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Идёт набор NCT07015034

Developing and Testing a Model to Identify Preventive Vision Loss Among Older Patients in General Practice

Без фазы С лечением Vision Impairment and Blindness Glaucoma Age-Related Macular Degeneration Cataract

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: focus on vision impairment in older patients in general practice.
Кому может быть актуально
Состояния в реестре: Vision Impairment and Blindness, Glaucoma, Age-Related Macular Degeneration, Cataract. Базовые параметры: от 70 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Дания
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Developing and Testing a Model to Identify Preventive Vision Loss Among Older Patients in General Practice (DETECT)

Обзор

In this cohort study, the investigators will test vision screenings in Danish general practice for patients over 70 years of age with minimum one chronic condition. The main outcome is detection of vision impairment and secondary outcome is detection of conditions needing ophthalmologic follow-up but not presenting vision impairment at present time.

Подробное описание

Introduction: The number of people living with visual impairment is increasing. Visual impairment causes loss in quality of life and reduce self-care abilities. The burden of disease is heavy for people experiencing visual impairment and their relatives. The severity and progression of age-related eye diseases are dependent on the time of detection and treatment options, making timely access to healthcare critical in reducing visual impairment. General practice plays a key role in public health by managing preventive healthcare, diagnostics and treatment of chronic conditions. General practitioners (GPs) coordinate services from other healthcare professionals. More involvement of the primary sector could potentially be valuable in detecting visual impairment.

Methods: Investigators apply the Medical Research Council framework for complex interventions to develop a primary care intervention with the GP as a key actor, aimed at identifying and coordinating care for patients with low vision. The development process will engage patients, relatives and relevant health professional stakeholders. The investigators will pilot test the feasibility of the intervention in a real-world general practice setting. The intervention model will be developed through a participatory approach using qualitative and creative methods such as graphical facilitation. The project aims to explore the potentials and limitations of general practice in relation to detection of preventable vision loss.

Ethics and dissemination: Ethics approval is obtained from local authority and the study meets the requirements from the Declaration of Helsinki. Dissemination is undertaken through research papers and to the broader public through podcasts and patient organisations.

Вмешательства

  • Другое focus on vision impairment in older patients in general practice
    GP or GP nurse carry out the three vision tests. All patients visit optician shop collaborating with the project. An ophthalmologist review data from optometrists and provide an epicrisis to general practice. In case of acute conditions, the ophthalmologist is responsible for expedient treatment. If the patient needs further control by ophthalmologist within 12 month waiting time, general practice are responsible for referring the patient.

Первичные конечные точки

  • Recruitment feasibility [Срок оценки: From invitation to participate to enrollment within 4 weeks]
  • Adherence [Срок оценки: From enrollment to completion of GP intervention within 3 weeks.]
  • Adherence [Срок оценки: From enrollment to completion of optometrist testing within 5 months.]
  • Acceptability [Срок оценки: From enrollment to interview within 12 months.]

Критерии участия

Критерии включения

  • +70 years
  • One or more chronic diseases
  • Are followed by GP du to chronic disease

Критерии исключения

  • Dementia diagnosis
  • Known eye-diseases or are currently followed by private ophtalmologist
  • Not able to understand Danish

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение
Не применимо
Модель
Последовательный дизайн
Маскирование
Открытое
Основная цель
Скрининг

Центры проведения

Дания · 2 центра
  • GP practices — Copenhagen
  • GP practices — Køge

Публикации

  • Sandholdt CT, Jonsson ABR, Reventlow S, Bach-Holm D, Line K, Kolko M, Jacobsen MH, Mathiesen OH, Waldorff FB. DETECT: DEveloping and testing a model to identify preventive vision loss among older paTients in gEneral praCTice - protocol for a complex intervention in Denmark. BMJ Open. 2023 May 29;13(5):e069974. doi: 10.1136/bmjopen-2022-069974. PMID 37247966
  • Brost AG, Petersen ML, Steinbo EKF, Siersma V, Bach-Holm D, Line K, Kristensen M, Waldorff FB, Sandholdt CT. Detection of age-related vision reduction in general practice in Denmark (DETECT): a study protocol for a feasibility and cohort study. BMJ Open. 2026 May 20;16(5):e115062. doi: 10.1136/bmjopen-2025-115062. PMID 42161554

Идентификаторы

NCT: NCT07015034 · 869353 · 869353

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