alexa Improved Adherence to Vision Self-monitoring with the Vision and Memory Stimulating (VMS) Journal for Non-neovascular Age-related Macular Degeneration during a Randomized Controlled Trial | Abstract
ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
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Research Article

Improved Adherence to Vision Self-monitoring with the Vision and Memory Stimulating (VMS) Journal for Non-neovascular Age-related Macular Degeneration during a Randomized Controlled Trial

Ava K Bittner1,4, Sheryl Torr-Brown2, Ellen Arnold1, Antonia Nwankwo1, Patricia Beaton2, Radhika Rampat3, Gislin Dagnelie1 and Mark Roser2
1Johns Hopkins Wilmer Eye Institute, 600 N. Wolfe St., Baltimore, MD 21287, USA
2KeepSight, 515 Old Slocum Rd, Hebron, CT 06248, USA
3Moorefields Eye Hospital, London, UK
4Nova Southeastern University, College of Optometry, 3200 South University Dr., Ft. Lauderdale, FL, 33328-2018, USA
Corresponding Author : Ava Bittner
Nova Southeastern University
College of Optometry, 3200 South University Dr
Ft. Lauderdale, FL 33328-2018, USA
Tel: 954-262-1470
Fax: 954-262-1818
E-mail: [email protected]
Received: December 17, 2013; Accepted: January 15, 2014; Published: January 22, 2014
Citation: Bittner AK, Torr-Brown S, Arnold E, Nwankwo A, Beaton P, et al. (2014) Improved Adherence to Vision Self-monitoring with the Vision and Memory Stimulating (VMS) Journal for Non-neovascular Age-related Macular Degeneration during a Randomized Controlled Trial. J Clin Exp Ophthalmol 5:320. doi:10.4172/2155-9570.1000320
Copyright: © 2014 Bittner AK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Objective: An educational, interactive journal [Vision and Memory Stimulating (VMS) journal] was developed to boost patient confidence and promote long-term adherence with weekly vision self-monitoring in age-related macular degeneration (AMD) patients at risk for vision loss from new-onset neovascularization.
Methods: In a multicenter randomized controlled trial, 198 subjects with intermediate stage, non-neovascular AMD received the VMS journal or followed usual care (e.g. their doctor’s instructions for vision monitoring; Amsler grid). At 6 and/or 12 months post-enrollment, 157 subjects completed a questionnaire on vision self-monitoring.
Results: At 6 and 12 months, respectively, 85% and 80% of the VMS journal subjects reported vision monitoring at least weekly, which represent statistically significant 7.1 and 4.2 times greater odds than the 50% of controls who monitored weekly at both follow-up times (p<0.001). At 6 and 12 months, respectively, 29% and 25% of controls indicated that they had not checked their vision in the past 6 months, while only 1.5% and 5% of the VMS journal subjects reported no vision self-monitoring. At 6 and 12 months, respectively, only 15% and 13% of the VMS journal subjects vs. 53% and 44% of the controls reported that they did not feel confident that they were taking care of their sight by self-monitoring (p<0.001). Usual care controls had statistically significant 6.7 and 5.0 times greater odds of reporting non-confidence at 6 and 12 months, respectively. There was no statistically significant change in weekly vs. less frequent self-monitoring between the groups (p=0.68), with 81% of all subjects reporting no change in frequency between 6 and 12 months.
Conclusions: These findings support the efficacy of the VMS journal for increasing vision self-monitoring adherence and confidence, in addition to promoting persistence in weekly monitoring over the course of a year in AMD subjects at risk for exudative retinal changes.

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