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Randomized Controlled Trial on Visual Field Training

Primary Purpose

Glaucoma

Status
Unknown status
Phase
Not Applicable
Locations
Chile
Study Type
Interventional
Intervention
Practice program
Sponsored by
Oftalmologia Hospital Sotero del Rio
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Glaucoma focused on measuring automated perimetry, visual fields, reliability, vision tests/standards, randomized controlled trial, false positive reactions, false negative reactions, fixation, ocular, mean deviation, variability, program, software, glaucoma/diagnosis, visual field tests/methods, aged, humans, female, male, prospective studies, reproducibility of results

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 18 years old or greater
  • Referred to the glaucoma clinic for examination due to suspected glaucoma or glaucoma diagnosis
  • No more than 1 automated visual field test within the last 4 years

Exclusion Criteria:

  • patients who cannot remain seated for 10 minutes
  • patients with neck problems that prevent them from using the field analyzer properly

Sites / Locations

  • Hospital Sótero del RíoRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Experimental

Arm Label

Control Group

Practice Program

Arm Description

No practice tests are performed in this arm

At the 3 study visits exposed to a training session (simulated visual field test on a computer). Visit 1 they get 2 simulated tests tests per eye. At visits 2 and 3 they get 1 simulated test per eye. Each simulated test takes 3-15 minutes

Outcomes

Primary Outcome Measures

The absolute value of the difference in mean deviation of the first and second visual field exam

Secondary Outcome Measures

Difference in the absolute number of altered points in the visual field with a total deviation below the 0.5 percentile
Difference in the percentage of false positives, false negatives, and fixation losses at the first and second exam between control and intervention group
Difference in the time required to complete the first and second exam
Difference in the proportion of unreliable visual fields at the first and second exam between control and intervention groups

Full Information

First Posted
August 16, 2012
Last Updated
August 16, 2012
Sponsor
Oftalmologia Hospital Sotero del Rio
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1. Study Identification

Unique Protocol Identification Number
NCT01669031
Brief Title
Randomized Controlled Trial on Visual Field Training
Official Title
Effect of Exposure to Computer Simulated Visual Field Testing on Variability and Reliability of Test Results: A Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
August 2012
Overall Recruitment Status
Unknown status
Study Start Date
August 2012 (undefined)
Primary Completion Date
May 2013 (Anticipated)
Study Completion Date
May 2013 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Oftalmologia Hospital Sotero del Rio

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Unreliability and visual field variability is a known problem with automated perimetry in both developing and developed country settings. This study will look at the effects of a computer program that allows new patients to practice the visual field exam before taking the actual exam. Our hypothesis is that the intervention group will have less variability as measured by mean deviation between exams and greater reliability as measured by the standard unreliability indexes of false positive rate, false negative rate, and fixation losses.
Detailed Description
3 study visits. Visit 1: Baseline visit for consent, getting baseline data and finally randomizing the patient. Those randomized to intervention get their first session of simulated visual field (2 per eye) on a regular computer for training purposes. Visit 2: 1 to 2 days after baseline. The intervention group gets 1 practice test per eye. Then both groups get a regular automated visual field Visit 3: 1 to 2 weeks after baseline. The intervention group gets 1 practice test per eye. Then both groups get a regular automated visual field. Study Ends, patient gets seen by the patient.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Glaucoma
Keywords
automated perimetry, visual fields, reliability, vision tests/standards, randomized controlled trial, false positive reactions, false negative reactions, fixation, ocular, mean deviation, variability, program, software, glaucoma/diagnosis, visual field tests/methods, aged, humans, female, male, prospective studies, reproducibility of results

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Care ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
200 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Control Group
Arm Type
No Intervention
Arm Description
No practice tests are performed in this arm
Arm Title
Practice Program
Arm Type
Experimental
Arm Description
At the 3 study visits exposed to a training session (simulated visual field test on a computer). Visit 1 they get 2 simulated tests tests per eye. At visits 2 and 3 they get 1 simulated test per eye. Each simulated test takes 3-15 minutes
Intervention Type
Other
Intervention Name(s)
Practice program
Other Intervention Name(s)
Computer Simulated practice Visual Field Test
Intervention Description
Each practice session (simulated visual field test on computer) takes 3-15 minutes
Primary Outcome Measure Information:
Title
The absolute value of the difference in mean deviation of the first and second visual field exam
Time Frame
Visual field exams obtained 1 to 2 weeks apart
Secondary Outcome Measure Information:
Title
Difference in the absolute number of altered points in the visual field with a total deviation below the 0.5 percentile
Time Frame
Visual field exams obtained 1 to 2 weeks apart
Title
Difference in the percentage of false positives, false negatives, and fixation losses at the first and second exam between control and intervention group
Time Frame
Visual field exams obtained 1 to 2 weeks apart
Title
Difference in the time required to complete the first and second exam
Time Frame
Visual field exams obtained 1 to 2 weeks apart
Title
Difference in the proportion of unreliable visual fields at the first and second exam between control and intervention groups
Time Frame
Visual field exams obtained 1 to 2 weeks apart

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years old or greater Referred to the glaucoma clinic for examination due to suspected glaucoma or glaucoma diagnosis No more than 1 automated visual field test within the last 4 years Exclusion Criteria: patients who cannot remain seated for 10 minutes patients with neck problems that prevent them from using the field analyzer properly
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Justin B Hellman, Bachelors
Phone
67313177
Email
justin@tentacle.net
First Name & Middle Initial & Last Name or Official Title & Degree
Eugenio Maul, MD/MPH
Email
eugenio.maul@gmail.com
Facility Information:
Facility Name
Hospital Sótero del Río
City
Santiago
State/Province
Puente Alto
Country
Chile
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Eugenio A Maul, MD/MPH
Phone
+56 9 66593935
Email
eugenio.maul@gmail.com
First Name & Middle Initial & Last Name & Degree
Militza Sanchez, CTO
Phone
+56 9 73927416
Email
militza_a@hotmail.com
First Name & Middle Initial & Last Name & Degree
Eugenio A Maul, MD MPH
First Name & Middle Initial & Last Name & Degree
Jimena Schmidt, MD
First Name & Middle Initial & Last Name & Degree
Andres Gerhard, MD

12. IPD Sharing Statement

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Randomized Controlled Trial on Visual Field Training

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