Overcoming Barriers in Vision Care Utilization of African Americans with Diabetes

克服患有糖尿病的非裔美国人的视力保健利用障碍

• 批准号: 9098908
• 负责人: JULIA A HALLER
• 金额: $ 6.25万
• 依托单位: WILLS EYE HEALTH SYSTEM
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2016-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9098908
• 关键词: Overcoming; Barriers; Vision; Care; Utilization

DESCRIPTION: The Wills Eye Health System proposes to establish a multidisciplinary Wills Eye Translational Research Center (the "WETRC") in response to the DHHS/CDC RFA-DP- 10-004. The WETRC will conduct the project entitled, "Overcoming Barriers in Vision Care Utilization of African Americans with Diabetes." According to the American Academy of Ophthalmology and the American Diabetes Association, annual dilated fundus examinations (DFEs) are recommended for all people with diabetes to reduce their risk of vision loss. Despite this fact, only 50% to 60% of adults with diabetes follow this recommendation, and African Americans are less likely to see an eye doctor or get a DFE compared to Caucasians. Therefore, the goal of the WETRC is to enhance the eye care of underserved, African Americans in Philadelphia with diabetes, improve the population-based quality of eye care services and close the gap between optimal evidence-based eye care and existing practice. The WETRC specific studies (AIMS) are to: 1) Develop a retrospective analysis of existing ophthalmic data sets to assess and evaluate individual-level and system-level factors that impact access to and quality of vision care in patients with diabetes; 2) Use focus group methodology to identify barriers and enablers to the delivery of efficacious and cost-effective eye care that prevent vision loss and promote eye health in African Americans with diabetes; and 3) Implement telephone-based and educational interventions to improve DFE follow-up adherence in African Americans with diabetes utilizing a prospective cluster-based, randomized, cohort. The investigators at the WETRC will also participate in the design and implementation of a Collaborative TRC Network study, which aims to assure optimal two-way communication between the ophthalmologist and their patients' primary care physician (PCP). This Network study goals are to improve the ophthalmologists' patient education about blood sugar control by increasing the HA1C reporting from the PCP to the ophthalmologist. It also aims to improve PCP knowledge regarding their patients' severity of DR and recommended ocular follow-up. Successful achievement of the TRC-specific studies and the Collaborative TRC Network study will help to overcome barriers to obtaining ongoing DFEs and reduce disparities in vision care utilization. Our goal is to bring African Americans with diabetes closer to the Healthy People 2010 goal of 75% of all persons with diabetes having an annual DFE.

描述：根据 DHHS/CDC RFA-DP-10-004，Wills 眼健康系统提议建立一个多学科 Wills 眼转化研究中心（“WETRC”）。 WETRC 将开展题为“克服患有糖尿病的非裔美国人视力保健利用障碍”的项目。根据美国眼科学会和美国糖尿病协会的说法，建议所有糖尿病患者每年进行散瞳眼底检查 (DFE)，以降低视力丧失的风险。尽管如此，只有 50% 到 60% 的成人糖尿病患者遵循这一建议，而且与白人相比，非洲裔美国人看眼科医生或接受 DFE 的可能性较小。因此，WETRC 的目标是加强费城患有糖尿病的服务不足的非裔美国人的眼部护理，提高以人群为基础的眼部护理服务质量，并缩小最佳循证眼部护理与现有实践之间的差距。 WETRC 的具体研究 (AIMS) 旨在： 1) 对现有眼科数据集进行回顾性分析，以评估影响糖尿病患者获得视力护理的机会和质量的个人层面和系统层面的因素； 2) 使用焦点小组方法来确定提供有效且具有成本效益的眼部护理的障碍和推动因素，以防止患有糖尿病的非洲裔美国人视力丧失并促进眼部健康； 3) 利用基于集群的前瞻性随机队列实施基于电话的教育干预措施，以提高患有糖尿病的非裔美国人的 DFE 随访依从性。 WETRC 的研究人员还将参与 TRC 协作网络研究的设计和实施，该研究旨在确保眼科医生与其患者的初级保健医生 (PCP) 之间实现最佳的双向沟通​​。该网络研究的目标是通过增加 PCP 向眼科医生的 HA1C 报告来改善眼科医生关于血糖控制的患者教育。它还旨在提高 PCP 对患者 DR 严重程度和建议的眼部随访的了解。 TRC 特定研究和 TRC 合作网络研究的成功将有助于克服获得持续 DFE 的障碍，并减少视力保健利用方面的差异。我们的目标是让患有糖尿病的非洲裔美国人更接近 2010 年健康人民的目标，即 75% 的糖尿病患者具有年度 DFE。

项目成果

Evaluation of a Web-Based Training in Smoking Cessation Counseling Targeting U.S. Eye-Care Professionals.

针对美国眼保健专业人员的基于网络的戒烟咨询培训的评估。

• DOI: 10.1177/1090198117709883
• 发表时间: 2018
• 期刊: Health education & behavior : the official publication of the Society for Public Health Education
• 作者: Asfar,Taghrid;Lee,DavidJ;Lam,ByronL;Murchison,AnnP;Mayro,EileenL;Owsley,Cynthia;McGwin,Gerald;Gower,EmilyW;Friedman,DavidS;Saaddine,Jinan
• 通讯作者: Saaddine,Jinan

A Multi-Center Diabetes Eye Screening Study in Community Settings: Study Design and Methodology.

• DOI: 10.3109/09286586.2015.1099682
• 发表时间: 2016
• 期刊: Ophthalmic epidemiology
• 影响因子: 1.8
• 作者: Murchison AP;Friedman DS;Gower EW;Haller JA;Lam BL;Lee DJ;McGwin G Jr;Owsley C;Saaddine J;Insight Study Group
• 通讯作者: Insight Study Group