密歇根通过远程医疗进行青光眼和眼部健康筛查和干预（MI-SIGHT）：实施和评估基于社区的项目的基线方法。
Michigan Screening and Intervention for Glaucoma and Eye Health Through Telemedicine (MI-SIGHT): Baseline Methodology for Implementing and Assessing a Community-based Program.
机构信息
Department of Ophthalmology and Visual Sciences.
Institute for Healthcare Policy and Innovation, University of Michigan.
出版信息
J Glaucoma. 2021 May 1;30(5):380-387. doi: 10.1097/IJG.0000000000001812.
PRECIS
The Michigan Screening and Intervention for Glaucoma and eye Health through Telemedicine (MI-SIGHT) program leverages community-engaged research, telemedicine, and health coaching to overcome key logistical and psychosocial barriers to improve glaucoma screening in underserved communities.
PURPOSE
To describe the methodology of the implementation and evaluation of the MI-SIGHT Program.
METHODS
The MI-SIGHT Program uses community engagement, telemedicine, and health coaching to overcome key logistical and psychosocial barriers to glaucoma identification and care among underserved populations. The MI-SIGHT Program will be evaluated in 2 community clinics: Hamilton Community Health Network, a federally qualified health center in Flint, Michigan, and the Hope Clinic, a free clinic in Ypsilanti, Michigan. A Community Advisory Board including the research team and health care providers, administrators, and patients from both clinics will guide program implementation. An ophthalmic technician at the community clinics will conduct screening tests for glaucoma and eye disease. The data will be transmitted through electronic health record to be reviewed by an ophthalmologist who will make recommendations for follow-up care. The ophthalmic technician will conduct a return visit to fit low-or no-cost glasses, help arrange follow-up with an ophthalmologist, and provide education. Those diagnosed with glaucoma or suspected glaucoma will be randomized to standard education or personalized glaucoma education and coaching. Costs will be assessed.
RESULTS
The authors hypothesize that the MI-SIGHT Program will detect a higher prevalence rate of glaucoma than that found in the general population, improve upon presenting visual acuity, enhance vision-related quality of life, and demonstrate that personalized glaucoma education and coaching improve adherence to follow-up care.
CONCLUSION
The MI-SIGHT Program may serve as a model for glaucoma screening and care in high-risk communities.
摘要
密歇根州通过远程医疗进行青光眼和眼部健康筛查和干预（MI-SIGHT）项目利用社区参与式研究、远程医疗和健康指导来克服关键的后勤和社会心理障碍，以改善服务不足社区的青光眼筛查。
目的
描述 MI-SIGHT 项目的实施和评估方法。
方法
MI-SIGHT 项目利用社区参与、远程医疗和健康指导来克服关键的后勤和社会心理障碍，以识别和治疗服务不足人群中的青光眼。MI-SIGHT 项目将在 2 个社区诊所进行评估：密歇根州弗林特市的联邦合格健康中心汉密尔顿社区健康网络（Hamilton Community Health Network）和密歇根州伊普西兰蒂的免费诊所希望诊所（Hope Clinic）。一个包括研究团队和医疗保健提供者、管理人员以及来自这两个诊所的患者在内的社区咨询委员会将指导项目的实施。社区诊所的眼科技术员将进行青光眼和眼部疾病的筛查测试。数据将通过电子健康记录传输，由眼科医生进行审查，为后续护理提出建议。眼科技术员将进行复诊以适配低或无成本的眼镜，帮助安排与眼科医生的随访，并提供教育。那些被诊断出青光眼或疑似青光眼的患者将被随机分配到标准教育或个性化青光眼教育和指导。将评估成本。
结果
作者假设 MI-SIGHT 项目将检测到比一般人群更高的青光眼患病率，提高现有的视力敏锐度，提高与视力相关的生活质量，并证明个性化的青光眼教育和指导可以提高对后续护理的依从性。
结论
MI-SIGHT 项目可能成为高风险社区青光眼筛查和护理的典范。
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