Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, North Carolina.
Department of Ophthalmology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Optom Vis Sci. 2022 Dec 1;99(12):838-843. doi: 10.1097/OPX.0000000000001959. Epub 2022 Nov 26.
The glaucoma question prompt list/video intervention was well received by patients. Eighty-seven percent of patients recommended that other patients should watch the educational video before their visits, and 89% said that other patients should complete the question prompt list before visits.
The objectives of this study were to (a) describe patient feedback on a glaucoma question prompt list/video intervention designed to motivate African American patients to be more engaged during visits and (b) examine patient demographics associated with acceptance of the intervention.
We are conducting a randomized controlled trial of a glaucoma question prompt list/video intervention. African American patients with glaucoma were enrolled and assigned to a control group or an intervention group where they watched a video emphasizing the importance of asking questions and received a prompt list to complete before visits. All patients were interviewed after visits and are being followed up for 12 months.
One hundred eighty-nine African American patients with glaucoma were enrolled into the larger trial. Of the 93 patients randomized to the intervention group, 89% said that patients should complete the prompt lists before visits, and 87% recommended that patients should watch the video before visits. Older patients were significantly less likely to believe that other patients should watch the video before their visits (t = -3.7, P = .04). Patients with fewer years of education were significantly more likely to rate the video as being more useful than patients with more years of education (Pearson correlation, -0.27; P = .01). Patients who reported being less adherent on the visual analog scale were more likely to rate the video as being more useful (Pearson correlation, -0.23; P = .03).
This study demonstrates that the question prompt list/video was accepted by the majority of African American patients who received the intervention.
青光眼问题提示清单/视频干预措施深受患者欢迎。87%的患者建议其他患者在就诊前观看教育视频，89%的患者表示其他患者应在就诊前完成问题提示清单。
本研究的目的是(a)描述设计用于激励非裔美国患者在就诊期间更加投入的青光眼问题提示清单/视频干预措施的患者反馈，以及(b)检查与干预措施接受程度相关的患者人口统计学特征。
我们正在进行一项青光眼问题提示清单/视频干预措施的随机对照试验。招募了患有青光眼的非裔美国患者，并将他们分配到对照组或干预组，在干预组中，他们观看了一段强调提问重要性的视频，并在就诊前收到了一份提示清单。所有患者在就诊后接受了访谈，并正在进行为期 12 个月的随访。
共有 189 名患有青光眼的非裔美国患者参加了更大规模的试验。在随机分配到干预组的 93 名患者中，89%的患者表示患者应在就诊前完成提示清单，87%的患者建议患者应在就诊前观看视频。年龄较大的患者明显不太可能认为其他患者应在就诊前观看视频(t=-3.7，P=0.04)。受教育年限较少的患者明显比受教育年限较多的患者更认为视频更有用(皮尔逊相关系数，-0.27;P=0.01)。在视觉模拟量表上报告的不依从性较低的患者更有可能认为视频更有用(皮尔逊相关系数，-0.23;P=0.03)。
这项研究表明，问题提示清单/视频被接受干预的大多数非裔美国患者所接受。
