Community screening for eye disease by laypersons: the Hoffberger program

Quigley, Harry A.; Park, Chan Kee; Tracey, Patricia A.; Pollack, Irvin P.

doi:10.1016/s0002-9394(01)01380-0

Cited by 108 publications

(126 citation statements)

References 18 publications

Supporting

Mentioning

113

Contrasting

Unclassified

Order By: Relevance

“…13,14 However, as the prevalence of glaucoma in the adult Caucasian general population is far below the value optimal for screening, [2][3][4][5][6][7] it is very desirable to increase the prevalence of glaucoma among the self-recruited screening participants. 11,13 To specifically motivate persons to attend who have a high probability of having the disease, information on the risk factors for glaucoma needs to be provided when the screening event is publicised in the media. Such publicity information may, however, also motivate some low-risk individuals, but who have elevated health anxiety, to attend.…”

Section: Discussionmentioning

confidence: 99%

“…However, systematic, populationbased mass screening for glaucoma is very expensive and even then, with the techniques used up to now, it is only moderately accurate. [10][11][12] A less expensive approach is to provide free public glaucoma screening sessions, advertised in the media, at which self-recruited subjects with no visual symptoms can be screened. Such non-population-based screenings, however, can only be accurate if the diagnostic methods (or combination of methods) used have high positive likelihood ratio, and if the prevalence of glaucoma in the screened population is relatively high.…”

Section: Introductionmentioning

confidence: 99%

“…13,14 Thus, non-population-based glaucoma screening should ideally be focused on a target population with high risk for glaucoma. 11,[13][14][15][16] To increase the prevalence of glaucoma among the self-recruited participants (as compared with the general population), such screening sessions may need pre-publicity, and the information given should focus on the risk factors for chronic open-angle glaucoma, encouraging those with glaucoma risk factors to attend. Screening for a severe disease, however, can induce anxiety among potential participants, which might reduce their willingness to attend.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Health anxiety in a non-population-based, pre-publicised glaucoma screening exercise

Holló

Kóthy

Géczy

et al. 2009

Eye

View full text Add to dashboard Cite

Objective To investigate whether anxiety plays a role in self-recruitment for non-population-based glaucoma screening. Methods In a non-population-based pre-publicised trial, self-recruited Caucasian participants were screened for glaucoma, and also completed the Trait Anxiety Inventory and Shortened Health Anxiety Inventory questionnaires. In pre-publicity for the trial, information on risk factors for glaucoma was given. Participants classified as possible glaucoma cases later underwent a detailed glaucoma investigation. Results Of the 120 total participants (72 females, 48 males), 12 were considered glaucoma suspects at the screening, although only three (2.5%) were ultimately diagnosed with glaucoma. Health anxiety showed significant correlation with trait anxiety (r ¼ 0.525, Po0.001). Trait anxiety was similar for both the genders; this score was significantly below the normal Hungarian population value in women (Po0.001) and at the normal population level in men (P ¼ 0.560). In contrast, health anxiety was significantly higher than for both the 'normal' and 'anxious' reference groups (Po0.001), although smaller than that for hypochondriacs (Po0.001). Participants with pre-existing ocular symptoms, and those who attended because of fear of blindness, had significantly higher trait-and health-anxiety scores (Po0.05 for all comparisons). Conclusion In this screening trial, the health anxiety of the self-recruited participants was significantly above normal, whereas the prevalence of glaucoma was within the usual range for a Caucasian population. This suggests that providing pre-publicity information on risk factors for glaucoma does not necessarily increase the prevalence of glaucoma among self-recruited participants in non-population-based screening, as some individuals may participate on account of elevated health anxiety, rather than because of higher potential risk for glaucoma.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Health anxiety in a non-population-based, pre-publicised glaucoma screening exercise

