Joshua R. Ehrlich, MD, MPH
Patient-Centered Outcomes in Severe Peripheral Field Loss
Vision rehabilitation may improve patients’ quality-of-life functional abilities through the use of assistive devices and educational strategies. However, the effectiveness of rehabilitation options for patients with peripheral vision loss is poorly known since most prior research has focused on patients with central vision loss. In order to evaluate and compare the effectiveness of low vision rehabilitation strategies for patients with peripheral vision loss, a valid and reliable method for measuring vision-dependent functioning is needed. The proposed research will use the insights of patients with glaucoma and retinal dystrophy, their caregivers and their vision care providers to develop a patient-reported outcome measure that assesses functioning in patients with severe peripheral vision loss. Our ultimate goal is to use this outcome measure in future work to determine the effectiveness of low vision services, rehabilitation strategies and models of care delivery.
09/01/2017 – 08/31/2022
Addressing Low Vision due to Severe Peripheral Field Loss: Development and Validation of a Patient-Centered Outcome Measure
Aging with Vision Impairment
As we confront an aging population, the prevalence of vision impairment (VI) will continue to increase. We are interested in understanding the relationship between VI and physical problems such as frailty and falls; socioemotional problems like isolation and decreased quality-of-life; and functional impairment. To understand these issues, our team is using an array of health services research methodologies, ranging from big data to survey research to qualitative interviews. Our hope is that the insights we gain will allow us to address specific barriers to eye care among older adults and to better deliver patient-centered care that meets the needs of an aging population.
David C. Musch, PhD, MPH
Children (n=179) who failed routine, state-mandated vision screening in 11 Wayne County schools have been randomized to receive the standard of care follow-up administered by the Wayne County Department of Health staff, or an enhanced follow-up protocol, in order to evaluate the beneficial impact that enhanced follow-up will have on obtaining examination by an eye care provider to address the reason the child failed vison screening.
This project is supported by a grant from the Kellogg Foundation (Paul Lee, MD, JD, principal investigator), and is being conducted in collaboration with the Wayne County Department of Health, Veterans, and Community Wellness and the State of Michigan Department of Health and Human Services (Rachel Schumann, PhD, RN).
Paula Anne Newman-Casey, MD, MS
Dr. Newman-Casey’s research focuses on using mixed methods research – a combination of qualitative and quantitative data – to better understand how to improve the way we deliver healthcare services. Dr. Newman-Casey developed a new counseling training program for glaucoma para-professional staff so that staff could better educate and counsel patients with glaucoma who have trouble with their medication regimen. She then interviewed all of the staff who participated in the program in order to iteratively improve it.
- Blue Cross Blue Shield Foundation of Michigan: “Creating and evaluation a counseling training program for glaucoma staff”
- The American Glaucoma Society Young Clinician Scientist Award: “A Counseling Training Program for Glaucoma Staff: Development and Preliminary Assessment”