Michigan Screening and Intervention for Glaucoma and Eye Health Through Telemedicine (MI-SIGHT): Baseline Methodology for Implementing and Assessing a Community-based Program.
Michigan Screening and Intervention for Glaucoma and Eye Health Through Telemedicine (MI-SIGHT): Baseline Methodology for Implementing and Assessing a Community-based Program.
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DOI：
10.1097/ijg.0000000000001812
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发表时间：
2021-05-01
影响因子：
2
通讯作者：
Woodward MA
中科院分区：
文献类型：
--
作者：
Newman-Casey PA;Musch DC;Niziol LM;Elam AR;Zhang J;Moroi SE;Johnson L;Kershaw M;Saadine J;Winter S;Woodward MA
描述密歇根州通过远程医疗进行青光眼和眼部健康筛查和干预（MI-SIGHT）计划的实施和评价方法。MI-SIGHT计划利用社区参与、远程医疗和健康指导来克服服务不足人群中青光眼识别和护理的关键后勤和心理障碍。MI-SIGHT计划将在两个社区诊所进行评估：汉密尔顿社区健康网络，一个位于密歇根州弗林特的联邦合格健康中心，以及希望诊所，一个位于密歇根州伊普西兰蒂的免费诊所。一个社区咨询委员会，包括研究小组和卫生保健提供者，行政人员和病人从两个诊所将指导计划的实施。社区诊所的一名眼科技师将进行青光眼和眼疾的筛查。这些数据将通过电子健康记录传输，由眼科医生进行审查，眼科医生将提出后续护理建议。眼科技师将进行回访，以适应低成本或无成本的眼镜，帮助安排后续与眼科医生和提供教育。被诊断患有青光眼或疑似青光眼的患者将被随机分配到标准教育或个性化青光眼教育和辅导组。将评估费用。我们假设MI-SIGHT项目将检测到比普通人群更高的青光眼患病率，改善视力，提高视力相关的生活质量，并证明个性化青光眼教育和指导可提高随访护理的依从性。MI-SIGHT计划可以作为高风险社区青光眼筛查和护理的模式。密歇根州通过远程医疗计划进行青光眼和眼睛健康筛查和干预，利用社区参与的研究，远程医疗和健康指导，克服关键的后勤和心理障碍，以改善服务不足社区的青光眼筛查。
To describe the methodology of the implementation and evaluation of the Michigan Screening and Intervention for Glaucoma and eye Health through Telemedicine (MI-SIGHT) Program. The MI-SIGHT Program utilizes community engagement, telemedicine and health coaching to overcome key logistical and psychosocial barriers to glaucoma identification and care among underserved populations. The MI-SIGHT Program will be evaluated in two community clinics: Hamilton Community Health Network, a federally qualified health center in Flint, MI, and the Hope Clinic, a free clinic in Ypsilanti, MI. A Community Advisory Board including the research team and health care providers, administrators and patients from both clinics will guide program implementation. An ophthalmic technician at the community clinics will conduct screening tests for glaucoma and eye disease. The data will be transmitted via electronic health record to be reviewed by an ophthalmologist who will make recommendations for follow-up care. The ophthalmic technician will conduct a return visit to fit low-or no-cost glasses, help arrange follow-up with an ophthalmologist and provide education. Those diagnosed with glaucoma or suspected glaucoma will be randomized to standard education or personalized glaucoma education and coaching. Costs will be assessed. We hypothesize that the MI-SIGHT program will detect a higher prevalence rate of glaucoma than that found in the general population, improve upon presenting visual acuity, enhance vision-related quality of life and demonstrate that personalized glaucoma education and coaching improve adherence to follow-up care. The MI-SIGHT Program may serve as a model for glaucoma screening and care in high-risk communities. The Michigan Screening and Intervention for Glaucoma and eye Health through Telemedicine Program leverages community engaged research, telemedicine and health coaching to overcome key logistical and psychosocial barriers to improved glaucoma screening in underserved communities.