Barriers and enablers to diabetic eye screening attendance: An interview study with young adults with type 1 diabetes.

Autor: Prothero L; School of Health Sciences, City, University of London, London, UK., Lawrenson JG; School of Health Sciences, City, University of London, London, UK., Cartwright M; School of Health Sciences, City, University of London, London, UK., Crosby-Nwaobi R; NIHR Moorfields Biomedical Research Centre, London, UK., Burr JM; School of Medicine, University of St Andrews, St Andrews, UK., Gardner P; Office for Health Improvement and Disparities, Department of Health and Social Care, London, UK., Anderson J; Homerton University Hospital NHS Foundation Trust, London, UK., Presseau J; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada., Ivers N; Women's College Research Institute, Toronto, Ontario, Canada., Grimshaw JM; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.; Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada., Lorencatto F; Centre for Behaviour Change, University College London, London, UK.
Jazyk: angličtina
Zdroj: Diabetic medicine : a journal of the British Diabetic Association [Diabet Med] 2022 Mar; Vol. 39 (3), pp. e14751. Date of Electronic Publication: 2021 Dec 29.
DOI: 10.1111/dme.14751
Abstrakt: Aim: The aim of this study was to identify barriers and enablers of diabetic eye screening (DES) attendance amongst young adults with diabetes living in the United Kingdom.
Methods: Semistructured qualitative interviews with adults aged 18-34 years with diabetes. Participants were purposively sampled to aim for representation across gender, geographical locations, diabetes type, years since diabetes diagnosis and patterns of attendance (i.e. regular attenders, occasional non-attenders, regular non-attenders). Data were collected and analysed using the Theoretical Domains Framework (TDF) to explore potential individual, sociocultural and environmental influences on attendance. Data were analysed using a combined deductive and inductive thematic analysis approach. Barriers/enablers were mapped to behaviour change techniques (BCTs) to identify potential strategies to increase attendance.
Results: Key barriers to attendance reported by the sample of 29 study participants with type 1 diabetes, fell within the TDF domains: [Knowledge] (e.g. not understanding reasons for attending DES or treatments available if diabetic retinopathy is detected), [Social Influences] (e.g. lack of support following DES results), [Social role and Identity] (e.g. not knowing other people their age with diabetes, feeling 'isolated' and being reluctant to disclose their diabetes) and [Environmental Context and Resources] (e.g. lack of appointment flexibility and options for rescheduling). Enablers included: [Social Influences] (e.g. support of family/diabetes team), [Goals] (e.g. DES regarded as 'high priority'). Many of the reported barriers/enablers were consistent across groups. Potential BCTs to support attendance include Instructions on how to perform the behaviour; Information about health consequences; Social support (practical) and Social comparison.
Conclusions: Attendance to diabetic eye screening in young adults is influenced by a complex set of interacting factors. Identification of potentially modifiable target behaviours provides a basis for designing more effective, tailored interventions to help young adults regularly attend eye screening and prevent avoidable vision loss.
(© 2021 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.)
Databáze: MEDLINE
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