Eye Care Utilization in A Community-oriented Mobile Screening Programme for Improving Eye Health in Iran: A Cluster Randomized Trial

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  • Marzieh Katibeh
  • Hamideh Sabbaghi, Shahid Beheshti Univ Med Sci, Shahid Beheshti University Medical Sciences, Fac Paramed Sci, Dept Biostat
  • ,
  • Masomeh Kalantarion, Shahid Beheshti Univ Med Sci, Shahid Beheshti University Medical Sciences, Fac Paramed Sci, Dept Biostat
  • ,
  • Homayoun Nikkhah, Shahid Beheshti Univ Med Sci, Shahid Beheshti University Medical Sciences, Fac Paramed Sci, Dept Biostat
  • ,
  • Batool Mousavi, Minimally Invasive Surgery Research Center; Iran University of Medical Sciences, Tehran, Iran, Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • ,
  • Ramin Beiranvand, Shahid Beheshti Univ Med Sci, Shahid Beheshti University Medical Sciences, Fac Paramed Sci, Dept Biostat
  • ,
  • Hamid Ahmadieh, Shahid Beheshti Univ Med Sci, Shahid Beheshti University Medical Sciences, Fac Paramed Sci, Dept Biostat
  • ,
  • Per Kallestrup

PURPOSE: To evaluate the effect of a mobile-based screening programme on eye care utilization in Iran.

METHOD: In this cluster randomized community trial, a representative sample of residents aged≥50 years from urban and rural areas in four districts in Tehran province were enrolled. The clusters were randomly assigned to one of the three parallel arms; the mHealth arm with digital data collection, vision screening test and retina evaluation using an integrated mobile application, the conventional arm with manual data collection and screening tests using Snellen chart and Fundus photography at the local primary healthcare facility, and the control arm with manual data collection without screening tests. The main outcome measure was eye care utilization which was defined as at least one visit to an optometrist or ophthalmologist.

RESULTS: Of 3312 eligible individuals, 2520 (76.1%) participated. In the first 3 months after the screening programme, eye care utilization was higher among those who were referred by the mHealth method (35.6% 95%CI: 31.1-40.4%) compared to those referred by the conventional method (32.7%, 95%CI: 27.5-38.2%) and to those observed in the control arm (4.5%, 95%CI: 3.2-6.0). Eye care utilization improved (OR = 1.5, 95%CI: 1.2-1.9) among the referred people after the screening programme compared to the utilization before this programme; however, this improvement was significantly higher in the mHealth method (OR: 1.7, 95%CI: 1.2-2.4) compared to the conventional method (OR: 1.2, 95%CI: 0.8-1.8).

CONCLUSION AND RELEVANCE: The mobile-based screening programme can significantly improve eye care utilization at the community level.

OriginalsprogEngelsk
TidsskriftOphthalmic Epidemiology
Sider (fra-til)1-12
Antal sider12
ISSN0928-6586
DOI
StatusE-pub ahead of print - 24 maj 2020

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