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Interventions to improve patients’ knowledge in ophthalmology: A systematic review and narrative synthesis

Sumodhee, Dayyanah; Ioannidou, Estelle; Ramessur, Rishi; Prashar, Jai; Abbas, Mohammed; Balaskas, Konstantinos; Pontikos, Nikolas; (2025) Interventions to improve patients’ knowledge in ophthalmology: A systematic review and narrative synthesis. Survey of Ophthalmology 10.1016/j.survophthal.2025.09.006. (In press). Green open access

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Abstract

Low eye health knowledge is associated with suboptimal treatment adherence, self-care practice and follow-up rate leading to poorer outcomes. The aim of this review was to survey what interventions are effective at improving patients’ knowledge of eye disease and treatments. Randomised controlled trials and cross-sectional studies delivering interventions to improve patients’ knowledge about eye diseases were reviewed. Databases, grey literature, reference lists and journals were searched for relevant studies. Three authors reviewed and extracted the data and assessed quality. Seventeen publications were included examining different types of interventions. Thirteen studies showed significant improvements on patients’ eye disease knowledge following intervention. These included all 5 verbal interventions, 5 out of 6 video interventions, 5 out of 8 written or image material interventions, and 1 out of 2 using other formats. Study quality varied, with 7 studies rated as having low risks of bias, 8 moderate, and 2 high. Intervention design varied considerably across studies, making comparisons challenging. Interventions to improve patients’ knowledge of eye conditions show promising results in particular verbal and video interventions; however, higher quality studies, as well as standardisation of reporting and intervention formats, are required to strengthen the evidence base.

Type: Article
Title: Interventions to improve patients’ knowledge in ophthalmology: A systematic review and narrative synthesis
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.survophthal.2025.09.006
Publisher version: https://doi.org/10.1016/j.survophthal.2025.09.006
Language: English
Additional information: Copyright © 2025 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Eye health knowledge; Ophthalmology; Eye diseases; Health knowledge; Review
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/10214056
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