Diabetes Mellitus, Diabetic Retinopathy
Conditions
Keywords
eye care utilization, ophthalmology, educational intervention, public health screening
Brief summary
The goal of this project is to implement a Collaborative Translational Research Center (TRC) Network Study which aims to assure optimal two-way communication between ophthalmologists and their patients' primary care physicians (PCP). The Collaborative TRC Network Study will have 2 objectives: * To design and develop common research protocols to develop a 4-year retrospective database (2007-2010) that compiles electronic billing and medical chart information that can be used to study individual-level, clinical-level and system-level factors that impact access to and quality of vision care; * To evaluate adherence to dilated fundus exams (DFEs) follow-up as the primary measureable quality indicator, and its relationship to the patients' demographics, ethnicity, socioeconomic status (SES), severity of diabetic retinopathy (DR), other ocular and medical co-morbidities, presence of HA1C, and primary care provider (PCP) communication. By enhancing communication and strengthening the clinical information exchanged between PCPs and eye care professionals, this Collaborative TRC Network study will help to overcome barriers to obtaining ongoing DFEs and reduce disparities in vision care utilization.
Detailed description
Since its inception in October 2010 Collaborative Network Research Study at the Wills Eye Institute has aimed: 1. to establish a retrospective analysis of existing ophthalmic data sets to assess and evaluate system-level and individual-level factors that impact access to and quality of vision care in patients with diabetes; 2. to implement telephone-based and educational interventions to improve DFE follow-up adherence in African Americans with diabetes utilizing a prospective, cluster-based, randomized cohort design; 3. to determine the feasibility and effectiveness of using a non-invasive, non-mydriatic fundus camera (Nidek) in a community-based pharmacy setting to screen and detect diabetic retinopathy and other ocular diseases among individuals with diabetes.
Interventions
BEHAVIORALAim 3: Contract
Sponsors
Centers for Disease Control and Prevention
University of Alabama at Birmingham
University of Miami
Johns Hopkins University
Wills Eye
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
for Aim 1: 1. Age ≥ 18 years 2. Type 2 diabetes mellitus 3. Had a dilated fundus exam (DFE) within the past four years (2007-2010).
Exclusion criteria
for Aim 1: 1\) Pregnant women Inclusion Criteria for Aim 2 and 3: 1. Age ≥ 18 years 2. Type 2 diabetes mellitus 3. Access to a telephone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| All Aims: DFE follow-up adherence rate | 2 years | In Aim 1 and Aim 2 specifically the influence patients' ethnicity and severity of diabetic retinopathy will be examined with the rate of dilated fundus examine (DFE) follow-up adherence. In Aim 3, the rate of DFE follow-up adherence will be examined for both patients in the contract and the no contract group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Aim 3: Rates of ocular disease | 2 years | In Aim 3, the occurrence of diabetic retinopathy, glaucoma, cataracts, and other ocular diseases will be collected. |
Countries
United States
Outcome results
None listed