The family members studied frequently assisted older diabetics with diabetes-specific care; more than one-third were regular participants in older diabetics' medical encounters. Family member involvement in the day-to-day management of diabetes and in the medical encounter was more likely when patients were functionally disabled. Health care systems and physicians need to educate their older patients, and involved family members when patients are frail, about diabetes-related care issues and support them in their roles in the management of diabetes as well as other chronic diseases.
People with diabetes are at risk for diabetic retinopathy (DR), a leading cause of blindness. Early treatment can preserve sight; however, screening rates are low. We utilized psychological theories of motivation in tandem with human factors tools such as heuristic evaluation and task analysis to develop interventions to improve screening rates at a single clinic. Interventions addressed the system of screening, from the patients and their choices to clinic workers, device usability, and the clinic environment. Findings showed potential solutions to the screening issue situated within the theory of planned behavior. Future steps are to refine interventions and measure effectiveness.
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