Plain English Summary
Background and study aims
Glaucoma is an eye condition where the nerve that connects the eye to the brain is damaged, leading to vision loss. Once sight is lost through glaucoma it cannot be got back so stopping sight loss in patients with glaucoma is important. One way in which doctors, opticians and nurses can help patients is to teach them about their glaucoma so that patients know how and have the skills to look after their eyes in the best way possible. This study aims to find out how much information on glaucoma is given to patients in glaucoma clinics held by nurses and how nurses could best give information about taking care of their eyes.
Who can participate?
Adults aged 18 and older who have glaucoma
What does the study involve?
Participants attend two session education programmes on week apart. The educational sessions include how to best take care of their glaucoma. Participants are assessed for their knowledge of glaucoma and their adherence to treatment before and after the educational programmes.
What are the possible benefits and risks of participating?
Participants will benefit from having learnt more about glaucoma and what they can do to help themselves. Nurses will benefit as they will expand their range of patient teaching options. There are no risks of this study apart from the burden of time for the nurses in learning and giving the patient classes and to the patients in terms of finding the time to attend.
Where is the study run from?
1. Royal Liverpool University Hospital (UK)
2. New Cross Hospital (UK)
3. Abergele Hospital (UK)
When is the study starting and how long is it expected to run for?
February 2011 to December 2014
Who is funding the study?
International Glaucoma Association (UK)
Who is the main contact?
Professor Heather Waterman
Group based patient education delivered by nurses to meet a clinical standard for glaucoma information provision: the G-TRAIN feasibility study
The aim of this study is to understand current provision of information during routine nurse-led glaucoma consultations, to investigate if it is possible to deliver patient information in-line with a clinical standard by training nurses to deliver group based education in multiple hospital sites, and to explore the acceptability of group based education to nurses and patients compared with usual information provision in consultations.
North West Research Ethics Committee, 08/06/2012, ref: 12/NW/0259
Quantitative and qualitative sequential design study
Primary study design
Secondary study design
Non randomised study
Patient information sheet
Not available in web format, please use the contact details to request a patient information sheet
People diagnosed with glaucoma within the previous 12 months attending a regional ophthalmology clinic in the North West of England are recruited. Participants receive a group based patient education called "GTrain" which has been developed to train healthcare professionals so that they can deliver group based education to patients about glaucoma which will help them to manage their condition appropriately. The programme is a two-session education programme is delivered one week apart. A combined adult learning and health needs approach to education is taken.
Registered nurses who had received training in the delivery of the intervention deliver the programme. The training consisted of a two day interactive workshop in which the structure and content of the ‘Get a grip on your glaucoma’ course was covered. Participants receive the programme face to face in a group. Participants have the opportunity to get individualised advice offered at the end of the group intervention. The intervention was delivered in a room on the hospital site of where the nurses worked.
Outcomes measured were knowledge of glaucoma, self-report of adherence, illness perception, beliefs about medicines, patient enablement, and general health. Adherence was also measured objectively using a Medical Events Monitoring System device.
Primary outcome measure
The information provided to patients during routine nursing glaucoma appointments is measured using the Provision of Vision Information Measurement Too at baseline and after programme.
Secondary outcome measures
There are no secondary outcome measures.
Overall trial start date
Overall trial end date
Reason abandoned (if study stopped)
Participant inclusion criteria
1. Patients with chronic open angle glaucoma (COAG)
2. Ocular hypertension (OHT) or normal tension glaucoma
3. Prescribed ocular hypotensive eye drops
4. Aged over 18 years
5. Able to understand English to be able to give consent or have an interpreter
Target number of participants
Participant exclusion criteria
1. Diagnosis of angle closure glaucoma or diabetic retinopathy
2. Not prescribed ocular medication
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Royal Liverpool University Hospital
Trial participating centre
New Cross Hospital
Trial participating centre
University of Manchester
+44 (0)161 306 6000
International Glaucoma Association
Funding Body Type
private sector organisation
Funding Body Subtype
Associations and societies (private and public)
Results and Publications
Publication and dissemination plan
Planned publication in a high-impact peer reviewed journal. The article is under review at time of submission to the registry.
IPD sharing statement:
The data sharing plans for the current study are unknown and will be made available at a later date.
Intention to publish date
Participant level data
To be made available at a later date
Basic results (scientific)
2018 results in: https://www.ncbi.nlm.nih.gov/pubmed/29988730