Edutainment Tool for Increasing Compliance with Diabetic Retinopathy Screening an

描述（由申请人提供）：本I期拨款的目的是通过一种专门制作的、具有文化能力的、传统用于娱乐的印刷媒体：fotonovela，来确定在糖尿病患者中对必要的后续筛查检查和眼科护理的依从性产生可测量的积极变化的可行性。我们将从统计数据上证明患者对糖尿病视网膜病变（DR）后果的理解有所增加，并将量化患者接受福托诺维拉教育技术后依从性的改善。第一阶段将重点关注德克萨斯州、加利福尼亚州和新墨西哥州的西班牙裔人群，因为这些地区确诊和未确诊糖尿病的总发病率高（分别为18.6%、16.2%和14.3%），糖尿病患者总数高（分别为240万、310万和16.7万）。该项目的结果将表明，在这一难以接触和服务不足的人群中，了解和遵守的程度有所提高。通过对近期转诊到眼科诊所随访的患者依从性变化的定量测量，研究对患者的潜在影响和接受度，从而确定该策略的可行性。通过分析两组患者干预后对DR知识和意识的增加情况，以及对眼科预约和眼科检查完成次数的分析，来衡量是否成功。利用这项研究的结果，我们将制定一项战略，通过以社区为基础的运动，使各级初级卫生保健提供者和糖尿病患者更加了解早期发现和治疗DR的好处。该运动将促进提供者和患者之间的伙伴关系；医生必须开出更频繁或每年一次的眼科检查处方，患者必须遵循医生的建议。

DESCRIPTION (provided by applicant): The purpose of this Phase I grant is to establish the feasibility of effecting a measurable positive change in compliance among diabetics with regards to necessary follow-up screening exams and ophthalmic care through a purpose-made, culturally competent, printed medium traditionally used for entertainment: the fotonovela. We will demonstrate statistically the increase in the patient's understanding of the consequences of diabetic retinopathy (DR) and will quantify the improvement in compliance with follow-up eye care after patients are exposed to an educational technique using fotonovelas. Phase I will focus on individuals within the Hispanic populations of Texas, California, and New Mexico because of the high incidence of total diagnosed and undiagnosed diabetes (18.6%, 16.2%, 14.3% respectively) and gross number of diabetics (2.4 million, 3.1 million, and 167,000 respectively) in these regions. Results of this project will demonstrate increased understanding and compliance in this difficult-to-reach and underserved segment of the population. Feasibility of the strategy will be determined by researching the potential impact on, and receptivity of, the patients through quantitative measures of compliance change among those patients who have recently received a referral to seek follow-up ophthalmic care at an eye clinic. Success will be measured through analysis of increased knowledge and awareness about DR, as well as analysis of the number of eye appointments made and eye exams completed, post-intervention by both cohorts. Using the results of the study, we will develop a strategy for making all levels of primary healthcare providers and diabetic patients more sensitive to the benefits of early detection and treatment of DR through a community-based campaign. The campaign will promote a partnership between the providers and patients; providers must prescribe more frequent, or annual eye exams and patients must follow the providers' recommendations. PUBLIC HEALTH RELEVANCE: This project addresses the ongoing problem of non-compliance with necessary eye care in the diabetic population. VisionQuest Biomedical will demonstrate an innovative strategy to disseminate diabetic retinopathy educational information to diabetics via the fotonovela communication media in pamphlet form. This project will launch a strategy to make both patients and primary care providers more aware of the risks of vision loss in diabetics.