selected by patient or caregiver) during eye examination improves the success, duration and ease of pediatric fundoscopy. Hypothesis: Showing a short video clip during a fundoscopic exam will increase the probability of successfully visualizing the optic disk and reduce the amount of time needed to perform a fundoscopic exam in children between 1-8 years old.
Detailed description
The purpose of this study is to examine whether showing a video clip with sound of the patient's choice can improve the ease of fundoscopic exam as defined by improved success of visualizing the optic disk and the reduction in time needed to perform the exam. The investigators will also examine the physician's and caregiver's perception on whether the video was effective in improving the ease of the exam. The purpose of the video is to capture the visual attention of the patient thereby allowing the physician to swiftly perform the fundoscopic exam. The literature has suggested that young patients are most uncooperative, therefore the investigators will focus our study on younger patients 1-8 years old.
Interventions
OTHERVideo (played on a computer monitor)
The intervention is a video (of the patient or caregiver's choice) which is played on a computer monitor during the fundoscopic examination.
Sponsors
University of British Columbia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 8 Years
Healthy volunteers
Yes
Inclusion criteria
* 1-8 years old * Capable of visualizing the video monitor * Patient has 2 examinable eyes
Exclusion criteria
* Blind patient * Patients \< 1 or \> 8 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success rate of visualizing the optic disk within 60 seconds | At the time of fundoscopy exam | To determine whether showing a video clip with sound of the patient's choice can improve the success of fundoscopic exam in children as defined by the ability to visualize the optic disk within 60 seconds. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in the amount of time needed to visualize the optic disk. | At the time of fundoscopy exam | To determine whether showing a video clip with sound of the patient's choice can reduce the amount of time needed to perform a successful fundoscopic exam. |
| Improvement in the physician's and caregiver's (parent/legal guardian) perception of the ease of the fundoscopic exam. | At the time of fundoscopy exam | Improvement in the physician's and caregiver's (parent/legal guardian) perception of the ease of the fundoscopic exam as determined by a 10 point likert scale (1 being easiest and 10 being hardest). |
Countries
Canada
Contacts
PRINCIPAL_INVESTIGATORAsh Singhal, MD
University of British Columbia
Outcome results
None listed