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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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| Published in: | American journal of public health (1971) 1999-12, Vol.89 (12), p.1878-1882 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c586t-6d51c824a639b33d34e72fa8df2621a8173982fce336712c9037af4236e97873 |
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| cites | cdi_FETCH-LOGICAL-c586t-6d51c824a639b33d34e72fa8df2621a8173982fce336712c9037af4236e97873 |
| container_end_page | 1882 |
| container_issue | 12 |
| container_start_page | 1878 |
| container_title | American journal of public health (1971) |
| container_volume | 89 |
| creator | Basch, C E Walker, E A Howard, C J Shamoon, H Zybert, P |
| description | 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. |
| doi_str_mv | 10.2105/AJPH.89.12.1878 |
| format | article |
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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.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.89.12.1878</identifier><identifier>PMID: 10589324</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: Am Public Health Assoc</publisher><subject>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</subject><ispartof>American journal of public health (1971), 1999-12, Vol.89 (12), p.1878-1882</ispartof><rights>2000 INIST-CNRS</rights><rights>Copyright American Public Health Association Dec 1999</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c586t-6d51c824a639b33d34e72fa8df2621a8173982fce336712c9037af4236e97873</citedby><cites>FETCH-LOGICAL-c586t-6d51c824a639b33d34e72fa8df2621a8173982fce336712c9037af4236e97873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/215123841/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/215123841?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,3995,11688,21387,21394,27866,27924,27925,31000,33611,33612,33985,33986,36060,36061,43733,43948,44363,53791,53793,74221,74468,74895</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1206256$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10589324$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Basch, C E</creatorcontrib><creatorcontrib>Walker, E A</creatorcontrib><creatorcontrib>Howard, C J</creatorcontrib><creatorcontrib>Shamoon, H</creatorcontrib><creatorcontrib>Zybert, P</creatorcontrib><title>The effect of health education on the rate of ophthalmic examinations among African Americans with diabetes mellitus</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>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.</description><subject>Adult</subject><subject>African Americans</subject><subject>African Americans - statistics & numerical data</subject><subject>Associated diseases and complications</subject><subject>Biological and medical sciences</subject><subject>Black American people</subject><subject>Black people</subject><subject>Clinical trials</subject><subject>Clinics</subject><subject>Diabetes</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic retinopathy</subject><subject>Diabetic Retinopathy - prevention & control</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Eye diseases</subject><subject>Eye tests</subject><subject>Factors</subject><subject>Female</subject><subject>General aspects</subject><subject>Health care</subject><subject>Health education</subject><subject>Health Education - methods</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical records</subject><subject>Medical sciences</subject><subject>Motivation</subject><subject>New York City</subject><subject>Odds Ratio</subject><subject>Ophthalmology</subject><subject>Ophthalmoscopy - statistics & numerical data</subject><subject>Patient Acceptance of Health Care</subject><subject>Patient education</subject><subject>Planification. Prevention (methods). Intervention. Evaluation</subject><subject>Program Evaluation</subject><subject>Public health</subject><subject>Public health. Hygiene</subject><subject>Public health. 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Health</addtitle><date>1999-12-01</date><risdate>1999</risdate><volume>89</volume><issue>12</issue><spage>1878</spage><epage>1882</epage><pages>1878-1882</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>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.</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>10589324</pmid><doi>10.2105/AJPH.89.12.1878</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0090-0036 |
| ispartof | American journal of public health (1971), 1999-12, Vol.89 (12), p.1878-1882 |
| issn | 0090-0036 1541-0048 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); EBSCOhost SPORTDiscus with Full Text; Business Source Ultimate; Social Science Premium Collection; ABI/INFORM Global; American Public Health Association; Politics Collection; PAIS Index; PubMed Central |
| 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 |
| title | The effect of health education on the rate of ophthalmic examinations among African Americans with diabetes mellitus |
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