The effect of health education on the rate of ophthalmic examinations among African Americans with diabetes mellitus

This study evaluated a multicomponent educational intervention to increase ophthalmic examination rates among African Americans with diabetes. A randomized trial was conducted with 280 African Americans with diabetes, enrolled from outpatient departments of 5 medical centers in the New York City met...

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Bibliographic Details
Published in:American journal of public health (1971) 1999-12, Vol.89 (12), p.1878-1882
Main Authors: Basch, C E, Walker, E A, Howard, C J, Shamoon, H, Zybert, P
Format: Article
Language:English
Subjects:
Adult
African Americans
African Americans - statistics & numerical data
Associated diseases and complications
Biological and medical sciences
Black American people
Black people
Clinical trials
Clinics
Diabetes
Diabetes. Impaired glucose tolerance
Diabetic retinopathy
Diabetic Retinopathy - prevention & control
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Eye diseases
Eye tests
Factors
Female
General aspects
Health care
Health education
Health Education - methods
Humans
Logistic Models
Male
Medical records
Medical sciences
Motivation
New York City
Odds Ratio
Ophthalmology
Ophthalmoscopy - statistics & numerical data
Patient Acceptance of Health Care
Patient education
Planification. Prevention (methods). Intervention. Evaluation
Program Evaluation
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Randomized controlled trials
Rates
Site selection
Studies
Citations: Items that this one cites
Items that cite this one
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Description
Summary:This study evaluated a multicomponent educational intervention to increase ophthalmic examination rates among African Americans with diabetes. A randomized trial was conducted with 280 African Americans with diabetes, enrolled from outpatient departments of 5 medical centers in the New York City metropolitan area, who had not had a dilated retinal examination within 14 months of randomization (65.7% female, mean age = 54.7 years [SD = 12.8 years]). After site differences were controlled, the odds ratio for receiving a retinal examination associated with the intervention was 4.3 (95% confidence interval = 2.4, 7.8). The examination rate pooled across sites was 54.7% in the intervention group and 27.3% in the control group. The intervention was associated with a rate of ophthalmic examination double the rate achieved with routine medical care.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.89.12.1878