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Multi-modal physician intervention to detect amblyopia

多模式医师干预检测弱视

基本信息

批准号：
7891043
负责人：
WENDY L MARSH-TOOTLE
金额：
$ 17.76万
依托单位：
UNIVERSITY OF ALABAMA AT BIRMINGHAM
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-01 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7891043
关键词：
Academy Alabama Amblyopia American Americas Attitude Awareness Blindness Caring Child Childhood Code Collaborations Communication Control Groups Current Procedural Terminology Codes Data Diagnosis Diagnostic Evaluation Eye Eye diseases Family Practice Fostering Future Gatekeeping Goals Guidelines Health Communication Health Status Healthcare Healthcare Systems Immunization Individual Internet Intervention Knowledge Link Managed Care Maternal and Child Health Measures Medicaid Methods Names Nursery Schools Optometry Outcome Measure Patients Pediatrics Performance Physicians Play Preschool Child Primary Care Physician Primary Health Care Provider Randomized Controlled Clinical Trials Recruitment Activity Research Research Personnel Risk Factors Role Screening procedure Source Specialist Strabismus Testing Time Training Translating Universities Vision Vision Screening Visit Visual Acuity Work base communication theory continuing medical education design experience forging improved novel patient population pediatrician post intervention prevent relating to nervous system skills

项目摘要

DESCRIPTION (provided by applicant): Despite decades of research showing adverse neural consequences of abnormal vision, little has changed for amblyopic children. Data have shown that approximately half the cases of amblyopia are detected late, and this finding has remained stable during the past 40 years. In our health care system, primary care physicians play a pivotal role in translating findings about amblyopia into practice. But, our experience with the Maternal and Child Health Bureau (MCHB) / NEI expert panel on Vision Screening in the Preschool Child and the CHB/American Academy of Pediatrics (AAP) Project Universal Preschool Vision Screening revealed that primary care physicians get very little training about amblyopia and risk factors. Consequently, many do not screen aggressively for these conditions. The University of Alabama Departments of Optometry, Pediatrics and Continuing Medical Education, in collaboration with the AAP, MCHB, Prevent Blindness America, the Pediatric Eye Disease Investigators Group, the Vision in Preschoolers Study Group, and the Alabama Medicaid Agency, propose to develop a novel, internet-based, multi-modal strategy to increase the understanding and recognition of amblyopia and its risk factors by pediatricians and primary care physicians in office based settings. We propose a randomized, controlled clinical trial to test whether our intervention results in improved performance by "intervention" physicians compared to control physicians (exposed to an immunization intervention). Our design, along with pre- and post-intervention performance measures, will evaluate changes in practice attributable to the intervention versus those occurring from other sources over time. Our final analysis will show whether preschool patients of intervention physicians are more likely to be identified with strabismus or amblyopia. This research forges a critical link between the truly phenomenal body of amblyopia research fostered by the NEI and the health care offered to American children.

描述（由申请人提供）：尽管数十年的研究表明异常视力的不良神经后果，弱视儿童几乎没有改变。数据显示，大约一半的弱视病例是在晚期发现的，并且这一发现在过去40年中保持稳定。在我们的医疗保健系统中，初级保健医生在将弱视的发现转化为实践方面发挥着关键作用。不过，根据我们与母婴健康局/国家教育研究院学前儿童视力普查专家小组的经验， CHB/美国儿科学会（AAP）项目通用学龄前视力筛查显示，初级保健医生很少接受有关弱视和风险因素的培训。因此，许多人不会积极筛查这些疾病。亚拉巴马大学验光、儿科和继续医学教育系与AAP、MCHB、美国防盲协会、儿科眼病调查组、学龄前儿童视力研究组和亚拉巴马医疗补助机构合作，提出开发一种新颖的、基于互联网的、多模式策略，以提高儿科医生和初级保健医生在办公室环境中对弱视及其危险因素的理解和认识。我们提出了一个随机的，对照的临床试验，以测试我们的干预是否导致改善性能的“干预”医生相比，对照医生（暴露于免疫干预）。我们的设计，沿着干预前后的绩效指标，将评估实践中归因于干预的变化与随着时间的推移从其他来源发生的变化。我们的最终分析将显示干预医生的学龄前患者是否更有可能被识别为斜视或弱视。这项研究在NEI所培养的真正非凡的弱视研究机构和为美国儿童提供的医疗保健之间建立了关键的联系。

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Efficacy of a web-based intervention to improve and sustain knowledge and screening for amblyopia in primary care settings.

基于网络的干预措施在初级保健机构中改善和维持弱视知识和筛查的有效性。

DOI：
10.1167/iovs.10-6566
发表时间：
2011
期刊：
Investigative ophthalmology & visual science
影响因子：
4.4
作者：
Marsh-Tootle,WendyL;McGwin,Gerald;Kohler,ConnieL;Kristofco,RobertE;Datla,RajuV;Wall,TerryC
通讯作者：
Wall,TerryC

Design of a randomized clinical trial to improve rates of amblyopia detection in preschool aged children in primary care settings.

设计一项随机临床试验，以提高初级保健机构中学龄前儿童的弱视检出率。

DOI：
10.1016/j.cct.2010.10.009
发表时间：
2011
期刊：
Contemporary clinical trials
影响因子：
2.2
作者：
Wall,TerryC;Marsh-Tootle,WendyL;Crenshaw,Katie;Person,SharinaD;Datla,Raju;Kristofco,RobertE;Hartmann,EEugenie
通讯作者：
Hartmann,EEugenie

Exploring pre-school vision screening in primary care offices in Alabama.

探索阿拉巴马州初级保健办公室的学前视力筛查。

DOI：
10.1097/opx.0b013e318269ca9f
发表时间：
2012
期刊：
Optometry and vision science : official publication of the American Academy of Optometry
影响因子：
0
作者：
Marsh-Tootle,WendyL;Frazier,MarcelaG;Kohler,ConnieL;Dillard,CareyM;Davis,Kathryn;Schoenberger,Yu-Mei;Wall,TerryC
通讯作者：
Wall,TerryC

Quantitative pediatric vision screening in primary care settings in Alabama.

阿拉巴马州初级保健机构中的定量儿科视力筛查。

DOI：
10.1097/opx.0b013e318185282a
发表时间：
2008
期刊：
Optometry and vision science : official publication of the American Academy of Optometry
影响因子：
0
作者：
Marsh-Tootle,WendyL;Wall,TerryC;Tootle,JohnS;Person,SharinaD;Kristofco,RobertE
通讯作者：
Kristofco,RobertE