scholarly journals A qualitative study on barriers and enablers to uptake of diabetic retinopathy screening by people with diabetes in the Western Province of Sri Lanka

2019 ◽  
Vol 47 (1) ◽  
Author(s):  
Mapa Mudiyanselage Prabhath Nishant Piyasena ◽  
Gudlavalleti Venkata S. Murthy ◽  
Jennifer L. Y. Yip ◽  
Clare Gilbert ◽  
Tunde Peto ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Sri Lanka ◽  
Qualitative Study ◽  
Diabetic Retinopathy Screening ◽  
Barriers And Enablers ◽  
Western Province ◽  
Retinopathy Screening

scholarly journals Identifying Barriers and Enablers to Attending Diabetic Retinopathy Screening in Immigrants to Canada From Ethnocultural Minority Groups: Protocol for a Qualitative Descriptive Study

10.2196/15109 ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. e15109
Author(s):  
Maman Joyce Dogba ◽  
Michael H Brent ◽  
Catherine Bach ◽  
Sarah Asad ◽  
Jeremy Grimshaw ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Data Collection ◽  
Behavior Change ◽  
Minority Groups ◽  
Theoretical Domains Framework ◽  
Diabetic Retinopathy Screening ◽  
Barriers And Enablers ◽  
Increased Risk ◽  
Modifiable Factors ◽  
Retinopathy Screening

Background Immigrants to Canada belonging to ethnocultural minority groups are at increased risk of developing diabetes and complications, including diabetic retinopathy, and they are also less likely to be screened and treated. Improved attendance to retinopathy screening (eye tests) has the potential to reduce permanent complications, including blindness. Objective This study aims to identify the barriers and enablers of attending diabetic retinopathy screening among ethnocultural minority immigrants living with diabetes in Quebec and Ontario, Canada, to inform the development of a behavior change intervention to improve diabetic retinopathy screening attendance. Methods The research question draws on the needs of patients and clinicians. Using an integrated knowledge translation approach, the research team includes clinicians, researchers, and patient partners who will contribute throughout the study to developing and reviewing materials and procedures, helping to recruit participants, and disseminating findings. Using a convenience snowball strategy, we will recruit participants from three target groups: South Asian and Chinese people, and French-speaking people of African descent. To better facilitate reaching these groups and support participant recruitment, we will partner with community organizations and clinics serving our target populations in Ontario and Quebec. Data will be collected using semistructured interviews, using topic guides developed in English and translated into French, Mandarin, Hindi, and Urdu, and conducted in those languages. Data collection and analysis will be structured according to the Theoretical Domains Framework (TDF), which synthesizes predominant theories of behavior change into 14 domains covering key modifiable factors that may operate as barriers or enablers to attending eye screening. We will use directed content analysis to code barriers and enablers to TDF domains, then thematic analysis to define key themes within domains. Results This study was approved for funding in December 2017, and the research ethics board approved the conduct of the study as of January 13, 2018. Data collection then began in April 2018. As of August 28, 2018, we have recruited 22 participants, and analysis is ongoing, with results expected to be published in 2020. Conclusions Findings from this study will inform the codevelopment of theory-informed, culturally- and linguistically-tailored interventions to support patients in attending retinopathy screening. International Registered Report Identifier (IRRID) DERR1-10.2196/15109

scholarly journals Identifying Barriers and Enablers to Attending Diabetic Retinopathy Screening in Immigrants to Canada From Ethnocultural Minority Groups: Protocol for a Qualitative Descriptive Study (Preprint)

2019 ◽  
Author(s):  
Maman Joyce Dogba ◽  
Michael H Brent ◽  
Catherine Bach ◽  
Sarah Asad ◽  
Jeremy Grimshaw ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Data Collection ◽  
Behavior Change ◽  
Minority Groups ◽  
Theoretical Domains Framework ◽  
Diabetic Retinopathy Screening ◽  
Barriers And Enablers ◽  
Increased Risk ◽  
Modifiable Factors ◽  
Retinopathy Screening

