- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT06107881
Sensori beacon e teleriabilitazione per valutare e migliorare l'uso dei dispositivi (BeST-AID) per l'ipovisione (BeST-AID)
One goal of this research is to conduct a non-inferiority trial of telerehabilitation versus in-office care to provide follow-up training to individuals with low vision to enhance their quality of life by using magnification devices and/or visual assistive mobile apps for important daily activities, such as reading and/or other valued tasks. This is a high priority given the increasing prevalence of low vision, paucity of low vision rehabilitation providers, and barriers related to access to care, such as transportation and geography, which can be essentially eliminated with telerehabilitation. Another goal of this project is to determine whether significant changes in environmental data collected by Bluetooth low energy beacon sensors can be used as a solution to monitor and indicate when low vision patients' have abandoned the use of their magnification devices, which has the potential to substantially enhance patient management by providing timely low vision rehabilitation services.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
- Nome: UCLA Study Coordinator
- Numero di telefono: 310-794-5602
- Email: JessicaSLin@mednet.ucla.edu
Luoghi di studio
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California
-
Fullerton, California, Stati Uniti, 92831
- Non ancora reclutamento
- Southern Califonia College of Optometry
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Contatto:
- Patrick Yoshinaga, OD
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Grass Valley, California, Stati Uniti, 95945
- Non ancora reclutamento
- Chan Family Optometry
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Contatto:
- Tiffany L Chan, OD
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Los Angeles, California, Stati Uniti, 90095
- Reclutamento
- UCLA Stein Eye Institute
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Contatto:
- Ava K Bittner, OD, PhD
- Numero di telefono: 310-206-4649
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Investigatore principale:
- Ava K Bittner, OD, PhD
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San Francisco, California, Stati Uniti, 94102
- Non ancora reclutamento
- Frank Stein & Paul S. May Center for Low Vision Rehabilitation at The Eye Institute
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Contatto:
- Tiffany Chan, OD
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Santa Monica, California, Stati Uniti, 90401
- Non ancora reclutamento
- See What You Miss Optometry
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Contatto:
- Lynn Watt Kurata, OD
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Massachusetts
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Boston, Massachusetts, Stati Uniti, 02115
- Non ancora reclutamento
- New England College of Optometry
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Contatto:
- Nicole C Ross, OD
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Brockton, Massachusetts, Stati Uniti, 02301
- Non ancora reclutamento
- Boston University Eye Associates, Inc.
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Contatto:
- Lexi G Malkin, OD
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Michigan
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Midland, Michigan, Stati Uniti, 48640
- Non ancora reclutamento
- Mid-Michigan Eye Care
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Contatto:
- John E Kaminski, OD
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Nebraska
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Omaha, Nebraska, Stati Uniti, 68198
- Non ancora reclutamento
- University of Nebraska: Weigel Williamson Center for Visual Rehabilitation at the Truhlsen Eye Institute
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Contatto:
- John Shepherd, MD
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
- adults with any level of vision loss due to any ocular disease who are age 18 and older, and who have received new magnification device(s) for the first time (i.e., hand-held optical magnifiers, portable electronic video magnifiers, high near add powers of +4.00 or greater, visual assistive mobile apps for their smartphone/tablet, some stand magnifiers and CCTVs) from one of our participating low vision rehabilitation sites at the four academic centers and one private practice.
Exclusion Criteria:
- schedules not permitting participation in planned study visits (including planning to move far from their clinical provider's office within the first 4-months of the study (i.e., cannot attend in-office visits) or take extended vacation that would not allow them to complete study procedures during the first four months of the study period),
- inability to understand study procedures or communicate responses to visual stimuli in a consistent manner (greater than mild cognitive impairment as per TICS),
- substance abuse,
- significant hearing loss (unable to hear communication by phone or via videoconferencing),
- significant medical condition likely to limit participation or lifespan,
- individuals who require other types of LVR training or intervention (e.g., psychosocial).
