Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years
The study aim is to investigate characteristics, barriers and enablers for attendance at the Diabetic Eye Screening Programme Northern Ireland (DESPNI) among people with diabetes aged 12–26 years. A mixed-methods approach with retrospective analysis and prospective, questionnaire-based data collecti...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-09-01
|
| Series: | International Journal of Translational Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2673-8937/1/3/11 |
| _version_ | 1827672110201307136 |
|---|---|
| author | Laura N. Cushley Katie Curran Nicola B. Quinn Aaron Bell Alyson Muldrew Una M. Graham David R. McCance Qing Wen Tunde Peto |
| author_facet | Laura N. Cushley Katie Curran Nicola B. Quinn Aaron Bell Alyson Muldrew Una M. Graham David R. McCance Qing Wen Tunde Peto |
| author_sort | Laura N. Cushley |
| collection | DOAJ |
| description | The study aim is to investigate characteristics, barriers and enablers for attendance at the Diabetic Eye Screening Programme Northern Ireland (DESPNI) among people with diabetes aged 12–26 years. A mixed-methods approach with retrospective analysis and prospective, questionnaire-based data collection was completed. Data were analysed using ordinal logistic regression. A questionnaire collected information on barriers and enablers to attending DESPNI. Age, diabetes duration, attendance at diabetes clinic and lower HbA1c values were significantly associated with better attendance. Those aged 12–15 were more likely to attend screening than 16–26 years, odds ratio (OR) 4.01. Subjects diagnosed less than 5 years were more likely to attend than those with longer diabetes duration (OR = 2.52, <i>p</i> =< 0.001). Subjects who attended diabetes clinics were more likely to attend screening (OR = 1.89, <i>p</i> =< 0.001) and have a lower HbA1c (OR = 1.46, <i>p</i> =< 0.001). Questionnaires revealed major barriers to attendance which included inconvenient appointment times, lack of access and poor communication. While many subjects were aware of the impact of diabetes on the eye, many had little understanding of screening. This study provides pivotal information on potential barriers and enablers for young people attending eye screening. We suggest modest changes such as convenient appointment times, clearer communication and one-stop clinics could improve attendance. |
| first_indexed | 2024-03-10T03:54:10Z |
| format | Article |
| id | doaj.art-e9923d5ece054af8b6a0d3b08dd8a44f |
| institution | Directory Open Access Journal |
| issn | 2673-8937 |
| language | English |
| last_indexed | 2024-03-10T03:54:10Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | International Journal of Translational Medicine |
| spelling | doaj.art-e9923d5ece054af8b6a0d3b08dd8a44f2023-11-23T08:50:18ZengMDPI AGInternational Journal of Translational Medicine2673-89372021-09-011315416210.3390/ijtm1030011Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 YearsLaura N. Cushley0Katie Curran1Nicola B. Quinn2Aaron Bell3Alyson Muldrew4Una M. Graham5David R. McCance6Qing Wen7Tunde Peto8Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Faculty of Medicine, Health and Life Sciences, Queen’s University Belfast, Grosvenor Road, BT12 6BA Belfast, IrelandCentre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Faculty of Medicine, Health and Life Sciences, Queen’s University Belfast, Grosvenor Road, BT12 6BA Belfast, IrelandCentre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Faculty of Medicine, Health and Life Sciences, Queen’s University Belfast, Grosvenor Road, BT12 6BA Belfast, IrelandCentre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Faculty of Medicine, Health and Life Sciences, Queen’s University Belfast, Grosvenor Road, BT12 6BA Belfast, IrelandCentre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Faculty of Medicine, Health and Life Sciences, Queen’s University Belfast, Grosvenor Road, BT12 6BA Belfast, IrelandDepartment of Endocrinology, Belfast Health and Social Care Trust, Grosvenor Road, BT12 6BA Belfast, IrelandDepartment of Endocrinology, Belfast Health and Social Care