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Improving eye care quality through brief verbal intervention on optometry service provider by using unannounced standardized patient with refractive error: study protocol for a randomized controlled trial

BACKGROUND: Improper refractive correction can be harmful to eye health, aggravating the burden of vision impairment. During most optometry clinical consultations, practitioner-patient interactions play a key role. Maybe it is feasible for patients themselves to do something to get high-quality opto...

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Autores principales: Liang, Huijuan, Li, Jiaqi, Zhang, Nan, Wu, Fang, Chen, Xiaoshan, Luo, Huanyuan, He, Wenjun, Liu, Siyuan, Kang, Ting, Zhang, Ruotong, Liu, Yujie, Huang, Zizhen, Zhang, Lanping, Zhao, Qing, Lv, Sensen, Li, Chunping, Xie, Yunyun, Xu, Dong (Roman)
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276370/
https://www.ncbi.nlm.nih.gov/pubmed/37328796
http://dx.doi.org/10.1186/s12886-023-03023-y
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author Liang, Huijuan
Li, Jiaqi
Zhang, Nan
Wu, Fang
Chen, Xiaoshan
Luo, Huanyuan
He, Wenjun
Liu, Siyuan
Kang, Ting
Zhang, Ruotong
Liu, Yujie
Huang, Zizhen
Zhang, Lanping
Zhao, Qing
Lv, Sensen
Li, Chunping
Xie, Yunyun
Xu, Dong (Roman)
author_facet Liang, Huijuan
Li, Jiaqi
Zhang, Nan
Wu, Fang
Chen, Xiaoshan
Luo, Huanyuan
He, Wenjun
Liu, Siyuan
Kang, Ting
Zhang, Ruotong
Liu, Yujie
Huang, Zizhen
Zhang, Lanping
Zhao, Qing
Lv, Sensen
Li, Chunping
Xie, Yunyun
Xu, Dong (Roman)
author_sort Liang, Huijuan
collection PubMed
description BACKGROUND: Improper refractive correction can be harmful to eye health, aggravating the burden of vision impairment. During most optometry clinical consultations, practitioner-patient interactions play a key role. Maybe it is feasible for patients themselves to do something to get high-quality optometry. But the present empirical research on the quality improvement of eye care needs to be strengthened. The study aims to test the effect of the brief verbal intervention (BVI) through patients on the quality of optometry service. METHODS: This study will take unannounced standardized patient (USP) with refractive error as the core research tool, both in measurement and intervention. The USP case and the checklist will be developed through a standard protocol and assessed for validity and reliability before its full use. USP will be trained to provide standardized responses during optical visits and receive baseline refraction by the skilled study optometrist who will be recruited within each site. A multi-arm parallel-group randomized trial will be used, with one common control and three intervention groups. The study will be performed in four cities, Guangzhou and three cities in Inner Mongolia, China. A total of 480 optometry service providers (OSPs) will be stratified and randomly selected and divided into four groups. The common control group will receive USP usual visits (without intervention), and three intervention groups will separately receive USP visits with three kinds of BVI on the patient side. A detailed outcome evaluation will include the optometry accuracy, optometry process, patient satisfaction, cost information and service time. Descriptive analysis will be performed for the survey results, and the difference in outcomes between interventions and control providers will be compared and statistically tested using generalized linear models (GLMs). DISCUSSION: This research will help policymakers understand the current situation and influencing factors of refractive error care quality, and then implement precise policies; at the same time, explore short and easy interventions for patients to improve the quality of optometry service. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2200062819. Registered on August 19, 2022. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12886-023-03023-y.
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spelling pubmed-102763702023-06-18 Improving eye care quality through brief verbal intervention on optometry service provider by using unannounced standardized patient with refractive error: study protocol for a randomized controlled trial Liang, Huijuan Li, Jiaqi Zhang, Nan Wu, Fang Chen, Xiaoshan Luo, Huanyuan He, Wenjun Liu, Siyuan Kang, Ting Zhang, Ruotong Liu, Yujie Huang, Zizhen Zhang, Lanping Zhao, Qing Lv, Sensen Li, Chunping Xie, Yunyun Xu, Dong (Roman) BMC Ophthalmol Study Protocol BACKGROUND: Improper refractive correction can be harmful to eye health, aggravating the burden of vision impairment. During most optometry clinical consultations, practitioner-patient interactions play a key role. Maybe it is feasible for patients themselves to do something to get high-quality optometry. But the present empirical research on the quality improvement of eye care needs to be strengthened. The study aims to test the effect of the brief verbal intervention (BVI) through patients on the quality of optometry service. METHODS: This study will take unannounced standardized patient (USP) with refractive error as the core research tool, both in measurement and intervention. The USP case and the checklist will be developed through a standard protocol and assessed for validity and reliability before its full use. USP will be trained to provide standardized responses during optical visits and receive baseline refraction by the skilled study optometrist who will be recruited within each site. A multi-arm parallel-group randomized trial will be used, with one common control and three intervention groups. The study will be performed in four cities, Guangzhou and three cities in Inner Mongolia, China. A total of 480 optometry service providers (OSPs) will be stratified and randomly selected and divided into four groups. The common control group will receive USP usual visits (without intervention), and three intervention groups will separately receive USP visits with three kinds of BVI on the patient side. A detailed outcome evaluation will include the optometry accuracy, optometry process, patient satisfaction, cost information and service time. Descriptive analysis will be performed for the survey results, and the difference in outcomes between interventions and control providers will be compared and statistically tested using generalized linear models (GLMs). DISCUSSION: This research will help policymakers understand the current situation and influencing factors of refractive error care quality, and then implement precise policies; at the same time, explore short and easy interventions for patients to improve the quality of optometry service. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2200062819. Registered on August 19, 2022. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12886-023-03023-y. BioMed Central 2023-06-16 /pmc/articles/PMC10276370/ /pubmed/37328796 http://dx.doi.org/10.1186/s12886-023-03023-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Liang, Huijuan
Li, Jiaqi
Zhang, Nan
Wu, Fang
Chen, Xiaoshan
Luo, Huanyuan
He, Wenjun
Liu, Siyuan
Kang, Ting
Zhang, Ruotong
Liu, Yujie
Huang, Zizhen
Zhang, Lanping
Zhao, Qing
Lv, Sensen
Li, Chunping
Xie, Yunyun
Xu, Dong (Roman)
Improving eye care quality through brief verbal intervention on optometry service provider by using unannounced standardized patient with refractive error: study protocol for a randomized controlled trial
title Improving eye care quality through brief verbal intervention on optometry service provider by using unannounced standardized patient with refractive error: study protocol for a randomized controlled trial
title_full Improving eye care quality through brief verbal intervention on optometry service provider by using unannounced standardized patient with refractive error: study protocol for a randomized controlled trial
title_fullStr Improving eye care quality through brief verbal intervention on optometry service provider by using unannounced standardized patient with refractive error: study protocol for a randomized controlled trial
title_full_unstemmed Improving eye care quality through brief verbal intervention on optometry service provider by using unannounced standardized patient with refractive error: study protocol for a randomized controlled trial
title_short Improving eye care quality through brief verbal intervention on optometry service provider by using unannounced standardized patient with refractive error: study protocol for a randomized controlled trial
title_sort improving eye care quality through brief verbal intervention on optometry service provider by using unannounced standardized patient with refractive error: study protocol for a randomized controlled trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276370/
https://www.ncbi.nlm.nih.gov/pubmed/37328796
http://dx.doi.org/10.1186/s12886-023-03023-y
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