E Graham-Rowe1,2,3, F Lorencatto4, J G Lawrenson2, J M Burr5, J M Grimshaw6,7, N M Ivers8, J Presseau6,9, L Vale10, T Peto11, C Bunce12, J J Francis3. 1. Psychology Applied to Health Group, Institute of Health Research, University of Exeter Medical School, Exeter, UK. 2. School of Health Sciences, Centre for Applied Vision Research, City University of London. 3. School of Health Sciences, Centre for Health Services Research, City University of London. 4. Centre for Behaviour Change, University College London, London, UK. 5. School of Medicine, University of St Andrews, St Andrews, UK. 6. Clinical Epidemiology Programme, Ottawa Hospital Research Institute. 7. Department of Medicine, University of Ottawa, Ottawa, Canada. 8. Department of Family and Community Medicine, Women's College Hospital - University of Toronto, Toronto, Canada. 9. School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Canada. 10. Institute of Health and Society, Health Economics Group, Newcastle University, Newcastle upon Tyne, UK. 11. School of Medicine, Dentistry and Biomedical Sciences, Queens University of Belfast, UK. 12. Department of Primary Care and Public Health Sciences, King's College London, UK.
Abstract
AIMS: To identify and synthesize studies reporting modifiable barriers/enablers associated with retinopathy screening attendance in people with Type 1 or Type 2 diabetes, and to identify those most likely to influence attendance. METHODS: We searched MEDLINE, EMBASE, PsycINFO, Cochrane Library and the 'grey literature' for quantitative and qualitative studies to February 2017. Data (i.e. participant quotations, interpretive summaries, survey results) reporting barriers/enablers were extracted and deductively coded into domains from the Theoretical Domains Framework; with domains representing categories of theoretical barriers/enablers proposed to mediate behaviour change. Inductive thematic analysis was conducted within domains to describe the role each domain plays in facilitating or hindering screening attendance. Domains that were more frequently coded and for which more themes were generated were judged more likely to influence attendance. RESULTS: Sixty-nine primary studies were included. We identified six theoretical domains ['environmental context and resources' (75% of included studies), 'social influences' (51%), 'knowledge' (51%), 'memory, attention, decision processes' (50%), 'beliefs about consequences' (38%) and 'emotions' (33%)] as the key mediators of diabetic retinopathy screening attendance. Examples of barriers populating these domains included inaccurate diabetic registers and confusion between routine eye care and retinopathy screening. Recommendations by healthcare professionals and community-level media coverage acted as enablers. CONCLUSIONS: Across a variety of contexts, we found common barriers to and enablers of retinopathy screening that could be targeted in interventions aiming to increase screening attendance.
AIMS: To identify and synthesize studies reporting modifiable barriers/enablers associated with retinopathy screening attendance in people with Type 1 or Type 2 diabetes, and to identify those most likely to influence attendance. METHODS: We searched MEDLINE, EMBASE, PsycINFO, Cochrane Library and the 'grey literature' for quantitative and qualitative studies to February 2017. Data (i.e. participant quotations, interpretive summaries, survey results) reporting barriers/enablers were extracted and deductively coded into domains from the Theoretical Domains Framework; with domains representing categories of theoretical barriers/enablers proposed to mediate behaviour change. Inductive thematic analysis was conducted within domains to describe the role each domain plays in facilitating or hindering screening attendance. Domains that were more frequently coded and for which more themes were generated were judged more likely to influence attendance. RESULTS: Sixty-nine primary studies were included. We identified six theoretical domains ['environmental context and resources' (75% of included studies), 'social influences' (51%), 'knowledge' (51%), 'memory, attention, decision processes' (50%), 'beliefs about consequences' (38%) and 'emotions' (33%)] as the key mediators of diabetic retinopathy screening attendance. Examples of barriers populating these domains included inaccurate diabetic registers and confusion between routine eye care and retinopathy screening. Recommendations by healthcare professionals and community-level media coverage acted as enablers. CONCLUSIONS: Across a variety of contexts, we found common barriers to and enablers of retinopathy screening that could be targeted in interventions aiming to increase screening attendance.
Authors: Ana Bastos de Carvalho; S Lee Ware; Tamara Belcher; Franceska Mehmeti; Eric B Higgins; Rob Sprang; Cody Williams; Jamie L Studts; Christina R Studts Journal: Implement Sci Commun Date: 2021-05-22
Authors: Lorraine K McDonagh; John M Saunders; Jackie Cassell; Tyrone Curtis; Hamad Bastaki; Thomas Hartney; Greta Rait Journal: Implement Sci Date: 2018-10-22 Impact factor: 7.327