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ABSTRACT: Purpose
To explore cataract patients' experiences with an e-health tool for self-assessing visual function (ie, a web-based eye test), and to formulate recommendations for its successful adoption in routine cataract care.Setting
Clinics in the Netherlands, Germany, and Austria.Design
Mixed-methods study.Methods
22 participants were included in this study; in-depth interviews were conducted with 12. Questionnaires and in-depth semi-structured interviews were conducted alongside a multicenter randomized controlled trial evaluating the validity, safety and cost-effectiveness of remote care after cataract surgery (Cataract Online Refraction Evaluation, a Randomized Controlled Trial). Results were analyzed thematically.Results
Participants reported positively about performing the web-based eye test at home. 4 overarching themes were identified in the interviews. First, participants were inventive in overcoming practical barriers encountered while conducting the test. Second, participants desired a clear presentation of test results and their meaning. Third, the ability to self-monitor visual function was appreciated. Fourth, most participants preferred to keep the option to contact their eyecare professional (ECP) postoperatively, especially when experiencing symptoms. Most would be satisfied with a phone consultation or an e-consult. Participants reported positive experiences with the web-based eye test. Barriers for successful adoption were identified, including insecurity about correctly performing the test, incomplete information on how to interpret test results, and a feeling that in-hospital assessments were superior to remote assessments.Conclusions
It is recommended to focus on building trust in remote eyecare delivery and that access to the ECP be retained when medically indicated or deemed necessary by the patient.
SUBMITTER: Claessens JLJ
PROVIDER: S-EPMC10284124 | biostudies-literature | 2023 Jul
REPOSITORIES: biostudies-literature
Claessens Janneau L J JLJ Maats Emma P E EPE Iacob Maria E ME Wisse Robert P L RPL Jongsma Karin R KR
Journal of cataract and refractive surgery 20230329 7
<h4>Purpose</h4>To explore cataract patients' experiences with an e-health tool for self-assessing visual function (ie, a web-based eye test), and to formulate recommendations for its successful adoption in routine cataract care.<h4>Setting</h4>Clinics in the Netherlands, Germany, and Austria.<h4>Design</h4>Mixed-methods study.<h4>Methods</h4>22 participants were included in this study; in-depth interviews were conducted with 12. Questionnaires and in-depth semi-structured interviews were conduc ...[more]