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Cluster randomised controlled trial evaluation of a Link Worker-delivered intervention to improve uptake of diabetic retinopathy screening in a South Asian population
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Bush, K., Thomas, R., Raymond, Neil T., Sankar, Sailesh, Barker, P. J. and O'Hare, J. Paul (2014) Cluster randomised controlled trial evaluation of a Link Worker-delivered intervention to improve uptake of diabetic retinopathy screening in a South Asian population. Diabetes and Vascular Disease Research, 11 (4). pp. 294-297. doi:10.1177/1479164114532964 ISSN 1479-1641.
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Official URL: http://dx.doi.org/10.1177/1479164114532964
Abstract
Attendance at diabetic retinopathy screening in minority ethnic groups, including the South Asian population, is known to be poor. We describe a cluster randomised controlled trial conducted in 10 general practitioner (GP) surgeries in Coventry, UK, during 2007 which aimed to evaluate the use of a Link Worker–delivered intervention to improve attendance. The intervention consisted of a simple telephone reminder with the main outcome measure being attendance at diabetic retinopathy screening. We found a statistically significant difference between mean attendance proportions for intervention (0.89) and control (0.74) practices: difference (95% confidence interval (CI)) 0.15 (0.04–0.27), t = 3.03, p = 0.0162; this difference remained significant when adjusted for previous year’s proportions. In this proof-of-concept study, in inner city Coventry, we demonstrated increased attendance at diabetic retinopathy screening by use of a simple Link Worker–implemented telephone call intervention. The use of Link Worker phone calls may be a useful tool to increase attendance for diabetic retinopathy screening in a group with high did-not-attend (DNA) rates and a high prevalence of diabetic retinopathy and visual impairment.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Diabetes and Vascular Disease Research | ||||||
| Publisher: | Sage Publications Ltd. | ||||||
| ISSN: | 1479-1641 | ||||||
| Official Date: | 1 July 2014 | ||||||
| Dates: |
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| Volume: | 11 | ||||||
| Number: | 4 | ||||||
| Number of Pages: | 4 | ||||||
| Page Range: | pp. 294-297 | ||||||
| DOI: | 10.1177/1479164114532964 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) |
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