ISRCTN ISRCTN16721218
DOI https://doi.org/10.1186/ISRCTN16721218
IRAS number 356506
Submission date
14/03/2025
Registration date
27/03/2025
Last edited
14/03/2025
Recruitment status
Not yet recruiting
Overall study status
Ongoing
Condition category
Eye Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
More treatment options than ever before are available for young people with vision impairment, but very little is known about the impact of these sight restoration therapies on wellbeing and mental health. In adults, sight restoration is often associated with depression and a reduction in mental wellbeing.
The aim of this study is to fully understand the wellbeing and mental health of adolescents undergoing sight restoration therapy and will develop clinical guidelines for the psychological support of young people receiving this treatment.

Who can participate?
Children and adolescents (age 10-20 years) with vision impairment who are receiving treatment expected to improve their vision.

What does the study involve?
Completing age-appropriate questionnaires five times: before receiving sight restoration treatment, then 1, 3, 6 and 12 months after treatment. Participating in a short interview before treatment and at the final visit. Participants' parent(s)/carer(s) will also complete a questionnaire at each assessment and a short interview at the first and last assessment.

What are the possible benefits and risks of participating?
Benefits: This is an exploratory study and is not likely to directly benefit participants. However, if needed, participants will be referred or signposted to appropriate mental health services.
Risks: It is possible that some of the interview questions may raise uncomfortable issues for participants or their parents/carers. The researchers have well-established risk management protocols, written in conjunction with clinical psychologists, which have been used for similar studies to ensure appropriate signposting and referral for participants who express signs of mental ill-health, up to and including emergency care.

Where is the study run from?
UCL Institute of Ophthalmology, part of University College London, in association with Moorfields Eye Hospital, Great Ormond Street Hospital for Children, and the NIHR Moorfields Biomedical Research Centre (UK)

When is the study starting and how long is it expected to run for?
January 2025 to December 2027

Who is funding the study?
1. The Medical Research Foundation (UK)
2. Moorfields Eye Charity (UK)

Who is the main contact?
Michael Crossland, m.crossland@ucl.ac.uk

Contact information

Dr Michael Crossland
Public, Scientific, Principal Investigator

UCL Institute of Ophthalmology
11-43 Bath Street
London
EC1V 9EL
United Kingdom

ORCiD logoORCID ID 0000-0001-6833-6043
Phone +44 (0)2076086800
Email m.crossland@ucl.ac.uk

Study information

Study designLongitudinal observational study
Primary study designObservational
Secondary study designLongitudinal study
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format, please use contact deetails to request a participant information sheet
Scientific titleThe emotional impact of restoring sight (EIRS): well-being and mental health in children and adolescents receiving sight restoring therapy for eye disease
Study acronymEIRS
Study hypothesisThis study will use mixed qualitative and quantitative research methods to understand how sight-restoring treatment (for example, gene therapy for inherited retinal disease) affects the wellbeing and mental health of young people with vision impairment.
Ethics approval(s)

Not yet submitted, Ethics committee name not provided (Address not provided, City not provided, Zip/postal code not provided; Telephone number not provided; Email not provided), ref: Reference number not provided

ConditionAny eye disease causing bilateral vision impairment
InterventionParticipants will complete age-appropriate questionnaires to assess their mental health and wellbeing five times: before receiving sight restoration treatment, and 1, 3, 6 and 12 months after treatment. Before treatment and at the end of the study, participants will also complete a short qualitative interview.

Participants' parent(s)/carer(s) will also complete a questionnaire at each assessment and a short interview at the first and last assessment.
Intervention typeNot Specified
Primary outcome measureMental wellbeing assessed using the Warwick Edinburgh Mental Wellbeing Scale at pre-treatment, months 1, 3, 6 and 12
Secondary outcome measures1. Participation assessed using the Child and Adolescent Scale of Participation at pre-treatment, months 1, 3, 6 and 12
2. Depression and anxiety assessed using the Revised Children’s Anxiety and Depression Scale at pre-treatment, months 1, 3, 6 and 12
3. Sleep assessed by parental completion of the Children's Sleep Habits Questionnaire at pre-treatment, months 1, 3, 6 and 12
4. Qualitative findings from participant and parent interviews at pre-treatment and month 12
Overall study start date01/01/2025
Overall study end date31/12/2027

Eligibility

Participant type(s)Patient, Carer
Age groupMixed
Lower age limit10 Years
Upper age limit20 Years
SexBoth
Target number of participantsUp to 36
Participant inclusion criteria1. Young people aged 10-20 years
2. Meeting the ICD-11 criterion of having mild, moderate or severe vision impairment, or blindness, in their better eye
3. Receiving treatment intended to improve their visual function
4. With sufficient English comprehension to understand the age-appropriate questionnaires
Participant exclusion criteriaDoes not meet the inclusion criteria
Recruitment start date01/09/2025
Recruitment end date31/12/2026

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centres

NIHR Moorfields Biomedical Research Centre
Moorfields Eye Hospital NHS Foundation Trust
162 City Road
London
EC1V 2PD
United Kingdom
Dept. of Clinical & Academic Ophthalmology
Great Ormond Street Hospital
Great Ormond Street
London
WC1N 3JH
United Kingdom

Sponsor information

University College London
University/education

UCLH/UCL Joint Research Office
4th Floor, West
250 Euston Road
London
NW1 2PG
England
United Kingdom

Phone +44 (0)20 3447 5696
Email UCLH.RandD@nhs.net
Website http://www.ucl.ac.uk/
ROR logo "ROR" https://ror.org/02jx3x895

Funders

Funder type

Charity

Medical Research Foundation
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
MedResFdn, MRF
Location
United Kingdom
Moorfields Eye Charity
Private sector organisation / Research institutes and centers
Location
United Kingdom

Results and Publications

Intention to publish date31/12/2028
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe researchers will disseminate their research to clinicians, scientists, people with vision impairment and their families through:
1. Clinical presentations (e.g., Hospital Optometrists’ Annual Conference, Royal College of Ophthalmologists Annual Congress, European Academy of Optometry and Optics and 100% optical/100% ophthalmology)
2. Research presentations (e.g., the International Society for Low Vision Research and Rehabilitation)
3. Research papers in peer-reviewed scientific journals
4. Public information events including BBC Radio 4’s In Touch and through charities such as VICTA, Stargardt’s Connected, the Macular Society, Retina UK and the Royal Society for Blind Children.
IPD sharing planDatasets generated and/or analysed during the current study will be made available upon request from Michael Crossland (m.crossland@ucl.ac.uk). To preserve the confidentiality of the participants, potentially identifiable data will be redacted.

Editorial Notes

14/03/2025: Study's existence confirmed by Medical Research Foundation.