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CompletedNCT03304535Updated Oct 9, 2017

Social Worker in an Eye-Care Service

An observational study in Glaucoma, sponsored by Wills Eye. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2017-10-09.

Sponsored by Wills Eye · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
40
Sex
All
01

Study summary

The purpose of this research study is to determine whether involvement with a social worker helps reduce distress, depression, and increase patient activation in participants over a 6 month intervention period. The study will also describe common barriers to care that participants face.

Read the detailed description

An appointment will be scheduled for participant to meet with a social worker. The appointment may happen on day of participant's scheduled clinic appointment or on another mutually decided upon date and time. Should participant choose to participate, this first visit will be Visit 1 for the study.

Visit 1: Baseline

Informed consent will be obtained demonstrating an interest in participating.

A visit with the social worker will take place during Visit 1. This session will be held in a private office and allows participant time for discussion regarding any challenges, struggles and/or barriers they may be experiencing.

The following baseline questionnaires/surveys will be administered:

Modified Patient Activation Measure - measures participant confidence in taking care of their own health.

Distress Thermometer - measures participant distress level during the past week.

Patient Health Questionnaire -measures depression symptoms and severity if any.

Clinical information will be taken from participant's medical record. There may be follow-up questions related to data if information is unclear or incomplete.

Upon completion of Visit 1, participant will receive a satisfaction survey to evaluate how participant satisfaction with social worker interaction.

Social Worker Interventions: After Visit 1 and before Visit 2

The social worker will develop an intervention for participant during Visit 1 appointment. As many calls or in person meetings participant requires will take place. There will be no limit and it will be determined by participant's needs.

Visit 2: Follow-up After 6 Months

Upon completion of participant's six month follow-up in the study, the following questionnaires/surveys will be administered:

Modified Patient Activation Measure - measures how confident participant is at taking care of their own health.

Distress Thermometer - measures how much distress participant has been experiencing in the past week.

Patient Health Questionnaire - measures if participant has symptoms of depression and the severity of those symptoms.

Satisfaction Survey - measures how satisfied participant is with the social worker interaction.

02

Conditions studied

  • Glaucoma

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Keywords

  • Glaucoma
  • Social Worker
03

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with any type of Glaucoma

Inclusion criteria

  • Patients seen at Wills Eye Hospital in the Glaucoma Service
  • Glaucoma of any type, characterized by glaucomatous optic neuropathy and corresponding visual field (VF) defect
  • Referred to staff social worker for intervention
  • Ability to read, write, speak and understand English

Exclusion criteria

Exclusion Criteria:

  • None
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
40 participants (actual)
Patient registry
No
05

What researchers measure

Primary outcomes

  1. Change in response to Patient Health Questionnaire 9

    Measures participant levels of depression based on questions related to depressive symptoms. The investigator will assess change in the number of participants with major, moderate, and minimal depressive symptoms.

    Time frame: 6 months

Secondary outcomes

  1. Change in response to Distress thermometer

    Measures participant level of distress on a scale of 1 to 10 and asks additional questions regarding contributors to distress.

    Time frame: 6 months

  2. Change in response to Modified Patient Activation Measure 13

    Measures participant self-capacity for and confidence regarding glaucoma management.

    Time frame: 6 months

  3. Descriptive results of the Social Worker Baseline Assessment

    Social worker will assess each participant's internal and external barriers to care, limitations, and strengths that may help them to manage their glaucoma.

    Time frame: 6 months

06

Study locations

1 site
  • Wills Eye Hospital
    Philadelphia, Pennsylvania 19107, United States
07

References and documents

Publications

  • Fudemberg SJ, Amarasekera DC, Silverstein MH, Linder KM, Heffner P, Hark LA, Waisbourd M. Overcoming Barriers to Eye Care: Patient Response to a Medical Social Worker in a Glaucoma Service. J Community Health. 2016 Aug;41(4):845-9. doi: 10.1007/s10900-016-0162-1. PubMed 26860278 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03304535
Lead sponsor
Wills Eye
Responsible party
Scott Fudemberg, MD (Principal Investigator, Wills Eye) — Principal investigator
First posted
Oct 9, 2017
Start date
Jan 2016
Primary completion
Aug 2017
Completion
Aug 2017
Last update
Oct 9, 2017

Study contacts

Scott J Fudemberg, MD
principal investigator · Wills Eye Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2017. You cannot join it, but the record below documents what was studied.

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