WEAR (Wearability and Evaluation of Adjustable Refraction) III (WEARIII)
Primary Purpose
Myopia
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Adjustable glasses
Custom standard glasses
Ready-made glasses
Sponsored by
About this trial
This is an interventional health services research trial for Myopia focused on measuring Myopia, self-refraction, glasses, spectacles
Eligibility Criteria
Inclusion Criteria:
- 11-16 years old middle school students from two locations in Guangdong Province.
- With ≤ -1.00 Diopter of myopic refractive error in each eye.
- With uncorrected vision ≤ 6/12 in both eyes thought to be due to refractive error (that is, correctable to at least 6/7.5 with subjective refraction by an optometrist).
- With informed consents(There are two types of informed consents. One of them is whether the parents of the students agree their kids to participate in the project. The other informed consent is whether the parents agree their kids to have the cycloplegic refraction. If the students were admitted to participate in project but without being agreed to have cycloplegic refraction by their parents , they would have non cycloplegic retinoscopy.).
Exclusion Criteria:
- Those corrected VA can not up to 6/7.5 with subjective refraction by an optometrist.
- Those with significant strabismus or vision abnormality (keratopathy, cataract, vitreous macular diseases ), or with vision deficiency ( amblyopia ) children are to be excluded.
- Children developing acquired vision problems other than myopia.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Other
Other
Other
Arm Label
Group 1
Group 2
Group 3
Arm Description
Self-refraction with adjustable glasses
Subjective refraction by an expert refractionist after auto refraction and receiving custom standard glasses
Subjective refraction by an expert refractionist after auto refraction and receiving ready-made glasses
Outcomes
Primary Outcome Measures
Wearing spectacles proportion
The participators in each group may have the different wearing spectacles proportion.
Secondary Outcome Measures
The quality of life after wearing glasses(questionnaires)
The quality of life will be learned by questionnaires
Full Information
NCT ID
NCT02529540
First Posted
August 16, 2015
Last Updated
October 10, 2018
Sponsor
Sun Yat-sen University
Collaborators
Gaozhou Hospital of Traditional Chinese Medicine, Xinyi traditional Chinese medicine hospital
1. Study Identification
Unique Protocol Identification Number
NCT02529540
Brief Title
WEAR (Wearability and Evaluation of Adjustable Refraction) III
Acronym
WEARIII
Official Title
WEAR (Wearability and Evaluation of Adjustable Refraction) III: A Randomized Non-inferiority Trial of Children's Wear of Adjustable Glasses
Study Type
Interventional
2. Study Status
Record Verification Date
October 2018
Overall Recruitment Status
Completed
Study Start Date
September 1, 2015 (Actual)
Primary Completion Date
June 1, 2016 (Actual)
Study Completion Date
June 1, 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Sun Yat-sen University
Collaborators
Gaozhou Hospital of Traditional Chinese Medicine, Xinyi traditional Chinese medicine hospital
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Two-month randomized trial comparing three groups.
Detailed Description
Two-month randomized non-inferiority trial (the margin of non-inferiority is 20%) comparing three groups: self-refraction with adjustable glasses, receiving adjustable glasses; subjective refraction by an expert refractionist after computer optometry and receiving custom standard glasses; subjective refraction by an expert refractionist after computer optometry and receiving ready-made glasses. The main outcome of this study is the rate of glasses wear on twice-weekly covert evaluation by head teachers. And the continuous teacher assessment of wearing study glasses will be calculated as the number of times wearing glasses/ Total number of separate observations.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Myopia
Keywords
Myopia, self-refraction, glasses, spectacles
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
This is a randomized non-inferiority trial, and the margin of the non-inferiority is 20%.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
324 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Group 1
Arm Type
Other
Arm Description
Self-refraction with adjustable glasses
Arm Title
Group 2
Arm Type
Other
Arm Description
Subjective refraction by an expert refractionist after auto refraction and receiving custom standard glasses
Arm Title
Group 3
Arm Type
Other
Arm Description
Subjective refraction by an expert refractionist after auto refraction and receiving ready-made glasses
Intervention Type
Other
Intervention Name(s)
Adjustable glasses
Intervention Description
The glasses will be used for refraction and wearing within professional instructions.
Intervention Type
Other
Intervention Name(s)
Custom standard glasses
Intervention Description
The custom standard glasses are made by the traditional standards after refraction.
Intervention Type
Other
Intervention Name(s)
Ready-made glasses
Intervention Description
The glasses have been made already before the refraction in the hospital. And they will be chosen by prescription after refraction.
