Feasibility of in-home monitoring for people with glaucoma: the I-TRAC mixed-methods study

被引:0
|
作者
Stewart, Carrie [1 ]
Wu, Hangjian [2 ]
Alagappan, Uma [1 ]
Azuara-Blanco, Augusto [3 ]
King, Anthony J. [4 ]
Tatham, Andrew J. [5 ]
Hernandez, Rodolfo [2 ]
Lowe, Bruce
Shotton, Darian
Appiah, Nana [1 ]
Coffey, Taylor [1 ]
Vadiveloo, Thenmalar [1 ,6 ]
Maclennan, Graeme [1 ,6 ]
Gillies, Katie [1 ]
机构
[1] Univ Aberdeen, Hlth Serv Res Unit, Aberdeen, Scotland
[2] Univ Aberdeen, Hlth Econ Res Unit, Aberdeen, Scotland
[3] Queens Univ Belfast, Ctr Publ Hlth, Belfast, North Ireland
[4] Nottingham Univ Hosp NHS Trust, Ophthalmol, Nottingham, England
[5] Princess Alexandra Eye Pavil, NHS Lothian, Edinburgh, Scotland
[6] Univ Aberdeen, Ctr Hlth Randomised Trials CHaRT, Aberdeen, Scotland
关键词
CHRONIC DISEASE MANAGEMENT; NOMINAL GROUP TECHNIQUE; TELEMEDICINE INTERVENTIONS; TREATMENT STRATEGIES; SELF-TONOMETRY; HYPERTENSION; PERFORMANCE; EXPERIENCES; ACCURACY; DELPHI;
D O I
10.3310/GTWD6802
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
ukBackground: Glaucoma is a chronic disease of the optic nerve and a leading cause of severe visual loss in the UK. Once patients have been diagnosed, they need regular monitoring at hospital eye services. Recent advances in technology mean patients with glaucoma can now monitor their disease at home. This could be more convenient for patients and potentially reduce costs and increase capacity for the NHS. However, it is uncertain whether self-monitoring would be acceptable or possible for patients with glaucoma.Objectives: The objectives were to: identify which patients are most appropriate for home monitoring; understand views of key stakeholders (patients, clinicians, researchers) on whether home glaucoma monitoring is feasible and acceptable; develop a conceptual framework for the economic evaluation of home glaucoma monitoring; and explore the need for and provide evidence on the design of a future study to evaluate the clinical and cost-effectiveness of digital technologies for home monitoring of glaucoma.Design: In-home Tracking of glaucoma: Reliability, Acceptability, and Cost (I-TRAC) was a multiphase mixed-methods feasibility study with key components informed by theoretical and conceptual frameworks.Setting: Expert glaucoma specialists in the UK recruited through professional glaucoma societies; study site staff and patient participants recruited through three UK hospital eye services (England, Scotland, Northern Ireland); and UK research teams recruited though existing networks.Intervention: Home tonometer that measures intraocular pressure and a tablet computer with a visual function application. Patients were asked to use the technology weekly for 12 weeks.Results: Forty-two patients were recruited. Retention and completion of follow-up procedures was successful, with 95% (n = 40) completing the 3-month follow-up clinic visits. Adherence to the interventions was generally high [adherence to both devices (i.e. >= 80% adherence) was 55%]. Overall, patients and healthcare professionals were cautiously optimistic about the acceptability of digital technologies for home monitoring of patients with glaucoma. While most clinicians were supportive of the potential advantages glaucoma home monitoring could offer, concerns about the technologies (e.g. reliability and potential to miss disease progression) and how they would fit into routine care need to be addressed. Additionally, clarity is required on defining the ideal population for this intervention. Plans for how to evaluate value for money in a future study were also identified. However, the study also highlighted several unknowns relating to core components of a future evaluative study that require addressing before progression to a definitive effectiveness trial.Limitations: The main limitation relates to our sample and its generalisability, for example, the over-representation of educated persons of white ethnicity who were generally experienced with technology and research motivated.Conclusions: The In-home Tracking of glaucoma: Reliability, Acceptability, and Cost study has demonstrated 'cautious optimism' when considering patients' and healthcare professionals' views on the acceptability of digital technologies for home monitoring of patients with glaucoma. However, the study also highlighted several unknowns relating to the research question and design of a future evaluative study that require addressing before progression to a randomised controlled trial.
