Community Support + Text Reminders for Eye Disease

JK
KA
Overseen ByKrisianne Aromin
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of California, San Francisco
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores the best way to help people attend their eye hospital appointments after being advised they need further care. It tests three methods: sending text message reminders, having health workers provide reminders (Community Health Volunteer Visit), and providing no reminders. The main aim is to determine which approach encourages more people to visit the eye hospital within 21 days of their initial screening. Individuals who participated in the VIEW II study and were referred to the eye hospital may be suitable for this trial, provided they live in an area with reliable mobile service. As an unphased trial, this study offers a unique opportunity to contribute to research that could enhance appointment adherence strategies for eye care.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that these methods are safe for improving linkage-to-care?

Research has shown that text message reminders and visits from community health volunteers are safe and well-received methods to keep people engaged with their healthcare.

Studies on text message reminders indicate their frequent use in healthcare to help people remember appointments and follow medical advice. No reports of negative effects from receiving these messages exist, making them a common and safe tool in healthcare.

Visits from community health volunteers are also considered safe. Programs where volunteers support eye care have demonstrated good results in communities. These volunteers help identify issues early and encourage necessary treatment, with no known risks.

Both methods aim to support and remind people about their healthcare needs without causing harm.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores innovative ways to support eye health through community involvement and technology. Unlike traditional treatments that focus solely on medical or surgical interventions, this approach leverages community health volunteers and text message reminders to enhance patient engagement and adherence to care. The use of technology to provide timely reminders could help patients manage their eye disease more effectively, potentially improving outcomes by ensuring they follow treatment plans consistently. This trial could pave the way for a more holistic and accessible model of care that empowers patients and communities to take an active role in eye health management.

What evidence suggests that this trial's treatments could be effective for improving linkage-to-care for eye disease?

Research has shown that community health volunteers, one of the interventions in this trial, improve access to eye care. These volunteers provide eye-care services locally and successfully raise awareness about eye health while encouraging follow-up care. Studies have found that involving these workers in eye care can save eyesight by overcoming treatment barriers.

Text message reminders, another intervention in this trial, have shown mixed results. Some studies suggest they aren't very effective at increasing attendance for eye screenings, but others find they help keep people engaged with their eye care, especially if they miss an appointment. These reminders might also assist parents in managing their children's eye health.26789

Who Is on the Research Team?

JK

Jeremy Keenan, MD, MPH

Principal Investigator

University of California, San Francisco

Are You a Good Fit for This Trial?

This trial is for individuals who were referred to an eye hospital after being screened for eye diseases like glaucoma, diabetic retinopathy, or age-related macular degeneration in the VIEW II trial. Specific eligibility criteria are not provided.

Inclusion Criteria

Participant of the VIEW II study referred to the eye hospital at their eye screening visit

Exclusion Criteria

Residence in a community without reliable mobile connectivity

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 day
1 visit (in-person)

Intervention

Participants are randomized to receive either text message reminders, reminders from community health workers, or no intervention to enhance linkage-to-care

21 days

Follow-up

Participants are monitored for attendance at the referral visit to the eye hospital

21 days

What Are the Treatments Tested in This Trial?

Interventions

  • Community Health Volunteer Visit
  • Text Message Reminder
Trial Overview The study tests if text message reminders or follow-ups by community health workers can help people visit the eye hospital after they've been referred due to potential eye disease. It's a randomized trial with three groups: one gets texts, another gets personal reminders, and the last group doesn't get any extra help.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Active Control
Group I: Text Message RemindersExperimental Treatment1 Intervention
Group II: Health WorkerExperimental Treatment1 Intervention
Group III: No InterventionActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Francisco

Lead Sponsor

Trials
2,636
Recruited
19,080,000+

National Eye Institute (NEI)

Collaborator

Trials
572
Recruited
1,320,000+

Bharatpur Eye Hospital

Collaborator

Trials
7
Recruited
301,000+

Seva Foundation

Collaborator

Trials
9
Recruited
302,000+

Published Research Related to This Trial

This study aims to evaluate the effectiveness of different reminder methods (text messages, reminder calls, or both) in increasing the use of service referrals among 300 participants from community outreach programs.
The research will help determine how mobile phone-based interventions can enhance community engagement and service utilization, potentially guiding future reminder protocols for similar programs across the country.
A Research Protocol to Test the Effectiveness of Text Messaging and Reminder Calls to Increase Service Use Referrals in a Community Engagement Program.Varma, DS., Hart, M., McIntyre, DS., et al.[2020]
A systematic review of 12 studies involving text messaging interventions for behavior change found that 8 out of 9 sufficiently powered studies supported its effectiveness in promoting health behavior changes over periods ranging from 3 to 12 months.
The review highlighted the need for more research in developing countries, as most studies were conducted in developed nations, despite the potential for text messaging to be a low-cost health intervention globally.
Text messaging as a tool for behavior change in disease prevention and management.Cole-Lewis, H., Kershaw, T.[2022]
A text messaging program (TMP) significantly improved glucose control and retinopathy screening rates in a study of 20 patients with uncontrolled type 2 diabetes over 3 months.
More than 70% of participants reported positive changes in their self-care behaviors, suggesting that using technology can effectively support diabetes management, especially for those with limited access to healthcare education.
Text Messaging in the Patient-Centered Medical Home to Improve Glucose Control and Retinopathy Screening.Miller, JM., Phalen, AG., Crawford, A., et al.[2020]

Citations

Effectiveness of community-based eye care: process and ...In the past three decades, there have been multiple examples of involving community-based health workers and volunteers in the delivery of eye-care ...
Systematic Review of Community-Engaged Research in ...In European studies, social deprivation has been associated with decreased screening uptake in diabetic retinopathy and an increase in sight-threatening ...
The Power of Ophthalmology in Community HealthTheir eyesight was saved through community-based ophthalmology programs offered at health centers deep in rural areas or urban neighborhoods.
Community Outreach Vision Screenings with Student-led Eye ...They conducted structured patient interviews including ophthalmic and systemic health history, burden of eye disease, and barriers to eye care.
Community-based vision health screening with on-site ...Over half (2214) of the 4349 participants had refractive error. Prominent sight threatening eye diseases identified in participants included 390 (9%) glaucoma ...
The impact of having a free community eye clinic located ...The Kansas City Free Eye Clinic is located inside a homeless shelter and, therefore, provides a convenient location for homeless and low-income individuals to ...
A comparison of pediatric and adult ocular diseases in the ...Among the pediatric-onset eye diseases, ROP showed the highest odds of developing a more severe disease when lacking transportation (aOR: 2.54, ...
Stakeholder Perspectives on Enhancing Eye Health ...Training village health volunteers in basic eye disease screening is a key strategy that will enhance early detection and support community- ...
The Relationship between Unstable Housing, Food ...Housing and food insecurity are social risk factors that can impact eye health outcomes. This study investigated the association of these social ...
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