Acceptance of a Pre-visit Intervention to Engage African American Glaucoma Patients during Visits.

Acceptance of a Pre-visit Intervention to Engage African American Glaucoma Patients during Visits.
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接受访视前干预以在访视期间吸引非裔美国青光眼患者。

DOI:
10.1097/opx.0000000000001959
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发表时间:
2022
期刊:
Optometry and vision science : official publication of the American Academy of Optometry
影响因子:
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通讯作者:
Robin,AlanL
Robin,AlanL
中科院分区:
--
文献类型:
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作者:
Sleath,Betsy;Carpenter,DeleshaM;Davis,ScottA;Budenz,DonaldL;Muir,KellyW;Romero,MariaS;Lee,Charles;Tudor,Gail;Garcia,Nacire;Adjei,AbenaA;Robin,AlanL

文献摘要

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ESSEThe的目的,这项研究是(a)描述患者反馈青光眼问题提示列表/视频干预,旨在激励非洲裔美国患者在访问期间更积极参与和(B)检查患者的人口统计学与接受的intervention.METHODSWe正在进行一项随机对照试验的青光眼问题提示列表/视频干预。患有青光眼的非裔美国人患者被招募并分配到对照组或干预组,在那里他们观看了一段强调提问重要性的视频,并在访问前收到了一份需要完成的提示列表。所有患者在就诊后接受采访,并随访12个月。189名患有青光眼的非洲裔美国人参加了更大的试验。在随机分配到干预组的93名患者中,89%的患者表示患者应在访视前完成提示列表,87%的患者建议患者在访视前观看视频。老年患者不太可能相信其他患者应该在就诊前观看视频(t=-3.7,P=. 04)。受教育年限较短的患者比受教育年限较长的患者更有可能将视频评为更有用(Pearson相关系数,-0.27; P=. 01)。报告在视觉模拟量表上依从性较低的患者更有可能将视频评为更有用(Pearson相关系数,-0.23; P=. 03).结论本研究表明,问题提示列表/视频被接受干预的大多数非洲裔美国患者接受。
PURPOSEThe objectives of this study were to (a) describe patient feedback on a glaucoma question prompt list/video intervention designed to motivate African American patients to be more engaged during visits and (b) examine patient demographics associated with acceptance of the intervention.METHODSWe are conducting a randomized controlled trial of a glaucoma question prompt list/video intervention. African American patients with glaucoma were enrolled and assigned to a control group or an intervention group where they watched a video emphasizing the importance of asking questions and received a prompt list to complete before visits. All patients were interviewed after visits and are being followed up for 12 months.RESULTSOne hundred eighty-nine African American patients with glaucoma were enrolled into the larger trial. Of the 93 patients randomized to the intervention group, 89% said that patients should complete the prompt lists before visits, and 87% recommended that patients should watch the video before visits. Older patients were significantly less likely to believe that other patients should watch the video before their visits (t=− 3.7, P=. 04). Patients with fewer years of education were significantly more likely to rate the video as being more useful than patients with more years of education (Pearson correlation,− 0.27; P=. 01). Patients who reported being less adherent on the visual analog scale were more likely to rate the video as being more useful (Pearson correlation,− 0.23; P=. 03).CONCLUSIONSThis study demonstrates that the question prompt list/video was accepted by the majority of African American patients who received the intervention.