Document Detail


Cluster randomized trial to compare spectacle delivery systems at outreach eye camps in South India.
MedLine Citation:
PMID:  24070102     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To study the optimal method for delivery of spectacles at eye camps to maximize procurement and use.
METHODS: A cluster randomized controlled trial, undertaken in the catchment districts of Aravind Eye Hospital - Theni, in the state of Tamil Nadu, India. Community eye camps (n = 21) were allocated to offer one of three types of service for purchase of spectacles to correct refractive error: (1) Issuance of a prescription only; (2) booking orders for spectacles with subsequent delivery; (3) on-the-spot fitting and dispensing of spectacles. Follow-up questionnaires were administered 6 weeks after interventions to assess patient outcomes. The primary outcome measured was spectacle procurement at follow-up 6 weeks post-screening. Secondary outcomes included use of and satisfaction with spectacles. Reasons for purchase/non-purchase were also assessed.
RESULTS: Compared to those who were issued only a prescription and adjusting for distance from base hospital, spectacle procurement was significantly higher for those allowed to book spectacles for subsequent delivery (odds ratio, OR, 8.79, 95% confidence interval, CI, 4.61-16.78) and for those receiving spectacles on the spot (OR 13.97, 95% CI 8.12-24.05). Among those with spectacles at 6 weeks, spectacle use was nearly universal and satisfaction with spectacles varied between 92 and 94% among the three different dispensing modalities.
CONCLUSION: Making spectacles available on the spot is important to ensure procurement in a context where availability and access to dispensing opticians is poor.
Authors:
Dhivya Ramasamy; Sanil Joseph; Vijayakumar Valaguru; Vinod P Mitta; Thulasiraj D Ravilla; Mary Frances Cotch
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ophthalmic epidemiology     Volume:  20     ISSN:  1744-5086     ISO Abbreviation:  Ophthalmic Epidemiol     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-09-27     Completed Date:  2014-01-21     Revised Date:  2014-10-09    
Medline Journal Info:
Nlm Unique ID:  9435674     Medline TA:  Ophthalmic Epidemiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  308-14     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cluster Analysis
Community Health Services / supply & distribution*
Delivery of Health Care / methods*
Eyeglasses / supply & distribution*
Female
Health Services Accessibility / statistics & numerical data*
Humans
India / epidemiology
Male
Middle Aged
Patient Satisfaction / statistics & numerical data
Prescriptions / statistics & numerical data
Refractive Errors / therapy*
Young Adult
Grant Support
ID/Acronym/Agency:
Z99 EY999999/EY/NEI NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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