Purpose To assess accuracy and adherence of visual field (VF) home-monitoring in a pilot sample of glaucoma patients. Design Prospective longitudinal feasibility and reliability study. Methods Twenty adults (median 71 years) with an established diagnosis of glaucoma were issued a tablet-perimeter (Eyecatcher), and were asked to perform one VF home-assessment per eye, per month, for 6 months (12 tests total). Before and after home-monitoring, two VF assessments were performed in-clinic using Standard Automated Perimetry (SAP; 4 tests total, per eye). Results All 20 participants could perform monthly home-monitoring, though one participant stopped after 4 months (Adherence: 98%). There was good concordance between VFs measured at home and in the clinic ( r = 0.94, P < 0.001). In 21 of 236 tests (9%) Mean Deviation deviated by more than ±3 dB from the median. Many of these anomalous tests could be identified by applying machine learning techniques to recordings from the tablets’ front-facing camera (Area Under the ROC Curve = 0.78). Adding home-monitoring data to 2 SAP tests made 6 months apart reduced measurement error (between-test measurement variability) in 97% of eyes, with mean absolute error more than halving in 90% of eyes. Median test duration was 4.5 mins ( Quartiles : 3.9 – 5.2 mins). Substantial variations in ambient illumination had no observable effect on VF measurements ( r = 0.07, P = 0.320). Conclusions Home-monitoring of VFs is viable for some patients, and may provide clinically useful data.

Ransdell, LB, Murray, T, Gao, Y, Jones, P, and Bycura, D. A 4-year profile of game demands in elite women's Division I college basketball. J Strength Cond Res 34(3): 632-638, 2020-Workload for a Division I women's collegiate basketball team (0.817 win percentage) was examined by: (a) season, (b) player position, and (c) game outcome (wins vs. losses). Female athletes (n 5 6, mean 19.7 6 1.5 years, at beginning of study) wore Catapult S5 units during 91.8% of games over a 4-year period. Average PlayerLoad, PlayerLoad per minute (PL•min 21), high inertial movement analysis (high-IMA), and jumps were quantified using Catapult Openfield software (version 1.14.1+). Data were checked for normality and log-or square-root-transformed when they were non-normal. A series of linear mixed model analyses were conducted to detect differences in PlayerLoad, PL•min 21 , high-IMA, and jumps by season, position, and game outcome. PL•min 21 and jumps data were not normal, so they were transformed, analyses were run; because there were no differences in findings, data are reported in original units to allow for comparisons with other studies. Cohen's d and confidence intervals were provided as additional information about the strength of reported differences. The 3 most consistent findings were that across a 4-year period, jumps increased, PL•min 21 was higher in guards compared with posts, and high-IMA was higher in losses compared with wins. Other workload patterns were inconsistent, and inappropriate for making conclusive statements. Therefore, comparing jumps across multiple seasons, PL•min 21 by player position and high-IMA in losses are important; in addition, all data can be used to profile National Collegiate Athletic Association Division I women's basketball players and set game workload expectations.

The home environment provides the context for much of a child's early development. Examples of important aspects of the home environment include safety, cleanliness, and opportunities for cognitive stimulation. This study sought to examine the psychometric properties of an adapted form of the Home Observation for the Measurement of the Environment (HOME; Caldwell & Bradley, 1984, 2003) across the eight international sites of the MAL-ED project (Dhaka, Bangladesh; Vellore, India; Bhakatapur, Nepal; Naushahro Feroze, Pakistan; Fortaleza, Brazil; Loreto, Peru; Venda, South Africa; Haydom, Tanzania), to identify a factor structure that fit the data at all sites, and to derive a subset of items that could be used to examine home environmental characteristics across sites. A three-factor structure (i.e., Emotional and Verbal Responsivity; Clean and Safe Environment; Child Cleanliness) was identified, and partial measurement equivalence/invariance across sites was supported. Overall, these findings lend support for the use of portions of this abbreviated and adapted version of the HOME for use among heterogeneous, cross-cultural groups in low- and middle-income nations.

ObjectivesTo explore the acceptability of home visual field (VF) testing using Eyecatcher among people with glaucoma participating in a 6-month home monitoring pilot study.DesignQualitative study using face-to-face semistructured interviews. Transcripts were analysed using thematic analysis.SettingParticipants were recruited in the UK through an advertisement in the International Glaucoma Association (now Glaucoma UK) newsletter.ParticipantsTwenty adults (10 women; median age: 71 years) with a diagnosis of glaucoma were recruited (including open angle and normal tension glaucoma; mean deviation=2.5 to −29.9 dB).ResultsAll participants could successfully perform VF testing at home. Interview data were coded into four overarching themes regarding experiences of undertaking VF home monitoring and attitudes towards its wider implementation in healthcare: (1) comparisons between Eyecatcher and Humphrey Field Analyser (HFA); (2) capability using Eyecatcher; (3) practicalities for effective wider scale implementation; (4) motivations for home monitoring.ConclusionsParticipants identified a broad range of benefits to VF home monitoring and discussed areas for service improvement. Eyecatcher was compared positively with conventional VF testing using HFA. Home monitoring may be acceptable to at least a subset of people with glaucoma.

from eligible studies regarding study design, participant characteristics, outcomes and results. Quality of included studies was critically appraised. Of 8437 studies, 56 eligible studies were included. Studies investigated the effects of lighting on the following themes among people with POAG: QoL (18/56), psychophysical measures (16/56), functional vision (10/56), activities of daily living (10/56) and qualitative findings (2/56). POAG negatively affects low-luminance contrast sensitivity, glare symptoms, and dark adaptation time and extent. In vision-related QoL questionnaires, people with POAG report problems with lighting, glare and dark adaptation more frequently than any other domain. These problems worsen with progressing visual field loss. Early-stage POAG patients experience significantly more difficulties in low-luminance or changing lighting conditions than age-matched controls (AMCs), challenging perceptions of early-stage POAG as asymptomatic. However, performance-based studies seldom show significant differences between POAG participants and AMCs on tasks simulating daily activities under non-optimal lighting conditions. Further research with larger samples is required to optimise ambient and task-oriented lighting that can support patients' adaptation to POAG.