Use of Telepresence Robots in Glaucoma Patient Education

J Glaucoma. 2021 Mar 1;30(3):e40-e46. doi: 10.1097/IJG.0000000000001731.

Abstract

Prcis: Telepresence robots (TR) present the versatility to effectively provide remote educational sessions for patients affected by glaucoma to improve disease knowledge. Given COVID-19's effect on clinical practice, TR can maintain social distancing when educating patients.

Purpose: TR are devices that allow remote users to have a mobile presence anywhere. We compared the effect of an education session given by an in-person educator versus a TR on glaucoma knowledge and identified factors that impact patient education.

Methods: Eighty-five glaucoma patients were split into control, human, and TR groups. We measured glaucoma knowledge scores (KS) using the National Eye Institute's Eye-Q Test. Human and TR groups had the education session with a human or TR followed by the questionnaire. The control group was administered the questionnaire without an education session. Treatment regimen recall (RR) >90% was considered a success. We used linear regression and binary logistic regression to determine variables that affect KS and RR, respectively.

Results: Mean age was 58.3±2.8 years. 49% were female. Mean KS were 5.8±0.7 in the control group (n=31), 7.9±0.5 in the TR group (n=26), and 8.4±0.5 in the human group (n=28). Control participants had a lower mean KS than the human or TR groups (P<0.001). Having the education session (2.5, P<0.001), education greater than high school (0.8, P=0.016), and diabetes (-0.7, P=0.037) affected KS. Having diabetes (odds ratio=0.14, P=0.014) negatively affected RR. Having the education session may affect RR (odds ratio=5.47, P=0.07), warranting additional studies.

Conclusions: Education sessions with a human and TR improved patients' glaucoma KS. TRs may serve as an alternative to in-person education sessions and allow educators to safely and effectively educate patients remotely to adhere to COVID-19 social distancing guidelines.

MeSH terms

  • COVID-19 / epidemiology*
  • Comorbidity
  • Female
  • Glaucoma / epidemiology
  • Glaucoma / physiopathology
  • Glaucoma / therapy*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Intraocular Pressure / physiology*
  • Male
  • Mental Recall
  • Middle Aged
  • Pandemics*
  • Patient Education as Topic / methods*
  • Robotics / instrumentation*
  • SARS-CoV-2
  • Surveys and Questionnaires