- For Bluetooth low energy beacon sensors, exclusion would occur if their magnifier device has features that would not work in conjunction with the beacon sensors: (1) hands-free and do not have a place where the patient's hand is holding the device during use (therefore, they would not register a significant change in temperature), (2) no surface area of at least 1"x1" to which the beacon sensor could be attached without interfering with the device, or (3) use of visual assistive mobile apps only.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: Telerehabilitation with low vision provider
Low Vision Rehabilitation for use of magnification or visual assistive devices using videoconferencing for remotely delivered follow-up care |
Evaluation and training with magnification or visual assistive devices for visually-impaired adults |
|
Comparatore attivo: Usual Care In-Office
Low Vision Rehabilitation in-office for use of magnification or visual assistive devices |
Evaluation and training with magnification or visual assistive devices for visually-impaired adults |
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Activity Inventory
Lasso di tempo: changes from 1 month to 4 months to 8 months to 12 months to 13 months after receiving a magnification device
|
questionnaire; scores will be Rasch analyzed in logic units with higher or positive scores indicating less difficulty (i.e., improvement) |
changes from 1 month to 4 months to 8 months to 12 months to 13 months after receiving a magnification device
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
MNread
Lasso di tempo: baseline, 1 month, 4 months, 8 months, 12 months, 13 months
|
reading speed and acuity test |
baseline, 1 month, 4 months, 8 months, 12 months, 13 months
|
|
Sustained Silent Reading Test
Lasso di tempo: baseline, 1 month, 4 months, 8 months, 12 months, 13 months
|
prolonged reading test |
baseline, 1 month, 4 months, 8 months, 12 months, 13 months
|
|
International Reading Speed Text (IReST)
Lasso di tempo: baseline, 1 month, 4 months, 8 months, 12 months, 13 months
|
reading speed test |
baseline, 1 month, 4 months, 8 months, 12 months, 13 months
|
|
Radner Reading Charts
Lasso di tempo: baseline, 1 month, 4 months, 8 months, 12 months, 13 months
|
reading speed and acuity test |
baseline, 1 month, 4 months, 8 months, 12 months, 13 months
|
|
Vision rehabilitation satisfaction survey
Lasso di tempo: after each session that will occur over a period of 1 to 8 months and and again at about 1 year
|
surveys: post-telerehabilitation or in-office visits |
after each session that will occur over a period of 1 to 8 months and and again at about 1 year
|
|
Informant surveys by close acquaintances of participants
Lasso di tempo: 4 months, 8 months, 12 months, 13 months
|
survey |
4 months, 8 months, 12 months, 13 months
|
|
Adherence to hand-held optical magnifier use (frequency and duration)
Lasso di tempo: baseline to 13 months
|
Bluetooth low energy beacon sensor data |
baseline to 13 months
|
Collaboratori e investigatori
Collaboratori
Investigatori
- Investigatore principale: Ava K Bittner, OD, PhD, University of California, Los Angeles
Pubblicazioni e link utili
Pubblicazioni generali
- Bittner AK, Yoshinaga PD, Shepherd JD, Kaminski JE, Malkin AG, Chun MW, Chan TL, Deemer AD, Ross NC; BeST-AID Study Team. Acceptability of Telerehabilitation for Magnification Devices for the Visually Impaired Using Various Approaches to Facilitate Accessibility. Transl Vis Sci Technol. 2022 Aug 1;11(8):4. doi: 10.1167/tvst.11.8.4.
- Bittner AK, Estabrook M, Dennis N. Bluetooth Low Energy Beacon Sensors to Document Handheld Magnifier Use at Home by People with Low Vision. Sensors (Basel). 2021 Oct 25;21(21):7065. doi: 10.3390/s21217065.
- Bittner AK, Kaminski JE, Ross NC, Shepherd JD, Thoene SJ, Bui SZ, Yoshinaga PD; BeST-AID Study Team. Telerehabilitation Training to Facilitate Improved Reading Ability with New Magnification Devices for Low Vision. Optom Vis Sci. 2022 Oct 1;99(10):743-749. doi: 10.1097/OPX.0000000000001944. Epub 2022 Sep 6.
- Bittner AK, Yoshinaga PD, Rittiphairoj T, Li T. Telerehabilitation for people with low vision. Cochrane Database Syst Rev. 2023 Jan 13;1(1):CD011019. doi: 10.1002/14651858.CD011019.pub4.
- Malkin AG, Ross NC, Chun MW, Bittner AK; CARE Study Team. Why Are Visual Assistive Mobile Applications Underused by Low Vision Patients? Optom Vis Sci. 2022 Apr 1;99(4):333-334. doi: 10.1097/OPX.0000000000001893. No abstract available.
- Kaminski JE, Yoshinaga PD, Chun MW, Yu M, Shepherd JD, Chan TL, Deemer A, Bittner AK; BeST-AID Study Team. Value of Handheld Optical Illuminated Magnifiers for Sustained Silent Reading by Visually Impaired Adults. Optom Vis Sci. 2023 May 1;100(5):312-318. doi: 10.1097/OPX.0000000000002013. Epub 2023 Mar 22.
- Bittner AK, Yoshinaga P, Bowers A, Shepherd JD, Succar T, Ross NC. Feasibility of Telerehabilitation for Low Vision: Satisfaction Ratings by Providers and Patients. Optom Vis Sci. 2018 Sep;95(9):865-872. doi: 10.1097/OPX.0000000000001260.
- Bittner AK, Jacobson AJ, Khan R. Feasibility of Using Bluetooth Low Energy Beacon Sensors to Detect Magnifier Usage by Low Vision Patients. Optom Vis Sci. 2018 Sep;95(9):844-851. doi: 10.1097/OPX.0000000000001266.
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Inizio studio (Effettivo)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- BeST-AID 2.0
Piano per i dati dei singoli partecipanti (IPD)
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Descrizione del piano IPD
Please contact the principal investigator
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