BACKGROUND Immigrants to Canada belonging to ethnocultural minority groups are at increased risk of developing diabetes and complications, including diabetic retinopathy, and they are also less likely to be screened and treated. Improved attendance to retinopathy screening (eye tests) has the potential to reduce permanent complications, including blindness. OBJECTIVE This study aims to identify the barriers and enablers of attending diabetic retinopathy screening among ethnocultural minority immigrants living with diabetes in Quebec and Ontario, Canada, to inform the development of a behavior change intervention to improve diabetic retinopathy screening attendance. METHODS The research question draws on the needs of patients and clinicians. Using an integrated knowledge translation approach, the research team includes clinicians, researchers, and patient partners who will contribute throughout the study to developing and reviewing materials and procedures, helping to recruit participants, and disseminating findings. Using a convenience snowball strategy, we will recruit participants from three target groups: South Asian and Chinese people, and French-speaking people of African descent. To better facilitate reaching these groups and support participant recruitment, we will partner with community organizations and clinics serving our target populations in Ontario and Quebec. Data will be collected using semistructured interviews, using topic guides developed in English and translated into French, Mandarin, Hindi, and Urdu, and conducted in those languages. Data collection and analysis will be structured according to the Theoretical Domains Framework (TDF), which synthesizes predominant theories of behavior change into 14 domains covering key modifiable factors that may operate as barriers or enablers to attending eye screening. We will use directed content analysis to code barriers and enablers to TDF domains, then thematic analysis to define key themes within domains. RESULTS This study was approved for funding in December 2017, and the research ethics board approved the conduct of the study as of January 13, 2018. Data collection then began in April 2018. As of August 28, 2018, we have recruited 22 participants, and analysis is ongoing, with results expected to be published in 2020. CONCLUSIONS Findings from this study will inform the codevelopment of theory-informed, culturally- and linguistically-tailored interventions to support patients in attending retinopathy screening. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/15109

scholarly journals Systematic review on barriers and enablers for access to diabetic retinopathy screening services in different income settings

PLoS ONE ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. e0198979 ◽  
Author(s):  
Mapa Mudiyanselage Prabhath Nishantha Piyasena ◽  
Gudlavalleti Venkata S. Murthy ◽  
Jennifer L. Y. Yip ◽  
Clare Gilbert ◽  
Maria Zuurmond ◽  
...  
Keyword(s):  
Systematic Review ◽  
Diabetic Retinopathy ◽  
Diabetic Retinopathy Screening ◽  
Barriers And Enablers ◽  
Screening Services ◽  
Retinopathy Screening

Diabetic Retinopathy Screening: A Systematic Review of Qualitative Literature

2021 ◽  
Author(s):  
Oluwaseun Egunsola ◽  
Laura E. Dowsett ◽  
Ruth Diaz ◽  
Michael Brent ◽  
Valeria Rac ◽  
...  
Keyword(s):  
Systematic Review ◽  
Diabetic Retinopathy ◽  
Diabetic Retinopathy Screening ◽  
Qualitative Literature ◽  
Retinopathy Screening

Digital Ophthalmology in the UK – Diabetic Retinopathy Screening and Virtual Glaucoma Clinics in the National Health Service

2020 ◽  
Vol 237 (12) ◽  
pp. 1400-1408
Author(s):  
Heinrich Heimann ◽  
Deborah Broadbent ◽  
Robert Cheeseman
Keyword(s):  
Diabetic Retinopathy ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Daily Practice ◽  
Diabetic Retinopathy Screening ◽  
Technological Advances ◽  
Imaging Results ◽  
The Uk ◽  
Retinopathy Screening

AbstractThe customary doctor and patient interactions are currently undergoing significant changes through technological advances in imaging and data processing and the need for reducing person-to person contacts during the COVID-19 crisis. There is a trend away from face-to-face examinations to virtual assessments and decision making. Ophthalmology is particularly amenable to such changes, as a high proportion of clinical decisions are based on routine tests and imaging results, which can be assessed remotely. The uptake of digital ophthalmology varies significantly between countries. Due to financial constraints within the National Health Service, specialized ophthalmology units in the UK have been early adopters of digital technology. For more than a decade, patients have been managed remotely in the diabetic retinopathy screening service and virtual glaucoma clinics. We describe the day-to-day running of such services and the doctor and patient experiences with digital ophthalmology in daily practice.

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