The purpose of this study is:
1. To investigate the effect of patient counseling for cataract patients on (a) subsequent attendance at hospital for examination (b) acceptance of cataract surgery and (c) recommended follow-up after surgery;
2. To examine predictors of hospital attendance, surgery acceptance, and follow-up attendance;
3. To investigate the effect of patient counseling on satisfaction with surgery.
China is home to the 18% of the world's blind people, an estimated 6.6 million. In China, cataract is the leading cause of blindness. In Guangdong, current counseling measures for patients diagnosed with cataract are minimal and often lack adequate descriptions of what cataract is, what causes cataract, and benefits/risks of surgery. A counseling session for cataract patients and family members, conducted by a trained nurse during outreach screening, may increase subsequent attendance at pre-operative examination, acceptance of cataract surgery, and attendance at follow-up examinations. An integral part of this counseling is a short movie consisting of testimony from a former cataract patient who underwent surgery ("pseudophakic motivator"). The use of pseudophakic motivators have been shown to be effective in increasing surgical uptake. In addition, a previously validated "Barriers Questionnaire" will be used to assess predictors of of hospital attendance, surgery acceptance, and follow-up attendance in the categories of cost, transportation, knowledge, and concerns about quality.
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
Cataract
Video and counseling for cataract patients
Zhongshan Ophthalmic Center
Guangzhou
Guangdong
China
Recruiting
Sun Yat-sen University
Published on BioPortfolio: 2014-08-27T03:13:40-0400
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Cataract
Partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (Dorland, 27th ed)
Pseudophakia
Presence of an intraocular lens after cataract extraction.
Cataract Extraction
The removal of a cataractous CRYSTALLINE LENS from the eye.
Aphakia, Postcataract
Absence of the crystalline lens resulting from cataract extraction.
Capsule Opacification
Clouding or loss of transparency of the posterior lens capsule, usually following CATARACT extraction.