title: An Education- and Telephone-Based Intervention to Improve Follow-up to Vision Care in Patients With Diabetes: A Prospective, Single-Blinded, Randomized Trial.
abstract: The aim was to evaluate the effectiveness of a multipronged intervention on diabetic dilated fundus examination (DFE) adherence. In a prospective trial, 521 patients with diabetes who were due for follow-up DFEs were randomized to usual care or the intervention group. Usual care received a form letter reminder to schedule and an automated reminder phone call prior to their appointment. Intervention participants received an educational brochure about diabetic eye disease and a personalized letter reminder to schedule. A research assistant called intervention participants to help schedule the appointment, and they received a reminder letter and an automated phone call prior to the scheduled visit. Patients in the intervention group were significantly more likely to schedule (63% vs 40%; P < .0001) and complete their appointment (48% vs 30%; P < .0001) compared with usual care. A multipronged intervention, including an educational mailing and telephone assistance with scheduling an appointment, significantly improved diabetic DFE adherence.
authors.affiliation: Wills Eye Hospital, Philadelphia, PA.
authors.forename: Camila S
authors.initials: CS
authors.lastname: Zangalli
authors.affiliation: Wills Eye Hospital, Philadelphia, PA amurchison@willseye.org.
authors.forename: Ann P
authors.initials: AP
authors.lastname: Murchison
authors.affiliation: Wills Eye Hospital, Philadelphia, PA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Hale
authors.affiliation: Wills Eye Hospital, Philadelphia, PA.
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Hark
authors.affiliation: Thomas Jefferson University, Philadelphia, PA.
authors.forename: Laura T
authors.initials: LT
authors.lastname: Pizzi
authors.affiliation: Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
authors.forename: Yang
authors.initials: Y
authors.lastname: Dai
authors.affiliation: Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
authors.forename: Benjamin E
authors.initials: BE
authors.lastname: Leiby
authors.affiliation: Wills Eye Hospital, Philadelphia, PA.
authors.forename: Julia A
authors.initials: JA
authors.lastname: Haller
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003920:Diabetes Mellitus / Q000628:therapy*; D003930:Diabetic Retinopathy / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011446:Prospective Studies; D017010:Reminder Systems; D016037:Single-Blind Method; D012959:Socioeconomic Factors; D013689:Telephone; D055815:Young Adult
keywords: diabetes care; diabetic retinopathy; eye care adherence; intervention