I-TRUST: Implementation of Teleophthalmology in Rural Health Systems Study

I-TRUST:远程眼科在农村卫生系统研究中的实施

基本信息

  • 批准号:
    10874998
  • 负责人:
  • 金额:
    $ 9.25万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2021
  • 资助国家:
    美国
  • 起止时间:
    2021-09-30 至 2026-08-31
  • 项目状态:
    未结题

项目摘要

PROJECT SUMMARY/ABSTRACT Among working-age U.S. adults, diabetic retinopathy remains the leading cause of blindness despite landmark National Eye Institute (NEI) clinical trials showing that early detection and treatment reduce the risk of severe vision loss by over 90%. Yet adherence with yearly diabetic retinopathy screening in the U.S remains below half of patients in rural communities. Ocular telemedicine (i.e. teleophthalmology) can substantially increase diabetic retinopathy screening rates and prevent blindness. However, there is often very limited use of this technology even after a teleophthalmology program is established in multi-payer health systems, where the majority of Americans receive their care. To overcome major barriers identified for teleophthalmology use in rural multi-payer primary care clinics, the PI developed and piloted Implementation to Sustain Impact in Teleophthalmology (I-SITE) in a NEI K23 Career Development Award. I-SITE is the first implementation program specifically designed to overcome barriers to teleophthalmology use by tailoring its integration into rural primary care clinic workflows. The proposed study is a multi-center randomized controlled trial aiming to: (1) test the effectiveness of I-SITE, (2) identify explanatory factors and implementation components that distinguish high and low teleophthalmology use in rural health systems following I-SITE implementation, and (3) evaluate implementation costs. We hypothesize that I-SITE will sustain significant diabetic eye screening rate increases at 18 months compared to usual care teleophthalmology. This UG1 proposal directly responds to multiple elements of the NEI Strategic Plan, including areas of emphasis in telemedicine, diabetic retinopathy, and expanding access to eye care in rural populations. This research will facilitate the effective translation of telemedicine technology in rural multi-payer primary care clinics to improve diabetic retinopathy screening rates. The effective integration and scale-up of ocular telemedicine would greatly expand eye care access for millions of rural Americans. This will be critical for preventing avoidable blindness by overcoming the shortage of eye care providers and meeting the increased demand for eye screening resulting from major projected increases in diabetes prevalence. As we face unprecedented challenges to our nation's health systems, never before in our history has the need for a rapid transition to telehealth been more acute. Our study will provide vital knowledge regarding the methods and factors needed to successfully translate telehealth technology into widespread clinical practice for improving public health nationwide.
项目总结/文摘

项目成果

期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Factors Influencing Eye Screening Adherence Among Latinx Patients With Diabetes: A Qualitative Study.
  • DOI:
    10.1167/tvst.12.12.8
  • 发表时间:
    2023-12-01
  • 期刊:
  • 影响因子:
    3
  • 作者:
    Pelayo, Christian;Pinzon, Maria Mora;Lock, Loren J.;Fowlkes, Christiana;Stevens, Chloe L.;Hoang, Johnson;Garcia, Juan L.;Jacobson, Nora A.;Channa, Roomasa;Liu, Yao
  • 通讯作者:
    Liu, Yao
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Yao Liu其他文献

Yao Liu的其他文献

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{{ truncateString('Yao Liu', 18)}}的其他基金

Developing a culturally adapted implementation program for teleophthalmology use in Latinx communities
制定适合拉丁裔社区远程眼科使用的文化适应实施计划
  • 批准号:
    10771837
  • 财政年份:
    2023
  • 资助金额:
    $ 9.25万
  • 项目类别:
I-TRUST: Implementation of Teleophthalmology in Rural Health Systems Study
I-TRUST:远程眼科在农村卫生系统研究中的实施
  • 批准号:
    10488178
  • 财政年份:
    2021
  • 资助金额:
    $ 9.25万
  • 项目类别:
I-TRUST: Implementation of Teleophthalmology in Rural Health Systems Study
I-TRUST:远程眼科在农村卫生系统研究中的实施
  • 批准号:
    10171636
  • 财政年份:
    2021
  • 资助金额:
    $ 9.25万
  • 项目类别:
Barriers and Facilitators to Diabetic Eye Screening and Teleophthalmology Use in Latinx Communities
拉丁裔社区糖尿病眼部筛查和远程眼科使用的障碍和促进因素
  • 批准号:
    10674350
  • 财政年份:
    2021
  • 资助金额:
    $ 9.25万
  • 项目类别:
I-TRUST: Implementation of Teleophthalmology in Rural Health Systems Study
I-TRUST:远程眼科在农村卫生系统研究中的实施
  • 批准号:
    10696095
  • 财政年份:
    2021
  • 资助金额:
    $ 9.25万
  • 项目类别:
Advancing Integration of Tele-ophthalmology for Diabetic Retinopathy in Rural, Multi-payer Settings
推进农村多支付环境中糖尿病视网膜病变远程眼科的整合
  • 批准号:
    9903359
  • 财政年份:
    2016
  • 资助金额:
    $ 9.25万
  • 项目类别:
Advancing Integration of Tele-ophthalmology for Diabetic Retinopathy in Rural, Multi-payer Settings
推进农村多支付环境中糖尿病视网膜病变远程眼科的整合
  • 批准号:
    9076203
  • 财政年份:
    2016
  • 资助金额:
    $ 9.25万
  • 项目类别:
Advancing Integration of Tele-ophthalmology for Diabetic Retinopathy in Rural, Multi-payer Settings
推进农村多支付环境中糖尿病视网膜病变远程眼科的整合
  • 批准号:
    9250170
  • 财政年份:
    2016
  • 资助金额:
    $ 9.25万
  • 项目类别:

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