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Barriers and enablers to diabetic eye screening attendance : an interview study with young adults with type 1 diabetes
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dc.contributor.author | Prothero, Louise | |
dc.contributor.author | Lawrenson, John G | |
dc.contributor.author | Cartwright, Martin | |
dc.contributor.author | Crosby-Nwaobi, Roxanne | |
dc.contributor.author | Burr, Jennifer M | |
dc.contributor.author | Gardner, Philip | |
dc.contributor.author | Anderson, John | |
dc.contributor.author | Presseau, Justin | |
dc.contributor.author | Ivers, Noah | |
dc.contributor.author | Grimshaw, Jeremy M | |
dc.contributor.author | Lorencatto, Fabiana | |
dc.contributor.author | The EROS Study Investigators | |
dc.date.accessioned | 2022-01-06T17:30:09Z | |
dc.date.available | 2022-01-06T17:30:09Z | |
dc.date.issued | 2022-03-01 | |
dc.identifier | 276892114 | |
dc.identifier | b03d0bbe-801c-459d-b63e-c80efcc200e8 | |
dc.identifier | 85122102579 | |
dc.identifier | 000735742100001 | |
dc.identifier.citation | Prothero , L , Lawrenson , J G , Cartwright , M , Crosby-Nwaobi , R , Burr , J M , Gardner , P , Anderson , J , Presseau , J , Ivers , N , Grimshaw , J M , Lorencatto , F & The EROS Study Investigators 2022 , ' Barriers and enablers to diabetic eye screening attendance : an interview study with young adults with type 1 diabetes ' , Diabetic Medicine , vol. 39 , no. 3 , e14751 . https://doi.org/10.1111/dme.14751 | en |
dc.identifier.issn | 0742-3071 | |
dc.identifier.other | RIS: urn:8EB649DA7DFE902FD8F9F2815C2393E1 | |
dc.identifier.other | ORCID: /0000-0002-9478-738X/work/105956704 | |
dc.identifier.other | ORCID: /0000-0003-0682-3780/work/108118595 | |
dc.identifier.uri | https://hdl.handle.net/10023/24616 | |
dc.description | Funding: NIHR Policy Research Program (project reference PR-R20-0318-22001). | en |
dc.description.abstract | Aim To identify barriers and enablers of diabetic eye screening (DES) attendance amongst young adults with diabetes living in the UK. Methods Semi-structured qualitative interviews with adults aged 18-34 years with diabetes. Participants were purposively sampled to aim for representation across gender, geographical locations, diabetes type, years since diabetes diagnosis and patterns of attendance (i.e. regular attenders, occasional non-attenders, regular non-attenders). Data were collected and analysed using the Theoretical Domains Framework (TDF) to explore potential individual, socio-cultural and environmental influences on attendance. Data were analysed using a combined deductive and inductive thematic analysis approach. Barriers/enablers were mapped to behaviour change techniques (BCTs) to identify potential strategies to increase attendance. Results Key barriers to attendance reported by the sample of 29 study participants with type 1 diabetes, fell within the TDF domains: [1] (e.g. not understanding reasons for attending DES or treatments available if diabetic retinopathy is detected), [Social Influences] (e.g. lack of support following DES results), [Social role and Identity] (e.g. not knowing other people their age with diabetes, feeling ‘isolated’ and being reluctant to disclose their diabetes) and [Environmental Context and Resources] (e.g. lack of appointment flexibility and options for rescheduling). Enablers included: [Social Influences] (e.g. support of family/diabetes team), [Goals] (e.g. DES regarded as ‘high priority’). Many of the reported barriers/enablers were consistent across groups. Potential BCTs to support attendance include: Instructions on how to perform the behaviour; Information about health consequences; Social support (practical) and Social comparison. Conclusions Attendance to diabetic eye screening in young adults is influenced by a complex set of interacting factors. Identification of potentially modifiable target behaviours provides a basis for designing more effective, tailored interventions to help young adults regularly attend eye screening and prevent avoidable vision loss. | |
dc.format.extent | 16 | |
dc.format.extent | 361616 | |
dc.language.iso | eng | |
dc.relation.ispartof | Diabetic Medicine | en |
dc.subject | Barriers and enablers | en |
dc.subject | Behaviour change | en |
dc.subject | Diabetic eye screening | en |
dc.subject | Qualitative research | en |
dc.subject | RA Public aspects of medicine | en |
dc.subject | RC Internal medicine | en |
dc.subject | NDAS | en |
dc.subject | SDG 3 - Good Health and Well-being | en |
dc.subject | NIS | en |
dc.subject | MCC | en |
dc.subject.lcc | RA | en |
dc.subject.lcc | RC | en |
dc.title | Barriers and enablers to diabetic eye screening attendance : an interview study with young adults with type 1 diabetes | en |
dc.type | Journal article | en |
dc.contributor.institution | University of St Andrews. School of Medicine | en |
dc.contributor.institution | University of St Andrews. Population and Behavioural Science Division | en |
dc.identifier.doi | 10.1111/dme.14751 | |
dc.description.status | Peer reviewed | en |
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