Telemedicine For Anterior Eye Diseases

眼前部疾病的远程医疗

• 批准号: 8735953
• 负责人: Maria Anneke Woodward
• 金额: $ 23.71万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8735953
• 关键词: Accident and Emergency department; Address; American; Anterior; Area; Blindness; Caring; Categories; Clinic; Clinical; Communities; Complement; Conjunctivitis; Consult; Corneal Abrasion; Corneal Opacity; Country; Detection; Development; Diabetic Retinopathy; Diagnostic; Disease; Early Diagnosis; Early identification; Elements; Endocrine; Eye; Eye diseases; Eyelid structure; Federally Qualified Health Center; Foundations; Funding; Fundus photography; Goals; Gold; Health; Health Services Accessibility; Health Services Research; Healthcare; Image; Knowledge; Lesion; Lighting; Malignant Neoplasms; Master' s Degree; Mentors; Mentorship; Methods; Michigan; Morbidity - disease rate; NCI Scholars Program; National Eye Institute; Outcome; Outcomes Research; Patients; Peer Review; Persons; Photography; Pilot Projects; Population; Procedures; Process; Protocols documentation; Provider; Public Health; Quality of life; Questionnaires; Refractive Errors; Research; Research Methodology; Research Personnel; Research Project Grants; Research Support; Resources; Risk; Rural; Safety; Sensitivity and Specificity; Series; Solutions; Strategic Planning; Surface; Technology; Telemedicine; Testing; Time; Training; Training Support; United States; United States Department of Veterans Affairs; Universities; Vision; Vision Tests; Visit; Visual impairment; Wood material; blind; care seeking; career; diagnostic accuracy; efficacy testing; functional loss; improved; ocular surface; programs; public health relevance; response; tumor

DESCRIPTION (provided by applicant): Ocular telemedicine can deliver eye care to millions of Americans who do not have access to services. This K23 proposal demonstrates Dr. Maria A. Woodward's commitment to research that addresses a national and global public health care need and her commitment to the pursuit of investigator independence. Although posterior eye diseases cause the majority of visual impairment in the United States, the National Eye Institute's (NEI) strategic plan states that anterior eye diseases result in the majority of visitsto eye care professionals nationally and cause blindness in millions globally. The NEI plan also emphasizes the significant need for research that can "establish the safety, reliability and feasibility of telemedicine procedures through pilot studies" and "determine which ophthalmic applications are amenable to telemedicine, while still preserving the accuracy, sensitivity and specificity achieved with in-person examinations." Although funded research projects have established fundus photography for remote assessment of diabetic retinopathy, no pilot projects have focused on the external and anterior eye. Dr. Woodward's career public health goal is to extend affordable and accessible eye care to underserved communities in order to detect eye conditions earlier in their course. Her career research goal is to test applications of ophthalmic technology that are amenable to telemedicine. The immediate project goals are two-fold. First, the applicant seeks to develop rigorous and accurate methods for detecting key external and anterior eye diseases using external photography. The applicant will conduct pilot studies testing external photography protocols on subjects with known anterior eye diseases. Second, the applicant seeks to validate a vision questionnaire that will augment comprehensive telemedicine assessments to determine eye health and whether or not anterior eye diseases are present. The applicant will administer multiple pre-validated vision questionnaires (e.g., the National Eye Institute Visual Function Questionnaire) and correlate answers with clinical examination findings. Dr. Woodward's research is supported by training goals that will provide the foundation for her to develop into an independent investigator. The applicant will utilize the immense resources at the University of Michigan and the support of research mentors, including Drs. Paul Lee and David Musch, to accomplish three specific training aims: 1) expertise in research methodology, 2) excellence in telemedicine programmatic development, and 3) refined knowledge of ophthalmic imaging. Dr. Woodward has set forth a plan for targeted coursework, individualized mentorship, and directed self-study to assure achieving these aims. In the process, she will obtain a master's degree in health and health care research from the Robert Wood Johnson Foundation Clinical Scholars Program.

描述（由申请人提供）：眼远程医疗可以为无法获得服务的数百万美国人提供眼保健。这项K23提案表明，玛丽亚·A·伍德沃德（Maria A. Woodward）博士对研究的承诺涉及国家和全球公共卫生保健的需求，以及她致力于追求研究者独立性的承诺。 尽管后眼疾病会导致美国大部分视力障碍，但国家眼科研究所（NEI）战略计划指出，前眼疾病导致大部分的拜访者眼保健专业人员在全国范围内，并在全球范围内引起数百万的失明。 NEI计划还强调了对可以“通过试验研究确定远程医疗程序的安全性，可靠性和可行性”的重要需求，并“确定哪些眼科应用程序可用于远程医疗，同时仍能确保通过亲自检查实现的准确性，敏感性和特异性。”尽管资助的研究项目已经建立了粉底摄影，用于远程评估糖尿病性视网膜病，但没有试点项目专注于外部和前眼。 伍德沃德博士的职业公共卫生目标是将负担得起且可访问的眼保健扩展到服务不足的社区，以便在课程的早期发现眼睛状况。她的职业研究目标是测试远程医疗可容纳的眼科技术的应用。直接的项目目标是两个方面。首先，申请人试图开发严格而准确的方法，用于使用外部摄影检测关键的外部和前眼疾病。申请人将对患有已知前眼疾病的受试者进行测试外部摄影方案进行试验研究。其次，申请人试图验证一份视力问卷，该问卷将增强全面的远程医疗评估，以确定眼睛健康以及是否存在前眼疾病。申请人将管理多个预验证的视力问卷（例如国家眼科研究所的视觉功能问卷），并将答案与临床检查结果相关联。 伍德沃德博士的研究得到了培训目标的支持，这将为她发展成为独立研究者的基础。申请人将利用密歇根大学的巨大资源以及包括Drs在内的研究导师的支持。保罗·李（Paul Lee）和戴维·穆斯奇（David Musch），要完成三个特定的培训目的：1）研究方法论专业知识，2）远程医疗程序开发方面的卓越，以及3）精致的眼科成像知识。伍德沃德（Woodward）博士制定了针对性课程，个性化指导的计划，并指示自学，以确保实现这些目标。在此过程中，她将获得罗伯特·伍德·约翰逊基金会临床学者计划的卫生和医疗保健研究硕士学位。