Skip to content

Research at St Andrews

Barriers and enablers to diabetic retinopathy screening attendance: protocol for a systematic review

Research output: Contribution to journalArticlepeer-review

Author(s)

Ella Graham-Rowe, Fabiana Lorencatto, John G. Lawrenson, Jennifer Burr, Jeremy M. Grimshaw, Noah M. Ivers, Tunde Peto, Catey Bunce, Jill J. Francis, WIDeR-EyeS Project team

School/Research organisations

Abstract

Background: Diabetic retinopathy is a serious complication of diabetes which, if left untreated, can result in blindness. Population screening among people with diabetes has been shown to be clinically effective; however, suboptimal attendance with wide demographic disparities has been reported. To develop quality improvement interventions to maximise attendance, it is important to understand the theoretical determinants (i.e. barriers and enablers) of screening behaviour. The aim of this systematic review is to identify and synthesise the modifiable barriers and enablers associated with diabetic retinopathy screening attendance.
Methods/design: Primary and secondary studies will be included if they report perceived barriers/enablers of diabetic retinopathy screening attendance, from the perspectives of people with diabetes and healthcare providers. There will be no restrictions on study design. Studies will be identified from published and grey literature through multiple sources. Bibliographic databases will be searched using synonyms in four search domains: diabetic retinopathy; screening; barriers/enablers; and theoretical constructs relating to behaviour. Search engines and established databases of grey literature will be searched to identify additional relevant studies. Extracted data will include: participant quotations from qualitative studies, statistical analyses from questionnaire and survey studies, and interpretive descriptions and summaries of results from reports. All extracted data will be coded into domains from the Theoretical Domains Framework (TDF) and (for organisational level data) the Consolidated Framework of Implementation Research (CFIR); with domains representing theoretical barriers/enablers proposed to mediate behaviour change. The potential role of each domain in influencing retinopathy screening attendance will be investigated through thematic analysis of the TDF/ CFIR coding. Domain importance will be identified using prespecified criteria: “frequency” and “expressed importance”. Variations in perceived barriers and enablers between
demographic groups (e.g., socio-economic, ethnic) will be explored.
Discussion: This review will identify important barriers and enablers likely to influence attendance for diabetic retinopathy screening. The results will be used to assess the extent to which existing interventions targeting attendance address the theoretical determinants of attendance behaviour. Findings will inform recommendations for future intervention design.
Systematic review registration: PROSPERO CRD42016032990
Close

Details

Original languageEnglish
Number of pages9
JournalSystematic Reviews
Volume5
Issue number1
DOIs
Publication statusPublished - 11 Aug 2016

    Research areas

  • Diabetic retinopathy, Screening , Attendance, Barriers, Enablers, Facilitators, Theoretical Domains Framework, Consolidated Framework for Implementation Research, Thematic analysis

Discover related content
Find related publications, people, projects and more using interactive charts.

View graph of relations

Related by author

  1. EFFECT OF CORNEAL CROSS-LINKING vs STANDARD CARE ON KERATOCONUS PROGRESSION IN YOUNG PATIENTS: THE KERALINK RANDOMIZED CONTROLLED TRIAL

    Keralink Trial Study Group, 20 Apr 2021, In: Ophthalmology.

    Research output: Contribution to journalArticlepeer-review

  2. Trends in diabetic retinopathy screening attendance and associations with vision impairment attributable to diabetes in a large nationwide cohort

    Lawrenson, J. G., Bourmpaki, E., Bunce, C., Stratton, I. M., Gardner, P., Anderson, J. & EROS Study Group, Apr 2021, In: Diabetic Medicine. 38, 4, 11 p., e14425.

    Research output: Contribution to journalArticlepeer-review

  3. Femtosecond laser-assisted cataract surgery compared with phacoemulsification: the FACT non-inferiority RCT

    Day, A. C., Burr, J. M., Bennett, K., Hunter, R., Bunce, C., Doré, C. J., Nanavaty, M. A., Balaggan, K. S. & Wilkins, M. R., 1 Jan 2021, In: Health Technology Assessment. 25, 6, p. 1-68 68 p.

    Research output: Contribution to journalArticlepeer-review

  4. Femtosecond laser-assisted cataract surgery versus phacoemulsification cataract surgery (FACT): a randomized noninferiority trial

    Day, A. C., Burr, J. M., Bennett, K., Bunce, C., Doré, C. J., Rubin, G. S., Nanavaty, M. A., Balaggan, K. S., Wilkins, M. R. & FACT trial group, Aug 2020, In: Ophthalmology. 127, 8, p. 1012-1019 8 p.

    Research output: Contribution to journalArticlepeer-review

Related by journal

  1. CYP genetic variants and toxicity related to anti-tubercular agents: a systematic review and meta-analysis

    Richardson, M., Kirkham, J., Dwan, K., Sloan, D. J., Davies, G. & Jorgensen, A. L., 20 Nov 2018, In: Systematic Reviews. 7, 15 p., 204.

    Research output: Contribution to journalArticlepeer-review

  2. Effect of the duration of antimicrobial exposure on the development of antimicrobial resistance (AMR) for macrolide antibiotics: protocol for a systematic review with a network meta-analysis

    Divala, T. H., Corbett, E. L., Stagg, H. R., Nliwasa, M., Sloan, D. J., French, N. & Fielding, K. L., 23 Dec 2018, In: Systematic Reviews. 7, 9 p., 246.

    Research output: Contribution to journalArticlepeer-review

  3. Effectiveness of interventions aimed at improving physical and psychological outcomes of fall-related injuries in people with dementia: A narrative systematic review

    Robalino, S., Nyakang'o, S. B., Beyer, F. R., Fox, C. & Allan, L. M., 20 Feb 2018, In: Systematic Reviews. 7, 1, 31.

    Research output: Contribution to journalArticlepeer-review

  4. Sensitivity and specificity of using trial-of-antibiotics versus sputum mycobacteriology for diagnosis of tuberculosis: protocol for a systematic literature review

    Divala, T. H., Fielding, K. L., Nliwasa, M., Sloan, D. J., Gupta-Wright, A. & Corbett, E. L., 15 Sep 2018, In: Systematic Reviews. 7, 5 p., 141.

    Research output: Contribution to journalReview articlepeer-review

  5. Influence of genetic variants on toxicity to anti-tubercular agents: a systematic review and meta-analysis (protocol)

    Richardson, M., Kirkham, J., Dwan, K., Sloan, D., Davies, G. & Jorgensen, A., 13 Jul 2017, In: Systematic Reviews. 6, 10 p., 142.

    Research output: Contribution to journalReview articlepeer-review

ID: 245212998

Top