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Completed

NCT Number: NCT04618224

Development and Validation of an Internet-based Near and Intermediate-vision Reading Test

Primary objective of our study is to develop and validate an internet-based digital near and intermediate-vision reading test in the greek language.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Department of Ophthalmology, University Hospital of Alexandroupolis, Alexandroupoli, Evros, Greece

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About this study

Present study aims to develop and validate a computer-based digital near-vision reading test (web Democritus Digital Acuity Reading Test - wDDART) based on the validated digital DDART.

Specifically, present study aims to develop a new online reading test (wDDART) based on the corresponding digital DDART reading test for Windows and to evaluate the level of agreement between the two reading tests, as well as test-retest reliability of the online wDDART reading test.

The first part of the study is the development of the online reading test, which will include the following new smart features:

  • Automatic calculation of the reading time of each sentence (each logMAR)
  • Automatic calculation of the basic reading parameters - RA, MRS, CPS, ACC - immediately after the completion of the examination
  • Adjustment of the font size according to the size of the computer screen used for the examination
  • Real time calculation of the patient-screen distance through a face detection system

The second part of this study is the clinical validation of the online wDDART reading test. In this part, four reading parameters measured with the digital and the online version are compared. These parameters are the following:

  • Reading Acuity (RA)
  • Maximum Reading Speed (MRS)
  • Critical Print Size (CPS)
  • Accessibility Index (ACC) All the comparisons take place in two groups: a) a Normal Vision Group (NVG), and b) a Low Vision Group (LVG) in order to estimate the reading capacity in a population with a wide range of vision.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adequate literacy of written Greek language
  • Age between 18 to 75 years

Exclusion criteria

  • Dyslexia
  • Attention-deficiency
  • Former diagnosis of mental and/or psychiatric diseases

Treatment and study plan

DDART Testing

Diagnostic Test

One randomly selected eye is included for each study participant. Participants respond to the DDART near vision test with defined environmental conditions at 40 cm viewing distance. All four parameters (RA, MRS, CPS and ACC) are evaluated.

wDDART Testing

Diagnostic Test

One randomly selected eye is included for each study participant. Participants respond to the wDDART near vision test with defined environmental conditions at 40 cm viewing distance. All four parameters (RA, MRS, CPS and ACC) are evaluated.

Primary outcomes

  1. Reading Acuity (RA)

    Time frame: through study completion, an average of 3 months

    The smallest print that can be read by the patient easily (measured in logMAR). It is calculated by the following formula:

    RA = 1.4 - (sentences x 0.1) + (errors x 0.01).

  2. Maximum Reading Speed (MRS)

    Time frame: through study completion, an average of 3 months

    The patient's reading speed (measured in wpm) when reading is not limited by print size. It is calculated by averaging the reading speed of the sentences with print size larger than the CPS.

  3. Critical Print Size (CPS)

    Time frame: through study completion, an average of 3 months

    The smallest print size (measured in logMAR) that can be read with the MRS, i.e., with speed greater than or equal to the average reading speed of the larger logMAR print sentences minus 1.96 times the standard deviation (SD) of the reading speed of these sentences.

  4. Accessibility Index (ACC)

    Time frame: through study completion, an average of 3 months

    The mean reading speed of the 10 largest print sizes at 40 cm (1.3 to 0.4 logMAR), divided by 200 wpm, which is the mean reading speed of normally sighted young adults aged 18 to 39 years old. This parameter was designed for better evaluation of one's access to text across the range of the 10 most common print sizes found in everyday life. For instance, a value of 0 means no access to commonly encountered printed material, while 1.0 is the mean value for normally sighted young adults that indicates reading fluency within the everyday life print sizes.

Secondary outcomes

  1. Intraclass Correlation Coefficients (ICCs) for study participants

    Time frame: through study completion, an average of 3 months

    Level of agreement between the digital and the online version are evaluated by calculation of the ICCs for the 4 reading parameters (RA, MRS, CPS, ACC).

Other outcomes

  1. Test-retest Intraclass Correlation Coefficients (ICCs)

    Time frame: through study completion, an average of 3 months

    Test-retest reliability of the internet-based reading test wDDART is evaluated by ICCs for the 4 reading parameters (RA, MRS, CPS, ACC).

Sponsors and collaborators

Lead sponsor

Democritus University of Thrace

Other

Collaborators

  • University of Thessaly

Registry information

Official study title

Introduction of an Internet-based Near and Intermediate-vision Reading Test for Greek-speaking Normal and Low Vision Adults (wDDART): Development and Validation.

Acronym: wDDART

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Nov 5, 2020
Registry last updated
Feb 16, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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