{"title":"使用 ICARE® HOME2 和智能手机应用程序进行眼压自我监测:可行性和可接受性。","authors":"Laurence Quérat, Enping Chen","doi":"10.1111/aos.16789","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the feasibility and acceptability of self-tonometry by glaucoma patients using iCare® Home2 (ICH2) and a smartphone application, without healthcare personnel supervision.</p><p><strong>Methods: </strong>After downloading a smartphone application, participants learned to handle the ICH2 via an instruction film, measured their intraocular pressure (IOP) and transferred the data to the caregiver via the application. Participants' measurements were compared to healthcare personnel measurements using Goldmann applanation tonometry (GAT). Participants answered questionnaires about their experience of self-tonometry.</p><p><strong>Results: </strong>Twenty-eight participants were included in the study and three of them dropped off. There was no statistically significant difference between the last measurements obtained with ICH2 by the participants and the GAT measurements for the right and the left eye, p = 0.781 and p = 0.888 respectively. The inter-user agreement was good to excellent between the last measurements obtained with ICH2 by the participants and the GAT measurements for the right and the left eye (ICC 0.907 and 0.830 respectively). The overall impression of the participants was very positive, with 92% happy (a lot or completely) with the instruction film and 88% happy (a lot or completely) with the smartphone application. Thirty-six percent would have preferred to have an instructor by their side.</p><p><strong>Conclusion: </strong>Our study showed the feasibility and acceptability of self-tonometry with iCare® Home2 and a smartphone application without the supervision of a healthcare provider in a group of motivated glaucoma patients.</p>","PeriodicalId":6915,"journal":{"name":"Acta Ophthalmologica","volume":" ","pages":""},"PeriodicalIF":3.0000,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Self-monitoring of the intraocular pressure with ICARE® HOME2 and a smartphone application: Feasibility and acceptability.\",\"authors\":\"Laurence Quérat, Enping Chen\",\"doi\":\"10.1111/aos.16789\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To evaluate the feasibility and acceptability of self-tonometry by glaucoma patients using iCare® Home2 (ICH2) and a smartphone application, without healthcare personnel supervision.</p><p><strong>Methods: </strong>After downloading a smartphone application, participants learned to handle the ICH2 via an instruction film, measured their intraocular pressure (IOP) and transferred the data to the caregiver via the application. Participants' measurements were compared to healthcare personnel measurements using Goldmann applanation tonometry (GAT). Participants answered questionnaires about their experience of self-tonometry.</p><p><strong>Results: </strong>Twenty-eight participants were included in the study and three of them dropped off. There was no statistically significant difference between the last measurements obtained with ICH2 by the participants and the GAT measurements for the right and the left eye, p = 0.781 and p = 0.888 respectively. The inter-user agreement was good to excellent between the last measurements obtained with ICH2 by the participants and the GAT measurements for the right and the left eye (ICC 0.907 and 0.830 respectively). The overall impression of the participants was very positive, with 92% happy (a lot or completely) with the instruction film and 88% happy (a lot or completely) with the smartphone application. Thirty-six percent would have preferred to have an instructor by their side.</p><p><strong>Conclusion: </strong>Our study showed the feasibility and acceptability of self-tonometry with iCare® Home2 and a smartphone application without the supervision of a healthcare provider in a group of motivated glaucoma patients.</p>\",\"PeriodicalId\":6915,\"journal\":{\"name\":\"Acta Ophthalmologica\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-11-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Ophthalmologica\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/aos.16789\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Ophthalmologica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/aos.16789","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的:评估青光眼患者在没有医护人员监督的情况下使用 iCare® Home2(ICH2)和智能手机应用程序进行自我眼压测量的可行性和可接受性:下载智能手机应用程序后,参与者通过教学片学习如何操作 ICH2,测量眼压(IOP),并通过应用程序将数据传输给护理人员。参与者的测量结果与医护人员使用戈德曼眼压计(GAT)进行的测量结果进行了比较。参与者回答了关于自我眼压测量经验的问卷:共有 28 人参与了研究,其中 3 人放弃了研究。参与者用 ICH2 进行的最后一次测量结果与 GAT 对左右眼的测量结果之间没有明显的统计学差异,分别为 p = 0.781 和 p = 0.888。参与者使用 ICH2 进行的最后一次测量结果与 GAT 对左右眼的测量结果之间的用户间一致性良好至极佳(ICC 分别为 0.907 和 0.830)。参与者的总体印象非常好,92% 的人对教学影片感到满意(非常满意或完全满意),88% 的人对智能手机应用程序感到满意(非常满意或完全满意)。36%的人希望有一名指导员在他们身边:我们的研究表明,在一群积极主动的青光眼患者中,使用 iCare® Home2 和智能手机应用程序进行自我眼压测量是可行的,也是可以接受的。
Self-monitoring of the intraocular pressure with ICARE® HOME2 and a smartphone application: Feasibility and acceptability.
Purpose: To evaluate the feasibility and acceptability of self-tonometry by glaucoma patients using iCare® Home2 (ICH2) and a smartphone application, without healthcare personnel supervision.
Methods: After downloading a smartphone application, participants learned to handle the ICH2 via an instruction film, measured their intraocular pressure (IOP) and transferred the data to the caregiver via the application. Participants' measurements were compared to healthcare personnel measurements using Goldmann applanation tonometry (GAT). Participants answered questionnaires about their experience of self-tonometry.
Results: Twenty-eight participants were included in the study and three of them dropped off. There was no statistically significant difference between the last measurements obtained with ICH2 by the participants and the GAT measurements for the right and the left eye, p = 0.781 and p = 0.888 respectively. The inter-user agreement was good to excellent between the last measurements obtained with ICH2 by the participants and the GAT measurements for the right and the left eye (ICC 0.907 and 0.830 respectively). The overall impression of the participants was very positive, with 92% happy (a lot or completely) with the instruction film and 88% happy (a lot or completely) with the smartphone application. Thirty-six percent would have preferred to have an instructor by their side.
Conclusion: Our study showed the feasibility and acceptability of self-tonometry with iCare® Home2 and a smartphone application without the supervision of a healthcare provider in a group of motivated glaucoma patients.
期刊介绍:
Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER).
Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.