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Does patient education improve compliance to routine diabetic retinopathy screening?
J Telemed Telecare. 2020 04; 26(3):161-173.JT

Abstract

Introduction

Diabetic retinopathy (DR) screening relies on adherence to follow-up eye care. This article assesses if a model of patient education and tele-retina screening among high-risk patients with DR can achieve increased rates of compliance within a one-year follow-up.

Methods

Between May 2014 and May 2016, DR screening was conducted in a cohort of 101 patients with diabetes in Southern Ontario. Optical coherence tomography and fundus photography images were used to visualize the retina remotely. Enrolled patients participated in an educational seminar at the screening site with the expressed purpose of enhancing patient understanding of DR. A chi-squared test was used to assess patient compliance to follow-up examinations within 6–12 months, while pre-to post-screening HbA1c levels were compared using a dependent t-test.

Results

Of 101 patients who completed the study, 33 patients (32.6%) have never previously been screened for DR. Baseline compliance to annual screening increased from 36 patients (35.6%) to 51 patients (50.5%) after the tele-retina programme (p = 0.03). Eighty-nine patients (88%) were referred to an optometrist for ongoing care compared with 12 patients (11.9%) to an ophthalmologist for management of DR. Overall, 100 patients (99.0%) were satisfied with the tele-retina screening. There was no significant change in pre- to-post screening HbA1c levels (p = 0.91).

Discussion

Patient education-focused tele-retina screening for DR significantly increased compliance to follow-up in a high-risk, non-compliant patient population. Management of diabetes as captured by HbA1c levels remain unchanged in the cohort indicating a need for ongoing inter-professional collaboration in education and vision screening.

Authors+Show Affiliations

Hamilton Regional Eye Institute, St. Joseph's Healthcare Hamilton, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.Hamilton Regional Eye Institute, St. Joseph's Healthcare Hamilton, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.Hamilton Regional Eye Institute, St. Joseph's Healthcare Hamilton, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.Hamilton Regional Eye Institute, St. Joseph's Healthcare Hamilton, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.Hamilton Regional Eye Institute, St. Joseph's Healthcare Hamilton, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.Hamilton Regional Eye Institute, St. Joseph's Healthcare Hamilton, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.Hamilton Regional Eye Institute, St. Joseph's Healthcare Hamilton, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.Hamilton Regional Eye Institute, St. Joseph's Healthcare Hamilton, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.Hamilton Regional Eye Institute, St. Joseph's Healthcare Hamilton, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.Hamilton Regional Eye Institute, St. Joseph's Healthcare Hamilton, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30373446

Citation

Moinul, Prima, et al. "Does Patient Education Improve Compliance to Routine Diabetic Retinopathy Screening?" Journal of Telemedicine and Telecare, vol. 26, no. 3, 2020, pp. 161-173.
Moinul P, Barbosa J, Qian J, et al. Does patient education improve compliance to routine diabetic retinopathy screening? J Telemed Telecare. 2020;26(3):161-173.
Moinul, P., Barbosa, J., Qian, J., Chen, M. L., Mohaghegh, M., Kaur, H., Holmes, J., Radman, H., Robinson, T., & Chaudhary, V. (2020). Does patient education improve compliance to routine diabetic retinopathy screening? Journal of Telemedicine and Telecare, 26(3), 161-173. https://doi.org/10.1177/1357633X18804749
Moinul P, et al. Does Patient Education Improve Compliance to Routine Diabetic Retinopathy Screening. J Telemed Telecare. 2020;26(3):161-173. PubMed PMID: 30373446.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does patient education improve compliance to routine diabetic retinopathy screening? AU - Moinul,Prima, AU - Barbosa,Joshua, AU - Qian,Jenny, AU - Chen,Mei Lin, AU - Mohaghegh,Mohammad, AU - Kaur,Harneel, AU - Holmes,Julie, AU - Radman,Heather, AU - Robinson,Tammy, AU - Chaudhary,Varun, Y1 - 2018/10/29/ PY - 2018/10/31/pubmed PY - 2018/10/31/medline PY - 2018/10/31/entrez KW - Tele-retina KW - diabetes KW - diabetic retinopathy KW - follow-up KW - patient education KW - screening SP - 161 EP - 173 JF - Journal of telemedicine and telecare JO - J Telemed Telecare VL - 26 IS - 3 N2 - Introduction: Diabetic retinopathy (DR) screening relies on adherence to follow-up eye care. This article assesses if a model of patient education and tele-retina screening among high-risk patients with DR can achieve increased rates of compliance within a one-year follow-up. Methods: Between May 2014 and May 2016, DR screening was conducted in a cohort of 101 patients with diabetes in Southern Ontario. Optical coherence tomography and fundus photography images were used to visualize the retina remotely. Enrolled patients participated in an educational seminar at the screening site with the expressed purpose of enhancing patient understanding of DR. A chi-squared test was used to assess patient compliance to follow-up examinations within 6–12 months, while pre-to post-screening HbA1c levels were compared using a dependent t-test. Results: Of 101 patients who completed the study, 33 patients (32.6%) have never previously been screened for DR. Baseline compliance to annual screening increased from 36 patients (35.6%) to 51 patients (50.5%) after the tele-retina programme (p = 0.03). Eighty-nine patients (88%) were referred to an optometrist for ongoing care compared with 12 patients (11.9%) to an ophthalmologist for management of DR. Overall, 100 patients (99.0%) were satisfied with the tele-retina screening. There was no significant change in pre- to-post screening HbA1c levels (p = 0.91). Discussion: Patient education-focused tele-retina screening for DR significantly increased compliance to follow-up in a high-risk, non-compliant patient population. Management of diabetes as captured by HbA1c levels remain unchanged in the cohort indicating a need for ongoing inter-professional collaboration in education and vision screening. SN - 1758-1109 UR - https://www.unboundmedicine.com/medline/citation/30373446/Does_patient_education_improve_compliance_to_routine_diabetic_retinopathy_screening L2 - https://journals.sagepub.com/doi/10.1177/1357633X18804749?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -