Video Diversion During Fundoscopic Exam in Children (CAFE)

University of British Columbia

Status: Completed

Conditions: Other Disorders of Optic Disc, Bilateral

Treatments: Other: Video (played on a computer monitor)

Study type: Interventional

Funder types: Other

Identifiers

NCT01673815

H11-01885

Details and patient eligibility

About

Fundoscopy is an important aspect of the neurological examination, but can be challenging in uncooperative children. This study explored whether viewing a video (selected by patient or caregiver) during eye examination improves the success, duration and ease of pediatric fundoscopy.

Hypothesis: Showing a short video clip during a fundoscopic exam will increase the probability of successfully visualizing the optic disk and reduce the amount of time needed to perform a fundoscopic exam in children between 1-8 years old.

Full description

The purpose of this study is to examine whether showing a video clip with sound of the patient's choice can improve the ease of fundoscopic exam as defined by improved success of visualizing the optic disk and the reduction in time needed to perform the exam. The investigators will also examine the physician's and caregiver's perception on whether the video was effective in improving the ease of the exam. The purpose of the video is to capture the visual attention of the patient thereby allowing the physician to swiftly perform the fundoscopic exam. The literature has suggested that young patients are most uncooperative, therefore the investigators will focus our study on younger patients 1-8 years old.

Enrollment: 60 patients

Sex: All

Ages: 1 to 8 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 1-8 years old
• Capable of visualizing the video monitor
• Patient has 2 examinable eyes

Exclusion criteria

• Blind patient
• Patients < 1 or > 8 years old

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 4 patient groups

1st: R eye video. 2nd: L eye no video

Experimental group

Description:

The right eye will be examined first with video, followed by the left eye without video.

Treatment:

Other: Video (played on a computer monitor)

1st: R eye no video. 2nd: L eye video

Experimental group

Description:

The right eye will be examined without video, followed by the left eye with video.

Treatment:

Other: Video (played on a computer monitor)

1st: L eye video. 2nd: R eye no video

Experimental group

Description:

The left eye will be examined first with video, followed by the right eye without video.

Treatment:

Other: Video (played on a computer monitor)

1st: L eye no video. 2nd: R eye video

Experimental group

Description:

The left eye will be examined first without video, followed by the right eye with video.

Treatment:

Other: Video (played on a computer monitor)