Glaucoma
Conditions
Brief summary
The goal of this interventional study is to assess whether an in-office, language-concordant instructional app improves drop regimen recall in a population of glaucoma patients who are on multi-drop regimens. Participants will be divided into two groups -- those who use the app and those who do not. The app will have narrated information regarding the drop regimen, a quiz to test understanding of the regimen, and will enable a graphical printout of the eye drops and schedule. At one month, both groups will be assessed on their eye drop regimen recall.
Detailed description
Specific Aim: To investigate whether a language-concordant instructional application improves drop regimen recall in population of glaucoma patients at a 1-month follow-up period. App features 1. Pictorial representation of drops (color-coded) and schedule. 2. Quiz to assess understanding of the regimen. 3. Narrated instructions (language-concordant) on how and when (frequency and eye laterality) to take each drop. 4. Graphical print-out of the regimen. Study design 1. Study design: Randomized study, two groups: (1) patients that use the app, and (2) patients that do not use the app. 2. Study population: Inclusion criteria: patients with primary open-angle glaucoma on at least 2 eye drops Exclusion criteria: patients taking additional prescribed eye drops for other eye conditions; patients diagnosed within the last 3 months; patients unable to self-administer eye drops 3. Intervention: Use of an in-office app that has both graphical and verbal (language-concordant) instruction for how to use drops. 4. Main outcome measure: Ability to correctly identify drops/regimen
Interventions
OTHERApp
App features (App will be used during the office visit): * Pictorial representation of drops (color-coded) and schedule. * Quiz to assess understanding of the regimen. * Narrated instructions (language-concordant) on how and when (frequency and eye laterality) to take each drop. * Graphical print-out of the regimen.
Sponsors
University of California, San Francisco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients with a diagnosis of glaucoma (any type) * drop regimen of at least 2 pressure-lowering drops * languages supported at this time: English, Spanish, Cantonese
Exclusion criteria
* concurrent eye conditions necessitating additional eye drops * inability to self-administer eye drops * inability to engage with app (either visual or other barrier)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage accuracy of drop regimen recall | 1 month follow up from time of intervention | This will be assessed through questions querying which drops the patients are taking, the number of times they are taking each drop, and the laterality of each drop. Each answer/drop will be individual recorded, and then total number of correct answers will be divided by the total number of questions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall medication adherence, assessed through the modified Morisky Adherence Scale, a widely published scale for general medication adherence | 1 month follow up from time of intervention | An 8 question survey (7 questions are yes/no, with the final question on a Likert scale) gauging overall medication adherence. Each question will be individually assessed (not summed into a cumulative score). The higher number of yes responses corresponds to a lower adherence score. |
Countries
United States
Outcome results
None listed