Primary Outcome Measure Information:
Title
Wearing spectacles proportion
Description
The participators in each group may have the different wearing spectacles proportion.
Time Frame
5 months after the start of the project
Secondary Outcome Measure Information:
Title
The quality of life after wearing glasses(questionnaires)
Description
The quality of life will be learned by questionnaires
Time Frame
5 months after the start of the project
Other Pre-specified Outcome Measures:
Title
Evaluation of the user's subjective impression(questionnaires)
Description
Evaluation of the user's subjective impression for the three type of glasses will be learned by questionnaires.
Time Frame
5 months after the start of the project
Title
Damaged condition of the glasses
Description
The glasses may be damaged during use. At the end of project, every user will have have a questionnaire about damaged condition of glasses, such as missing screws, having scratches on the surface of lens and so on.
Time Frame
5 months after the start of the project
10. Eligibility
Sex
All
Minimum Age & Unit of Time
11 Years
Maximum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
11-16 years old middle school students from two locations in Guangdong Province.
With ≤ -1.00 Diopter of myopic refractive error in each eye.
With uncorrected vision ≤ 6/12 in both eyes thought to be due to refractive error (that is, correctable to at least 6/7.5 with subjective refraction by an optometrist).
With informed consents(There are two types of informed consents. One of them is whether the parents of the students agree their kids to participate in the project. The other informed consent is whether the parents agree their kids to have the cycloplegic refraction. If the students were admitted to participate in project but without being agreed to have cycloplegic refraction by their parents , they would have non cycloplegic retinoscopy.).
Exclusion Criteria:
Those corrected VA can not up to 6/7.5 with subjective refraction by an optometrist.
Those with significant strabismus or vision abnormality (keratopathy, cataract, vitreous macular diseases ), or with vision deficiency ( amblyopia ) children are to be excluded.
Children developing acquired vision problems other than myopia.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nathan Congdon, MD, MPH
Organizational Affiliation
The Key Laboratory, Zhongshan Ophthalmic Center, Sun Yat-sen University
Official's Role
Principal Investigator
12. IPD Sharing Statement
Citations:
PubMed Identifier
14985292
Citation
He M, Zeng J, Liu Y, Xu J, Pokharel GP, Ellwein LB. Refractive error and visual impairment in urban children in southern china. Invest Ophthalmol Vis Sci. 2004 Mar;45(3):793-9. doi: 10.1167/iovs.03-1051.
Results Reference
background
PubMed Identifier
19104465
Citation
He M, Zheng Y, Xiang F. Prevalence of myopia in urban and rural children in mainland China. Optom Vis Sci. 2009 Jan;86(1):40-4. doi: 10.1097/OPX.0b013e3181940719.
Results Reference
background
PubMed Identifier
20547954
Citation
Li L, Lam J, Lu Y, Ye Y, Lam DS, Gao Y, Sharma A, Zhang M, Griffiths S, Congdon N. Attitudes of students, parents, and teachers toward glasses use in rural China. Arch Ophthalmol. 2010 Jun;128(6):759-65. doi: 10.1001/archophthalmol.2010.73.
Results Reference
background
PubMed Identifier
21232802
Citation
He M, Congdon N, MacKenzie G, Zeng Y, Silver JD, Ellwein L. The child self-refraction study results from urban Chinese children in Guangzhou. Ophthalmology. 2011 Jun;118(6):1162-9. doi: 10.1016/j.ophtha.2010.10.003. Epub 2011 Jan 12.
Results Reference
background
PubMed Identifier
24327616
Citation
Zhou Z, Zeng J, Ma X, Pang X, Yi H, Chen Q, Meltzer ME, He M, Rozelle S, Congdon N. Accuracy of rural refractionists in western China. Invest Ophthalmol Vis Sci. 2014 Jan 7;55(1):154-61. doi: 10.1167/iovs.13-13250.
Results Reference
background
PubMed Identifier
31543351
Citation
Wang CY, Zhang G, Tang B, Jin L, Huang W, Wang X, Chen T, Zhu W, Xiao B, Wang J, Zhou Z, Tang Z, Liang Y, Crescioni M, Wilson D, McAneney H, Silver JD, Moore B, Congdon N. A Randomized Noninferiority Trial of Wearing Adjustable Glasses versus Standard and Ready-made Spectacles among Chinese Schoolchildren: Wearability and Evaluation of Adjustable Refraction III. Ophthalmology. 2020 Jan;127(1):27-37. doi: 10.1016/j.ophtha.2019.08.002. Epub 2019 Aug 14.
Results Reference
derived
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WEAR (Wearability and Evaluation of Adjustable Refraction) III
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