Feasibility of an implementation intervention to increase attendance at diabetic retinopathy screening: protocol for a cluster randomised pilot trial.

Family practitioner Feasibility Implementation intervention Pilot trial Retinal screening

Journal

Pilot and feasibility studies
ISSN: 2055-5784
Titre abrégé: Pilot Feasibility Stud
Pays: England
ID NLM: 101676536

Informations de publication

Date de publication:
2020
Historique:
received: 27 09 2019
accepted: 23 04 2020
entrez: 20 5 2020
pubmed: 20 5 2020
medline: 20 5 2020
Statut: epublish

Résumé

Diabetic retinopathy screening (DRS) leads to the earlier detection of retinopathy and treatment that can prevent or delay the development of diabetes-related blindness. However, uptake continues to be sub-optimal in many countries, including Ireland. Routine management of type 2 diabetes largely takes place in primary care. As such, there may be an opportunity in primary care to introduce interventions to improve DRS uptake. However, few studies test the feasibility of interventions to enhance DRS uptake in this context. Our aim is to investigate the feasibility of an implementation intervention (IDEAs (Improving Diabetes Eye screening Attendance)) delivered in general practice to improve the uptake of the national DRS programme, RetinaScreen. The IDEAs study is a cluster randomised pilot trial with an embedded process evaluation and economic evaluation. Following stratification by practice size, eight general practices (clusters) will be randomly allocated to intervention ( Findings will determine whether IDEAsis feasible and acceptable and will be used to refine the intervention and study procedures. A definitive trial will determine whether IDEAs is a cost-effective intervention to improve DRS uptake and reduce diabetes-related blindness. ClinicalTrials.gov NCT03901898. Registered 3rd April 2019.

Sections du résumé

BACKGROUND BACKGROUND
Diabetic retinopathy screening (DRS) leads to the earlier detection of retinopathy and treatment that can prevent or delay the development of diabetes-related blindness. However, uptake continues to be sub-optimal in many countries, including Ireland. Routine management of type 2 diabetes largely takes place in primary care. As such, there may be an opportunity in primary care to introduce interventions to improve DRS uptake. However, few studies test the feasibility of interventions to enhance DRS uptake in this context. Our aim is to investigate the feasibility of an implementation intervention (IDEAs (Improving Diabetes Eye screening Attendance)) delivered in general practice to improve the uptake of the national DRS programme, RetinaScreen.
METHODS METHODS
The IDEAs study is a cluster randomised pilot trial with an embedded process evaluation and economic evaluation. Following stratification by practice size, eight general practices (clusters) will be randomly allocated to intervention (
DISCUSSION CONCLUSIONS
Findings will determine whether IDEAsis feasible and acceptable and will be used to refine the intervention and study procedures. A definitive trial will determine whether IDEAs is a cost-effective intervention to improve DRS uptake and reduce diabetes-related blindness.
TRIAL REGISTRATION BACKGROUND
ClinicalTrials.gov NCT03901898. Registered 3rd April 2019.

Identifiants

pubmed: 32426158
doi: 10.1186/s40814-020-00608-y
pii: 608
pmc: PMC7216495
doi:

Banques de données

ClinicalTrials.gov
['NCT03901898']

Types de publication

Journal Article

Langues

eng

Pagination

64

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Competing interestsThe authors declare that they have no competing interests.

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Auteurs

Fiona Riordan (F)

1School of Public Health, University College Cork, Western Gateway Building, Western Rd, Cork, Ireland.

Emmy Racine (E)

1School of Public Health, University College Cork, Western Gateway Building, Western Rd, Cork, Ireland.

Susan M Smith (SM)

2Department of General Practice, Royal College of Surgeons of Ireland, Dublin, Ireland.

Aileen Murphy (A)

3Department of Economics, Cork University Business School, University College Cork, Cork, Ireland.

John Browne (J)

1School of Public Health, University College Cork, Western Gateway Building, Western Rd, Cork, Ireland.

Patricia M Kearney (PM)

1School of Public Health, University College Cork, Western Gateway Building, Western Rd, Cork, Ireland.

Colin Bradley (C)

4Department of General Practice, University College Cork, Cork, Ireland.

Mark James (M)

5Medical Education Unit, University College Cork, Cork, Ireland.

Mark Murphy (M)

2Department of General Practice, Royal College of Surgeons of Ireland, Dublin, Ireland.

Sheena M McHugh (SM)

1School of Public Health, University College Cork, Western Gateway Building, Western Rd, Cork, Ireland.

Classifications MeSH