Effect of Mobile Communication on Congenital Ectopia Lentis Follow-up Adherence
Study Details
Study Description
Brief Summary
Regular follow-up is essential to successful management of congenital ectopia lentis, but it is often ignored by parents in China.
With rapid economic development, there are increasing numbers of mobile phone users that allow for communication applications to be used in medical care.
The investigators aimed to assess the potential of the smartphone application assisted medical service to increase patient compliance in attendance of follow-up after congenital ectopia lentis treatment.
Condition or Disease | Intervention/Treatment | Phase |
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|
N/A |
Detailed Description
Congenital ectopia lentis is a rare ophthalmic disease that seriously harms the physical and mental health of patients. Surgery is the only definite treatment at present. However, severe visual impairment is common in congenital ectopia lentis patients in China, and delayed presentation to hospital and late surgical treatment are found to be the major reasons.
In China, the messaging application WeChat has become the most popular communication tool. As most congenital ectopia lentis patients' parents are younger people, they are more likely to use technology, such as WeChat, in their daily lives. In addition, it allows ophthalmologists to utilize this communication application to relay health related information and reminders to patients. This makes it feasible to apply this smartphone application in improving attendance of follow-up visits.
In this trial, the investigators aimed to assess the potential of the smartphone application assisted medical service to increase patient compliance in attendance of follow-up after congenital ectopia lentis treatment.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: reminder intervention On the basis of standard appointment, parents in intervention group will receive phone reminders at 4 days and 1 day before their scheduled appointments, and relevant scientific and educational knowledge will be relayed to them from the smartphone application at 1 week before appointments. |
Other: smartphone application service and phone reminder
smartphone application service and phone reminder for appointments of parents of congenital ectopia lentis patients
|
No Intervention: standard appointment Patients will be required to attend follow-up appointments at 1 week, 1 month, 3 months after surgery. |
Outcome Measures
Primary Outcome Measures
- follow-up adherence at 3 months after surgery [3 months]
the rates of attendance at 3 months (± 3 weeks) after surgery
Secondary Outcome Measures
- follow-up adherence at 1 week after surgery [1 week]
the rates of attendance at 1 week (± 2 days) after surgery
- follow-up adherence at 1 month after surgery [1 month]
the rates of attendance at 1 month (± 1 week) after surgery
- best corrected visual acuity [3 months]
measurement of best corrected visual acuity was carried out using a logarithm of the Minimum Angle of Resolution (logMAR) chart at the baseline and endline visits
- incidence of complications [3 months]
Including: postoperative high IOP, postoperative macular edema, knot/suture-related complications and so on
- replacement rates of glasses [3 months]
If the difference between the current refraction and the currently worn eyeglass prescription was greater than 2 diopters sphere and/or greater than 1 diopter cylinder, a new prescription was given
- amblyopia therapy rate [3 months]
the rate of amblyopia therapy during 3 months after surgery
- secondary surgery rate [3 months]
the rate of secondary surgery during 3 months after surgery
- referral rate due to systemic diseases [3 months]
referral rate due to abnormalities in skeletal system and cardiovascular system during 3 months after surgery
- CEL knowledge score [3 months]
change between baseline and endline scores on knowledge about CEL, including six choice questions concerning pathogenesis, symptoms and treatment of CEL
Eligibility Criteria
Criteria
Inclusion Criteria:
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- Identified with congenital lens dislocation after surgery and age ≤ 18 years old;
- Parents were able to access a mobile phone and communicate via the smartphone application (WeChat); 3. Agree to participate in this study and sign the informed consent.
Exclusion Criteria:
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- With Other ophthalmic diseases such as glaucoma, uveitis and corneal disease.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Zhongshan Ophthalmic Center, Sun Yat-sen University | Guangzhou | Guangdong | China | 510060 |
Sponsors and Collaborators
- Zhongshan Ophthalmic Center, Sun Yat-sen University
Investigators
- Principal Investigator: Danying Zheng, M.D, Clinical Research Center of Zhongshan Ophthalmic Center
Study Documents (Full-Text)
None provided.More Information
Publications
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- Lin J, Gong N, Cao Q, Zhou Y, Cai Y, Jin G, Young CA, Yang J, Wang Y, Zheng D. What hinders congenital ectopia lentis patients' follow-up visits? A qualitative study. BMJ Open. 2020 Mar 12;10(3):e030434. doi: 10.1136/bmjopen-2019-030434.
- Tan J, Christie A, Montalvo SK, Wallace C, Yan Y, Folkerts M, Yingling A, Sher D, Choy H, Jiang S, Westover KD. Automated Text Message Reminders Improve Radiation Therapy Compliance. Int J Radiat Oncol Biol Phys. 2019 Apr 1;103(5):1045-1052. doi: 10.1016/j.ijrobp.2018.11.050. Epub 2018 Nov 30.
- Yang K, Jin L, Li L, Zeng S, Wei R, Li G, Man P, Congdon N. Interventions to Promote Follow-up After Trabeculectomy Surgery in Rural Southern China: A Randomized Clinical Trial. JAMA Ophthalmol. 2016 Oct 1;134(10):1135-1141. doi: 10.1001/jamaophthalmol.2016.2819.
- IIT2022120