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Lindsay Anne Rhodes, Ellen Antwi-Adjei, Thomas A. Swain, Gerald McGwin, Angela Harbour, Shilpa Register, Irfan Asif, Christopher A Girkin, Cynthia Owsley; The AL-SIGHT Program: Evaluating Change in Patient Knowledge about Glaucoma and Attitudes about Eye Care. Invest. Ophthalmol. Vis. Sci. 2022;63(7):2157 – A0185.
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The Alabama Screening and Intervention for Glaucoma and eye Health through Telemedicine (AL-SIGHT) program provided evidence-based eye health education tailored for patients at-risk for glaucoma in rural primary care clinics. The education program was based on the InCHARGE eye health education program designed for African Americans and materials from Prevent Blindness and NEI’s National Eye Health Education Program. This study investigated the impact of the first year of AL-SIGHT’s eye health education on at-risk patients’ knowledge about glaucoma and attitudes about eye care.
Three federally qualified health centers in rural, underserved communities in Alabama enrolled participants with one or more risk factors: Black or Hispanic ≥ 40 years, White ≥ 50 years, diabetes, a pre-existing glaucoma diagnosis, and/or a family history of glaucoma. Participants were administered a 7-question survey to assess their knowledge and attitudes on glaucoma and eye care prior to delivery of the education program and ocular imaging. Follow-up surveys were administered 6 weeks and 6 months after the initial visit by telephone call or web-based survey. Participant changes of survey responses from baseline to 6-week and 6-month follow-ups were compared using McNemar’s test.
209 participants completed the 6-week follow-up survey. Overall, there was a 56% improvement in knowledge but only a 9% improvement in attitude from baseline. 87 participants complete the 6-month follow-up survey. There was a 68% improvement in knowledge and a 13% improvement in attitude from baseline. Tables 1 and 2 describe the change in knowledge about glaucoma and attitudes about eye care at the 2 time points for each question.
AL-SIGHT’s eye health education program improved knowledge about glaucoma at both the 6-week and 6-month timepoints. The program also had a slight improvement in attitudes about eye care, but these questions had a high percentage correct at baseline. It is encouraging that the 6-month results showed that the improved knowledge was maintained, although the sample size was smaller. Efforts will be made to stress to participants that a complete glaucoma exam consists of much more than just measuring eye pressure.
This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.
6-Week Change in Knowledge and Attitudes
6-Month Change in Knowledge and Attitudes
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