Trust, Grosvenor Road, BT12 6BA Belfast, IrelandCentre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Faculty of Medicine, Health and Life Sciences, Queen’s University Belfast, Grosvenor Road, BT12 6BA Belfast, IrelandCentre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Faculty of Medicine, Health and Life Sciences, Queen’s University Belfast, Grosvenor Road, BT12 6BA Belfast, IrelandThe study aim is to investigate characteristics, barriers and enablers for attendance at the Diabetic Eye Screening Programme Northern Ireland (DESPNI) among people with diabetes aged 12–26 years. A mixed-methods approach with retrospective analysis and prospective, questionnaire-based data collection was completed. Data were analysed using ordinal logistic regression. A questionnaire collected information on barriers and enablers to attending DESPNI. Age, diabetes duration, attendance at diabetes clinic and lower HbA1c values were significantly associated with better attendance. Those aged 12–15 were more likely to attend screening than 16–26 years, odds ratio (OR) 4.01. Subjects diagnosed less than 5 years were more likely to attend than those with longer diabetes duration (OR = 2.52, <i>p</i> =< 0.001). Subjects who attended diabetes clinics were more likely to attend screening (OR = 1.89, <i>p</i> =< 0.001) and have a lower HbA1c (OR = 1.46, <i>p</i> =< 0.001). Questionnaires revealed major barriers to attendance which included inconvenient appointment times, lack of access and poor communication. While many subjects were aware of the impact of diabetes on the eye, many had little understanding of screening. This study provides pivotal information on potential barriers and enablers for young people attending eye screening. We suggest modest changes such as convenient appointment times, clearer communication and one-stop clinics could improve attendance.https://www.mdpi.com/2673-8937/1/3/11diabetic retinopathydiabetic eye screeningdiabetesyoung people |
| spellingShingle | Laura N. Cushley Katie Curran Nicola B. Quinn Aaron Bell Alyson Muldrew Una M. Graham David R. McCance Qing Wen Tunde Peto Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years International Journal of Translational Medicine diabetic retinopathy diabetic eye screening diabetes young people |
| title | Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years |
| title_full | Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years |
| title_fullStr | Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years |
| title_full_unstemmed | Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years |
| title_short | Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years |
| title_sort | diabetic retinopathy screening programme attendance barriers and enablers amongst young people with diabetes mellitus aged 12 26 years |
| topic | diabetic retinopathy diabetic eye screening diabetes young people |
| url | https://www.mdpi.com/2673-8937/1/3/11 |
| work_keys_str_mv | AT laurancushley diabeticretinopathyscreeningprogrammeattendancebarriersandenablersamongstyoungpeoplewithdiabetesmellitusaged1226years AT katiecurran diabeticretinopathyscreeningprogrammeattendancebarriersandenablersamongstyoungpeoplewithdiabetesmellitusaged1226years AT nicolabquinn diabeticretinopathyscreeningprogrammeattendancebarriersandenablersamongstyoungpeoplewithdiabetesmellitusaged1226years AT aaronbell diabeticretinopathyscreeningprogrammeattendancebarriersandenablersamongstyoungpeoplewithdiabetesmellitusaged1226years AT alysonmuldrew diabeticretinopathyscreeningprogrammeattendancebarriersandenablersamongstyoungpeoplewithdiabetesmellitusaged1226years AT unamgraham diabeticretinopathyscreeningprogrammeattendancebarriersandenablersamongstyoungpeoplewithdiabetesmellitusaged1226years AT davidrmccance diabeticretinopathyscreeningprogrammeattendancebarriersandenablersamongstyoungpeoplewithdiabetesmellitusaged1226years AT qingwen diabeticretinopathyscreeningprogrammeattendancebarriersandenablersamongstyoungpeoplewithdiabetesmellitusaged1226years AT tundepeto diabeticretinopathyscreeningprogrammeattendancebarriersandenablersamongstyoungpeoplewithdiabetesmellitusaged1226years |