Facilitators and Barriers to Glaucoma Screening Identified by Key Stakeholders in Underserved Communities: A Community-engaged Research Approach.
Facilitators and Barriers to Glaucoma Screening Identified by Key Stakeholders in Underserved Communities: A Community-engaged Research Approach.
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DOI：
10.1097/ijg.0000000000001756
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发表时间：
2021-05-01
影响因子：
2
通讯作者：
Newman-Casey PA
中科院分区：
文献类型：
--
作者：
Ballouz D;Cho J;Woodward MA;Elam AR;Musch DC;Zhang J;Moroi SE;Johnson L;Cederna J;Newman-Casey PA
确定在两个社区诊所实施青光眼筛查项目的促进因素和障碍。使用社区参与研究的并发混合方法过程分析。使用半结构化访谈指南对来自两个社区诊所的主要利益相关者（包括患者、提供者和工作人员）进行了访谈。访谈分为两部分：1)询问患者关于社区辅助人员和实施青光眼筛查和护理的障碍；2)征求对个性化指导计划的反馈。文字记录是用扎根理论编码的。每个主题计算参与者人数和代表性引用次数。定性分析采用Dedoose 8.3.17 （Los Angeles， CA）编码。在编写了12个采访后，主题饱和度达到了。访谈了30名参与者，其中13名来自密歇根州弗林特市汉密尔顿诊所（8名患者，5名提供者和工作人员），17名来自密歇根州伊普斯兰蒂市希望诊所（6名患者，11名提供者和工作人员）。最常被引用的主题是：优先事项（98次引用，30名参与者）、知识（73,26）、交通（63,26）、成本（60,23）和便利/访问（63,22）。广泛适用的青光眼治疗障碍，如成本、交通和信任，以及社区特有的障碍，如语言和便利性/访问，被确定。参与者在参加个性化培训项目后，给自己找眼科医生的可能性打分，平均得分为8.83分（从1分到10分，10分代表最有信心）。社区参与的研究使研究人员能够确定社区特有的障碍和促进因素，从而更有效地实施项目。社区参与的研究使研究人员能够确定社区特定的障碍和促进项目实施的因素。确定了广泛适用的青光眼治疗障碍，如成本、交通和信任，以及社区特定障碍，如语言和便利性/访问。
To identify the facilitators and barriers to implementing glaucoma screening programs in two community clinics. A concurrent mixed-methods process analysis using community-engaged research. Key stakeholders—including patients, providers, and staff members—from two community clinics were interviewed using a semi-structured interview guide. Interviews had two parts: 1) asking patients about community-based facilitators and barriers to implementing glaucoma screening and care and 2) eliciting feedback about a personalized coaching program. The transcripts were coded using Grounded Theory. Number of participants and number of representative citations were counted per theme. The qualitative analysis was coded using Dedoose 8.3.17 (Los Angeles, CA). Thematic saturation was reached after coding 12 interviews. 30 participants were interviewed, 13 from Hamilton Clinic, (Flint, Michigan), (8 patients, 5 providers and staff members) and 17 from Hope Clinic, (Ypsilanti, Michigan), (6 patients, 11 providers and staff members). The most commonly cited themes were: Priorities (98 citations, 30 participants), Knowledge (73, 26) Transportation (63, 26), Cost (60, 23), and Convenience/Access (63, 22). Broadly applicable barriers to glaucoma care, such as Cost, Transportation, and Trust were identified alongside community-specific barriers such as Language and Convenience/Access. Participants rated their likelihood to follow up with an ophthalmologist after participating in the personalized coaching program at a mean of 8.83 (on a scale of 1 to 10 with 10 being the most confident). Community-engaged research enables researchers to identify community-specific barriers and facilitators, allowing more effective program implementation. Community-engaged research enables researchers to identify community-specific barriers and facilitators to program implementation. Broadly applicable barriers to glaucoma care, such as Cost, Transportation, and Trust, and community-specific barriers, such as Language and Convenience/Access, were identified.