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Purpose-To determine the prevalence of follow-up and factors associated with completing an eye exam after a glaucoma public service announcement. Design-Cross-sectional observational studyParticipants-Individuals who participated in the Glaucoma EyeCare Program by calling a tollfree telephone number and receiving referral by meeting inclusion criteria. Methods-TheGlaucoma EyeCare Program uses public service announcements to encourage those at increased risk for glaucoma to obtain an eye exam. The program requires interested persons to dial a toll-free telephone number to collect demographic, medical, and socioeconomic information, and refers those at higher risk of glaucoma to an ophthalmologist for a free eye exam. The ophthalmologist completes an outcome form, which indicates whether the participant obtained an eye exam, and the results of this eye exam. We determined the factors associated with obtaining an eye exam. Main Outcome Measures-Sociodemographic characteristics associated with obtaining an eye exam after referral through the Glaucoma EyeCare ProgramResults-Ophthalmologists returned outcome forms for 24% (1514/6343) of participants. Of those with outcome forms, 671 (44.3%) had an eye exam, 756 (49.9%) did not make an appointment, and 87 (5.7%) made an appointment but did not complete the exam. A multivariate logistic regression model showed younger age, female gender, lack of health insurance, medical history of diabetes, and shorter distance to be associated with obtaining an eye exam. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusion-Public NIH Public Access Author ManuscriptOphthalmology. Author manuscript; available in PMC 2012 July 1. We were interested in the proportion of participants who have an eye exam after the Glaucoma EyeCare Program identifies them as having a higher risk for the development of glaucoma and eligible for an eye exam. Glaucoma screenings with frequency doubling technology perimetry result in 40% to 70%5 , 6 of screening failures having an eye exam. To our knowledge, no study has reported the ability of public service announcements to encourage participants to have an eye exam and the factors associated with obtaining an eye exam. This information will provide guidance for designing and enhancing glaucoma public service announcements in the future to decrease the risk of undiagnosed glaucoma. MethodsThe Glaucoma EyeCare Program provided the authors with a de-identified database. The Institutional Review Board (IRB) of Legacy Health System approved this study. Participants and data collectionThe Glaucoma EyeCare Pro...

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ALTHOUGH A VARIETY of pharmacologic agents have been developed for children with learning impediments over the past 35 years, the lack of uniform terminology and methods of investigation, the imprecision of diagnostic criteria, and the paucity of wellcontrolled studies makes critical evaluation ' of the effects of psychoactive medications extremely (fifficult.' Direct behavioral measurements would appear to be the best approach to evaluating any treatment, yet the literature records few controlled studies that portray direct behavioral measurements of children receiving psychoactive medication. Sulzbacher noted, from a survey of the literature from 1937 to 1971, that only 3.8 per cent of the studies appraising psychoactive medications with children were controlled and measured behavior directly.' He noted also that direct measurements of behavior, as compared with &dquo;professional opinion&dquo; or rating scales, were much less likely to uncover a favorable drug response.

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