TY - JOUR

T1 - DETECT

T2 - DEveloping and testing a model to identify preventive vision loss among older paTients in gEneral praCTice - Protocol for a complex intervention in Denmark

AU - Sandholdt, Catharina Thiel

AU - Jønsson, Alexandra Brandt Ryborg

AU - Reventlow, Susanne

AU - Bach-Holm, Daniella

AU - Line, Kessel

AU - Kolko, Miriam

AU - Jacobsen, Marie Honore

AU - Mathiesen, Olivia Hjulsager

AU - Waldorff, Frans Boch

N1 - Funding Information: This work was supported by The Velux Foundation, grant number: 869353. Publisher Copyright: © 2023 BMJ Publishing Group. All rights reserved.

PY - 2023

Y1 - 2023

N2 - Introduction The number of people living with visual impairment is increasing. Visual impairment causes loss in quality of life and reduce self-care abilities. The burden of disease is heavy for people experiencing visual impairment and their relatives. The severity and progression of age-related eye diseases are dependent on the time of detection and treatment options, making timely access to healthcare critical in reducing visual impairment. General practice plays a key role in public health by managing preventive healthcare, diagnostics and treatment of chronic conditions. General practitioners (GPs) coordinate services from other healthcare professionals. More involvement of the primary sector could potentially be valuable in detecting visual impairment. Methods We apply the Medical Research Council framework for complex interventions to develop a primary care intervention with the GP as a key actor, aimed at identifying and coordinating care for patients with low vision. The development process will engage patients, relatives and relevant health professional stakeholders. We will pilot test the feasibility of the intervention in a real-world general practice setting. The intervention model will be developed through a participatory approach using qualitative and creative methods such as graphical facilitation. We aim to explore the potentials and limitations of general practice in relation to detection of preventable vision loss. Ethics and dissemination Ethics approval is obtained from local authority and the study meets the requirements from the Declaration of Helsinki. Dissemination is undertaken through research papers and to the broader public through podcasts and patient organisations.

AB - Introduction The number of people living with visual impairment is increasing. Visual impairment causes loss in quality of life and reduce self-care abilities. The burden of disease is heavy for people experiencing visual impairment and their relatives. The severity and progression of age-related eye diseases are dependent on the time of detection and treatment options, making timely access to healthcare critical in reducing visual impairment. General practice plays a key role in public health by managing preventive healthcare, diagnostics and treatment of chronic conditions. General practitioners (GPs) coordinate services from other healthcare professionals. More involvement of the primary sector could potentially be valuable in detecting visual impairment. Methods We apply the Medical Research Council framework for complex interventions to develop a primary care intervention with the GP as a key actor, aimed at identifying and coordinating care for patients with low vision. The development process will engage patients, relatives and relevant health professional stakeholders. We will pilot test the feasibility of the intervention in a real-world general practice setting. The intervention model will be developed through a participatory approach using qualitative and creative methods such as graphical facilitation. We aim to explore the potentials and limitations of general practice in relation to detection of preventable vision loss. Ethics and dissemination Ethics approval is obtained from local authority and the study meets the requirements from the Declaration of Helsinki. Dissemination is undertaken through research papers and to the broader public through podcasts and patient organisations.

KW - glaucoma

KW - ophthalmology

KW - primary care

KW - public health

KW - qualitative research

KW - quality in health care

U2 - 10.1136/bmjopen-2022-069974

DO - 10.1136/bmjopen-2022-069974

M3 - Journal article

C2 - 37247966

AN - SCOPUS:85160471020

VL - 13

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 5

M1 - e069974

ER -