May 2007
Volume 48, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2007
A Randomized Controlled Trial to Increased Compliance With Glaucoma Follow-Up Visits
Author Affiliations & Notes
  • P. Ramulu
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida
  • H. A. Quigley
    Ophthalmology, Wilmer Eye Institute, Johns Hopkins University, Maryland
  • D. S. Friedman
    Ophthalmology, Wilmer Eye Institute, Johns Hopkins University, Maryland
  • Footnotes
    Commercial Relationships P. Ramulu, None; H.A. Quigley, None; D.S. Friedman, None.
  • Footnotes
    Support None.
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 5577. doi:
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      P. Ramulu, H. A. Quigley, D. S. Friedman; A Randomized Controlled Trial to Increased Compliance With Glaucoma Follow-Up Visits. Invest. Ophthalmol. Vis. Sci. 2007;48(13):5577.

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Abstract

Purpose:: To test whether a multi-faceted intervention could increase compliance with follow-up visits in patients with a glaucoma-related diagnosis.

Methods:: Patients being seen for glaucoma or glaucoma suspicion in the residents' clinic at the Wilmer Eye Institute were enrolled and randomized (at a predicted 1:1 ratio) to receive usual care or usual care along with a multi-faceted intervention designed to improve visit compliance. Patients enrolled into the usual care group had their normal physician visit, received a follow-up appointment scheduled at the end of the visit, and were mailed a copy of their next appointment day right shortly after the appointment was made. Patients in the intervention group also watched a video about glaucoma on the day of their enrollment visit, and were reminded of their follow-up visit by both mail and phone. The primary study endpoint was compliance with the next scheduled glaucoma visit.

Results:: Ten patients were randomized into the usual care group, and 27 patients were randomized into the intervention group. Both groups were similar in average age, male/female ratio, percentage of patients on treatment, and percentage of glaucoma suspects, though the intervention group did have a longer period until follow-up (4.6 months vs. 2.8 months). Amongst all patients, men were more likely than women to make their follow-up visit (92% vs. 71%), and patients with an interval of 2 months or less until their follow-up visit were more likely to keep their appointment than patients with a visit interval of greater than 2 months (93% vs. 68%). Seven of 10 patients (70%) receiving usual care were compliant with their follow-up visit, while 23 of 27 patients (85%) receiving the intervention were compliant with their follow-up visit.

Conclusions:: A multi-faceted intervention including a motivational/education video and visit reminders may improve compliance with glaucoma follow-up visits. These data justify a large-scale trial to test whether this intervention can produce and sustain better compliance rates for glaucoma visits.

Clinical Trial:: www.clinicaltrials.gov Registration pending

Keywords: clinical (human) or epidemiologic studies: treatment/prevention assessment/controlled clinical trials 
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