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CTRI Number  CTRI/2024/05/066925 [Registered on: 07/05/2024] Trial Registered Prospectively
Last Modified On: 07/05/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Association between depression and adherence to treatment in glaucoma 
Scientific Title of Study   Depression, coping, quality of life and adherence to treatment in glaucoma 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Neetha KIR 
Designation  Associate professor 
Affiliation  Kasturba Medical College Manipal 
Address  Department of Ophthalmology, Kasturba Medical College Manipal, Manipal Udupi, Karnataka

Udupi
KARNATAKA
576104
India 
Phone  9886161979  
Fax    
Email  neetha.kir@manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Neetha KIR 
Designation  Associate professor 
Affiliation  Kasturba Medical College Manipal 
Address  Department of Ophthalmology, Kasturba Medical College Manipal, Manipal Udupi, Karnataka

Udupi
KARNATAKA
576104
India 
Phone  9886161979  
Fax    
Email  neetha.kir@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Neetha KIR 
Designation  Associate professor 
Affiliation  Kasturba Medical College Manipal 
Address  Department of Ophthalmology, Kasturba Medical College Manipal, Manipal Udupi, Karnataka

Udupi
KARNATAKA
576104
India 
Phone  9886161979  
Fax    
Email  neetha.kir@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Medical College and Hospital Manipal 
 
Primary Sponsor  
Name  Neetha KIR 
Address  Department of Ophthalmology, Kasturba Medical College Manipal, Manipal, Udupi, Karnataka 576104  
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Suma T Udupa  Department of Psychiatry, Kasturba Medical College Manipal, Manipal 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Neetha KIR   Kasturba Medical College and Hospital, Manipal, Manipal  Department of Ophthalmology, Room No 25, 2nd floor, Old OPD Block, Kasturba Hospital, Manipal, Udupi
Udupi
KARNATAKA 
9886161979

neetha.kir@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H40||Glaucoma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Established diagnosis of glaucoma, both open angle and angle closure glaucoma, both primary and secondary glaucoma  
 
ExclusionCriteria 
Details  Pediatric glaucoma cases who are now adults
Patients who do not consent to be part of the study  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Relationship between depression in glaucoma and adherence to treatment  At baseline 
 
Secondary Outcome  
Outcome  TimePoints 
coping mechanisms used by the participants to handle glaucoma.  At baseline 
Quality of life in glaucoma patients  At baseline 
 
Target Sample Size   Total Sample Size="135"
Sample Size from India="135" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   16/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Rationale/ gaps in existing knowledge: Glaucoma is the leading cause of irreversible blindness in the world and poor compliance/ adherence is a problem in its management. Glaucoma is associated with higher levels of depression and this can be a cause for lower levels of adherence to treatment in glaucoma patients. There are two studies evaluating depression in Indian glaucoma patients. There are no studies evaluating the influence of depression on adherence to treatment in Indian glaucoma patients. 
Novelty: This would be one of the first studies assessing depression among glaucoma patients and its association with adherence to glaucoma treatment among Indian patients. 
Objectives: To assess, a. the relationship between depression and adherence to glaucoma treatment, b. coping mechanisms to glaucoma and quality of life among glaucoma patients, 
Methods: Patients with established diagnosis of glaucoma visiting glaucoma clinic at a tertiary hospital will be administered four questionnaires after obtaining consent. The questionnaires are- The Depression, Anxiety and Stress Scale - 21 Items (DASS-21), Coping Orientation to Problems Experienced Inventory (Brief-COPE), National Eye Institute-Visual Function Questionnaire (NEIVFQ-25), Glaucoma Treatment Compliance Assessment Tool(GTCAT). These will quantify depression, coping orientations, quality of life and compliance to glaucoma treatment. Association between depression in glaucoma and compliance/ adherence will be evaluated using correlation studies. 
Expected outcome: Quantification of depression among glaucoma patients and its association with adherence to treatment.
 
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