引用
收藏
页数:194
相关论文
共 50 条
  • [31] Implementing vocational rehabilitation for people with multiple sclerosis in the UK National Health Service: a mixed-methods feasibility study
    De Dios Perez, Blanca
    Holmes, Jain
    Elder, Tracey
    Lindley, Rebecca
    Evangelou, Nikos
    das Nair, Roshan
    Senior, Caolan
    Booth, Vicky
    Hassard, Juliet
    Ford, Helen L.
    Newsome, Ian
    Radford, Kate
    DISABILITY AND REHABILITATION, 2024,
  • [32] Exercise-based telerehabilitation for the management of chronic pain in people with severe haemophilia: a mixed-methods feasibility study
    Mclaughlin, Paul
    Chowdary, Pratima
    Khair, Kate
    Smith, Clive
    Stephensen, David
    Hurley, Michael
    PILOT AND FEASIBILITY STUDIES, 2024, 10 (01)
  • [33] Implementing a Treatment for People with Serious Mental Illness in Jail: A Mixed-Methods Study of Stakeholder Perspectives on Feasibility and Acceptability
    Scanlon, Faith
    Morgan, Robert D.
    Aceves, Daisy
    ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH, 2024,
  • [34] Use and impact of social prescribing: a mixed-methods feasibility study protocol
    Jani, Anant
    Liyanage, Harshana
    Hoang, Uy
    Moore, Lucy
    Ferreira, Filipa
    Yonova, Ivelina
    Tzortziou Brown, Victoria
    de Lusignan, Simon
    BMJ OPEN, 2020, 10 (09):
  • [35] Integration of child life into adult oncology: A mixed-methods feasibility study
    Lysecki, David L.
    Bainbridge, Daryl
    Akitt, Tracy
    Georgiou, Georgia
    McKean, Heather
    Meyer, Ralph M.
    Sussman, Jonathan
    PSYCHO-ONCOLOGY, 2024, 33 (06)
  • [36] DISTRESS SCREENING FOR ONCOLOGY FAMILY CAREGIVERS: A MIXED-METHODS FEASIBILITY STUDY
    Shaffer, Kelly M.
    Benvengo, Stephanie
    Zaleta, Alexandra K.
    Levine, Marcia R.
    Bellantoni, Courtney E.
    Dannaoui, Aimee
    Buzaglo, Joanne
    Applebaum, Allison
    ANNALS OF BEHAVIORAL MEDICINE, 2019, 53 : S13 - S13
  • [37] Feasibility of Prehabilitation Prior to Breast Cancer Surgery: A Mixed-Methods Study
    Brahmbhatt, Priya
    Sabiston, Catherine M.
    Lopez, Christian
    Chang, Eugene
    Goodman, Jack
    Jones, Jennifer
    McCready, David
    Randall, Ian
    Rotstein, Sarah
    Santa Mina, Daniel
    FRONTIERS IN ONCOLOGY, 2020, 10
  • [38] Standing frames for children with cerebral palsy: a mixed-methods feasibility study
    Goodwin, Jane
    Lecouturier, Jan
    Basu, Anna
    Colver, Allan
    Crombie, Sarah
    Smith, Johanna
    Howel, Denise
    McColl, Elaine
    Parr, Jeremy R.
    Kolehmainen, Niina
    Roberts, Andrew
    Miller, Keith
    Cadwgan, Jill
    HEALTH TECHNOLOGY ASSESSMENT, 2018, 22 (50) : 1 - +
  • [39] Is home delivery really preferred? a mixed-methods national study in Pakistan
    Zafar, Shamsa
    Sikander, Siham
    Ahmad, Ikhlaq
    Ahmad, Mansoor
    Parveen, Nazia
    Saleem, Shumaila
    Nawaz, Tayyba
    Suleman, Zainab
    Suleman, Nadia
    ulAin, Noor
    Naeem, Ayesha
    Bashir, Asma
    HEALTH RESEARCH POLICY AND SYSTEMS, 2015, 13
  • [40] Patient experiences of training and transition to home haemodialysis: A mixed-methods study
    Hanson, Camilla S.
    Chapman, Jeremy R.
    Craig, Jonathan C.
    Harris, David C.
    Kairaitis, Lukas K.
    Nicdao, Maryann
    Mikaheal, Mary
    Tong, Allison
    NEPHROLOGY, 2017, 22 (08) : 631 - 641