Trial of a behavioral intervention to increase dilated fundus examinations in African–Americans aged over 65 years with diabetes
Autor: | James Plumb, Rickie Brawer, Robin J. Casten, Benjamin E. Leiby, Ann P. Murchison, Lisa A Hark, Barry W. Rovner, Jeffrey D Henderer, Jullia A Haller, David Weiss |
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Rok vydání: | 2011 |
Předmět: |
medicine.medical_specialty
genetic structures business.industry Biomedical Engineering Psychological intervention Behavioral activation Fundus (eye) medicine.disease Dilated fundus examination Placebo eye diseases law.invention Ophthalmology Randomized controlled trial law Diabetes mellitus Intervention (counseling) medicine Physical therapy business Optometry |
Zdroj: | Expert Review of Ophthalmology. 6:593-601 |
ISSN: | 1746-9902 1746-9899 |
Popis: | This article describes a randomized clinical trial to test the impact of a home-based behavioral activation program to improve rates of dilated fundus examinations in older African–Americans with diabetes. This trial is enrolling subjects who have not met the recommendations for annual eye examinations. The intervention being testing is novel, culturally relevant and has the potential to reduce a significant health disparity regarding vision impairment. Subjects are randomized to behavioral activation or a placebo condition to control for the effects of attention. Both the active and control interventions are delivered in subjects’ homes by a community healthcare worker. The primary outcome is whether a subject had a dilated fundus examination by an ophthalmologist by 6 months. |
Databáze: | OpenAIRE |
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