Patients’ attitudes towards mydriasis for diabetic eye disease screening

Murgatroyd, Helen; MacEwen, Carrie; Leese, Graham

doi:10.1258/rsmsmj.51.4.35

Cited by 9 publications

(5 citation statements)

References 8 publications

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“…For some patients and practices, the DRS programme worked well and we confirm previous findings that a convenient screening location near home was beneficial 24 and that preserving vision was prioritised among patients with diabetes. 25 We also confirm previous studies finding that for others, misunderstandings about the importance of diabetes and personal risk, 22 26 lack of DRS awareness, psychological factors, practical obstacles 22 and the deterrent side effects of mydriasis 27 represented potential attendance barriers.…”

Section: Discussionsupporting

confidence: 88%

Attitudes, access and anguish: a qualitative interview study of staff and patients’ experiences of diabetic retinopathy screening

et al. 2014

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ObjectiveTo examine the experiences of patients, health professionals and screeners; their interactions with and understandings of diabetic retinopathy screening (DRS); and how these influence uptake.DesignPurposive, qualitative design using multiperspectival, semistructured interviews and thematic analysis.SettingThree UK Screening Programme regions with different service-delivery modes, minority ethnic and deprivation levels across rural, urban and inner-city areas, in general practitioner practices and patients’ homes.Participants62 including 38 patients (22 regular-screening attenders, 16 non-regular attenders) and 24 professionals (15 primary care professionals and 9 screeners).ResultsAntecedents to attendance included knowledge about diabetic retinopathy and screening; antecedents to non-attendance included psychological, pragmatic and social factors. Confusion between photographs taken at routine eye tests and DRS photographs was identified. The differing regional invitation methods and screening locations were discussed, with convenience and transport safety being over-riding considerations for patients. Some patients mentioned significant pain and visual disturbance from mydriasis drops as a deterrent to attendance.ConclusionsIn this, the first study to consider multiperspectival experiential accounts, we identified that proactive coordination of care involving patients, primary care and screening programmes, prior to, during and after screening is required. Multiple factors, prior to, during and after screening, are involved in the attendance and non-attendance for DRS. Further research is needed to establish whether patient self-management educational interventions and the pharmacological reformulation of shorter acting mydriasis drops, may improve uptake of DRS. This might, in turn, reduce preventable vision loss and its associated costs to individuals and their families, and to health and social care providers, reducing current inequalities.

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Section: Discussionsupporting

confidence: 88%

Attitudes, access and anguish: a qualitative interview study of staff and patients’ experiences of diabetic retinopathy screening

et al. 2014

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“…In a recent study about patients' attitude towards mydriasis for diabetic eye disease, screening found that many return to work and driving immediately after the appointment and the introduction of the routine use of drops may discourage attendance [26]. There are limitations to this study that need to be considered when interpreting the results.…”

Section: Discussionmentioning

confidence: 85%

Factors that influence the patient uptake of diabetic retinopathy screening

et al. 2008

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“…Seven studies were conducted in existing DRS programs (7/77, 9.1%) [64,86,87,96,97,103,107]. Nine studies were conducted at secondary level medical and diabetes clinics (9/77, 12.7%) [43,51,68,70,74,84,104,108,113].…”

Section: Resultsmentioning

confidence: 99%

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

et al. 2019

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Background Diabetic retinopathy (DR) can lead to visual impairment and blindness if not detected and treated in time. Knowing the barriers/enablers in advance in contrasting different country income settings may accelerate development of a successful DR screening (DRS) program. This would be especially applicable in the low-income settings with the rising prevalence of DR. Objectives The aim of this systematic review is to identify and contrast the barriers/enablers to DRS for different contexts using both consumers i.e., people with diabetes (PwDM) and provider perspectives and system level factors in different country income settings. Methods We searched MEDLINE, Embase, CENTRAL in the Cochrane Library from the databases start date to December 2018. We included the studies reported on barriers and enablers to access DRS services based at health care facilities. We categorised and synthesized themes related to the consumers (individuals), providers and the health systems (environment) as main dimensions according to the constructs of social cognitive theory, supported by the quantitative measures i.e., odds ratios as reported by each of the study authors. Main results We included 77 studies primarily describing the barriers and enablers. Most of the studies were from high income settings (72.7%, 56/77) and cross sectional in design (76.6%, 59/77). From the perspectives of consumers, lack of knowledge, attitude, awareness and motivation were identified as major barriers. The enablers were fear of blindness, proximity of screening facility, experiences of vision loss and being concerned of eye complications. In providers’ perspectives, lack of skilled human resources, training programs, infrastructure of retinal imaging and cost of services were the main barriers. Higher odds of uptake of DRS services was observed when PwDM were provided health education (odds ratio (OR) 4.3) and having knowledge on DR (OR range 1.3–19.7). Conclusion Knowing the barriers to access DRS is a pre-requisite in development of a successful screening program. The awareness, knowledge and attitude of the consumers, availability of skilled human resources and infrastructure emerged as the major barriers to access to DRS in any income setting.

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Patients’ attitudes towards mydriasis for diabetic eye disease screening

Cited by 9 publications

References 8 publications

Attitudes, access and anguish: a qualitative interview study of staff and patients’ experiences of diabetic retinopathy screening

Attitudes, access and anguish: a qualitative interview study of staff and patients’ experiences of diabetic retinopathy screening

Factors that influence the patient uptake of diabetic retinopathy screening

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

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