Holló

Kóthy

Géczy

et al. 2009

Eye

View full text Add to dashboard Cite

show abstract

“…Os autores ressaltam que, mesmo tendo sido oferecido transporte e consulta gratuitas, as justificativas para o não-comparecimento dos pacientes foram: não recebimento da marcação de consulta, esquecimento, falta de transporte e falta de cobertura pelo plano de saúde (9) . Outro estudo com pré-escolares mostrou índice de não comparecimento de 20,6%, apesar de exaustivos apelos aos pais (10) .…”

Section: Tabela 1 Resumo Das Campanhas De Promoção De Saúde Ocular Reunclassified

Campanhas de promoção de saúde ocular: experiência do Hospital Banco de Olhos de Porto Alegre

Araújo¹,

Zucchetto²,

Filho³

2007

Rev. bras.oftalmol.

View full text Add to dashboard Cite

RESUMOObjetivos: Campanhas de promoção de saúde ocular têm sido promovidas por inúme-ras instituições de ensino médico numa freqüência crescente devido à grande demanda de pacientes e necessidade de promoção e prevenção da saúde visual. Estas campanhas devem ser formuladas e planejadas previamente, com alocação de pessoal, recursos e logística de atendimento. Este estudo objetiva analisar três campanhas de promoção de saúde ocular, identificando os fatores necessários para que tais eventos atinjam seus objetivos sociais. Métodos: Estudo observacional descritivo, incluindo três campanhas de atendimento oftalmológico realizadas no ano de 2005. Resultados: As campanhas incluídas foram: (1) Atendimento oftalmológico aos alunos e familiares de uma escola pública, com triagem feita na escola e encaminhamento de 90 pacientes ao hospital. Observou-se alto índice de absenteísmo (45,5%) à consulta hospitalar. Foram prescritos óculos a 73% dos pacientes e 14,5% necessitaram de encaminhamento para exames ou reconsultas; (2) Screening e informação sobre glaucoma, realizado em uma feira de produtos agrícolas. Foram examinados 107 indivíduos e não foi detectado nenhum caso suspeito; (3) Avaliação da acuidade visual e refração de escolares carentes, realizado no hospital, sem triagem prévia, em 1.200 crianças. Foram prescritos e doados óculos a 18,83% dos atendidos. Conclusão: Para a realização destas campanhas devem ser consideradas algumas variáveis como: local de atendimento (comunidade ou hospital) e disponibilidade de transporte, que influenciam o comparecimento da população; triagem prévia; disponibilidade de equipamentos para o atendimento necessário; possibilidade de referência dos pacientes para serviço especializado, entre outros. A análise destes fatores revelou diferença na resolutividade das mesmas.

show abstract

“…In a mass screening programme conducted for 7 years in Baltimore, 35 16 000 African-derived, urban citizens over 40 years of age were tested at senior housing centres and churches. Data analysis for 5000 of these persons showed that 2000 met referral criteria, 1300 scheduled a definitive examination by our ophthalmologists, but only 552 actually completed the full exam.…”

Section: Case Identificationmentioning

confidence: 99%

New paradigms in the mechanisms and management of glaucoma

Quigley

2004

Eye

View full text Add to dashboard Cite

During the last 30 years, the definition of glaucoma as been revised to eliminate the inclusion of intraocular pressure. Open angle glaucoma is the second leading cause of blindness in the world, but the proportion of those with the disease who become blind is low. Diagnostic methods for glaucoma need improvement. The pathogenetic steps to loss of neurons in glaucoma are increasingly understood and nonpressure lowering therapies are on the horizon.

show abstract

Community screening for eye disease by laypersons: the Hoffberger program

Cited by 108 publications

References 18 publications

Health anxiety in a non-population-based, pre-publicised glaucoma screening exercise

Health anxiety in a non-population-based, pre-publicised glaucoma screening exercise

Campanhas de promoção de saúde ocular: experiência do Hospital Banco de Olhos de Porto Alegre

New paradigms in the mechanisms and management of glaucoma

Contact Info

Product

Resources

About