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Health education improves referral compliance of persons with probable Diabetic Retinopathy: A randomized controlled trial

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Listed:
  • Zara Khair
  • Md Moshiur Rahman
  • Kana Kazawa
  • Yasmin Jahan
  • Abu S G Faruque
  • Mohammod Jobayer Chisti
  • Michiko Moriyama

Abstract

Objective: Lack of awareness about Diabetic Retinopathy (DR) is the most commonly cited reason why many persons with type 2 diabetes are non-compliant with referral instruction to undergo retinal screening. The purpose of this study was to evaluate the efficacy of a culturally, geographically and socially appropriate, locally adapted five-month-long health education on referral compliance of participants. Method: A prospective randomized, open-label parallel group study was conducted on persons with type 2 diabetes who underwent basic eye screening at a diabetes hospital between September 2017 and August 2018. Participants who were noncompliant with referral instruction to visit a hospital for advanced DR management were randomly divided into health education intervention group (n = 143) and control group (n = 156). Both groups received information regarding DR and referral instruction at the diabetes hospital. The intervention group was provided personalized education followed by telephonic reminders. The primary endpoint was ‘increase in referral compliance’ and the secondary endpoint was ‘increase in knowledge of DR’. Multivariate logistic regression model was used to identify significant predictors of compliance to referral. Results: A total of nine participants dropped and 290 completed the post intervention survey. The compliance rate in intervention group was found to be significantly higher than the control group (64.3% vs 28.2%; OR 4.73; 95% CI 2.87–7.79; p

Suggested Citation

  • Zara Khair & Md Moshiur Rahman & Kana Kazawa & Yasmin Jahan & Abu S G Faruque & Mohammod Jobayer Chisti & Michiko Moriyama, 2020. "Health education improves referral compliance of persons with probable Diabetic Retinopathy: A randomized controlled trial," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-16, November.
    • Handle: RePEc:plo:pone00:0242047
    DOI: 10.1371/journal.pone.0242047
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    References listed on IDEAS

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    1. Basch, C.E. & Walker, E.A. & Howard, C.J. & Shamoon, H. & Zybert, P., 1999. "The effect of health education on the rate of ophthalmic examinations among African Americans with diabetes mellitus," American Journal of Public Health, American Public Health Association, vol. 89(12), pages 1878-1882.
    2. Rosen, L. & Manor, O. & Engelhard, D. & Zucker, D., 2006. "In defense of the randomized controlled trial for health promotion research," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1181-1186.
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