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ToolsCampbell, Susan E, Azuara-Blanco, Augusto, Campbell, Marion K, Francis, Jillian J, Greene, Alexandra C, Ramsay, Craig R and Burr, Jennifer M (2012) Developing the specifications of an Open Angle Glaucoma screening intervention in the United Kingdom: a Delphi approach. BMC Health Services Research, 12. ISSN 1472-6963
Full text not available from this repository.Abstract
Background: Glaucoma is a leading cause of blindness. Early detection is advocated but there is insufficient evidence from randomized controlled trials (RCTs) to inform health policy on population screening. Primarily, there is no agreed screening intervention. For a screening programme, agreement is required on the screening tests to be used, either individually or in combination, the person to deliver the test and the location where testing should take place. This study aimed to use ophthalmologists (who were experienced glaucoma subspecialists), optometrists, ophthalmic nurses and patients to develop a reduced set of potential screening tests and testing arrangements that could then be explored in depth in a further study of their feasibility for evaluation in a glaucoma screening RCT. Methods: A two-round Delphi survey involving 38 participants was conducted. Materials were developed from a prior evidence synthesis. For round one, after some initial priming questions in four domains, specialists were asked to nominate three screening interventions, the intervention being a combination of the four domains; target population, (age and higher risk groups), site, screening test and test operator (provider). More than 250 screening interventions were identified. For round two, responses were condensed into 72 interventions and each was rated by participants on a 0-10 scale in terms of feasibility. Results: Using a cut-off of a median rating of feasibility of ≥5.5 as evidence of agreement of intervention feasibility, six interventions were identified from round 2. These were initiating screening at age 50, with a combination of two or three screening tests (varying combinations of tonometry/measures of visual function/optic nerve damage) organized in a community setting with an ophthalmic trained technical assistant delivering the tests. An alternative intervention was a ‘glaucoma risk score’ ascertained by questionnaire. The advisory panel recommended that further exploration of the feasibility of screening higher risk populations and detailed specification of the screening tests was required. Conclusions: With systematic use of expert opinions, a shortlist of potential screening interventions was identified. Views of users, service providers and cost-effectiveness modeling are now required to identify a feasible intervention to evaluate in a future glaucoma screening trial.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | delphi technique,feasibility studies,glaucoma, open-angle,great britain,humans,mass screening,optic nerve diseases,questionnaires,tonometry, ocular,vision tests,sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being |
| Faculty \ School: | |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Community and Family Health (former - to 2017) Faculty of Medicine and Health Sciences > Research Groups > Health in Later Life (former - to 2017) |
| Depositing User: | Pure Connector |
| Date Deposited: | 06 Jan 2014 14:30 |
| Last Modified: | 24 Oct 2022 05:52 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/46985 |
| DOI: | 10.1186/1472-6963-12-447 |
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