Evaluation of a clinical decision-making aid for nutrition advice in age-related macular degeneration

Stevens, Rebekah; Bartlett, Hannah; Cooke, Richard

Abstract

© The Author(s) 2017. Age-related macular disease (AMD) is a multifactorial degenerative condition affecting the central area of the retina. Patients with AMD report that eye care practitioners are not giving consistent advice regarding nutrition and reported confusion as to what advice, if any, to follow. The aim of this study was to design and conduct a preliminary evaluation of a flowchart to support eye care practitioners in providing accurate, evidence-based nutritional advice to their patients. A flowchart was designed to take practitioners through a decision-making process that would determine whether a patient matched the Age-Related Eye Disease Study (AREDS) 2 eligibility criteria for supplementation. The flowchart was evaluated using a qualified and student optometrist cohort, with both cohorts completing confidence scales and students completing clinical scenarios. Qualified participants showed a significant increase in confidence scores from the initial survey (M = 69.7%, standard deviation [SD] = 16.2%) to the second survey after use of the flowchart for 2 weeks (M = 82.1%, SD = 11.6%; t(45) = 7.33, p

• Journal Article Type: Article
• Acceptance Date: Jun 1, 2017
• Online Publication Date: Aug 23, 2017
• Publication Date: Jan 1, 2017
• Deposit Date: Jun 18, 2018
• Publicly Available Date: Jun 18, 2018
• Journal: British Journal of Visual Impairment
• Print ISSN: 0264-6196
• Electronic ISSN: 1744-5809
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 35
• Issue: 3
• Pages: 185-196
• DOI: https://doi.org/10.1177/0264619616683989
• Public URL: https://uwe-repository.worktribe.com/output/881850
• Publisher URL: http://dx.doi.org/10.1177/0264619616683989
• Contract Date: Jun 18, 2018