دورية أكاديمية
Structured Counselling and Regular Telephonic follow up to improve Referral flow and compliance in Nepal for Diabetic Retinopathy(SCREEN-D Study): a randomised controlled trial.
| العنوان: | Structured Counselling and Regular Telephonic follow up to improve Referral flow and compliance in Nepal for Diabetic Retinopathy(SCREEN-D Study): a randomised controlled trial. |
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| المؤلفون: | Bhattarai B; Lumbini Eye Institute and Research center, Siddharthanagar, Lumbini, Nepal. bhattaraibinita@hotmail.com.; Lumbini Eye Institute and Research Centre, Bhairahawa, Nepal. bhattaraibinita@hotmail.com., Thapa HB; Lumbini Eye Institute and Research center, Siddharthanagar, Lumbini, Nepal., Bashyal S; Lumbini Eye Institute and Research center, Siddharthanagar, Lumbini, Nepal., Thapa SK; Lumbini Eye Institute and Research center, Siddharthanagar, Lumbini, Nepal., Chaudhuri S; Indian Institute of Public Health, Hyderabad (IIPH-H), Hyderabad, India., Agiwal V; Indian Institute of Public Health, Hyderabad (IIPH-H), Hyderabad, India., Pant H; Indian Institute of Public Health, Hyderabad (IIPH-H), Hyderabad, India., Singh S; Indian Institute of Public Health, Hyderabad (IIPH-H), Hyderabad, India., Mahajan H; Indian Institute of Public Health, Hyderabad (IIPH-H), Hyderabad, India. |
| المصدر: | BMC health services research [BMC Health Serv Res] 2024 Feb 10; Vol. 24 (1), pp. 188. Date of Electronic Publication: 2024 Feb 10. |
| نوع المنشور: | Randomized Controlled Trial; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Diabetic Retinopathy*/diagnosis , Diabetic Retinopathy*/therapy , Diabetes Mellitus*, Humans ; Middle Aged ; Follow-Up Studies ; Nepal/epidemiology ; Counseling ; Referral and Consultation |
| مستخلص: | Background: Diabetic Retinopathy (DR) is an emerging public health issue, leading to severe visual impairment or blindness. Early identification and prompt treatment play a key role in achieving good visual outcomes. The objective of the study was to estimate the effectiveness of SCREEN package on improving referral compliance from peripheral centres to a tertiary eye centre in Nepal. Methods: In this facility-based cluster-randomized trial, ten out of 19 referring centres of the tertiary eye care centre in Lumbini zone, Nepal were randomized into intervention and control groups. A SCREEN packagewereprovided as intervention for DR patients who require advanced treatment in the tertiary centres and was compared with the current practice of the control arm, where structured counselling and follow-up mechanism are absent. Compliance was estimated by a weekly follow-up between the referring centre and the referred hospital. Results: We recruited 302 participantsof whom 153 were in the intervention arm. The mean age of the participants was 57.8 years (Standard deviation [SD]±11.7 years). With implementation of SCREEN package71.2% (n=109) in the intervention group and 42.9% (n=64) in the control group were compliant till three months of follow-up (Difference 28.3%, 95% CI: 17.6- 39.0, p<0.05). Compliance was 43% (n=66) with counselling alone, and 66% (n=103) with first telephonic follow-up in the intervention arm. The mean duration to reach the referral centre was 14.7 days (SD± 9.4 days) and 18.2 days (SD± 9.1 days) in the intervention and the control arm, respectively (Difference 3.5 days, 95% CI: 0.7 to 6.4 days). Conclusions: Counselling& follow-up to patients is the key factor to improve the utilization of the health services by patients with DR. Health systems must be strengthened by optimizing the existing referral structure in Nepal. Trial Registration: ClinicalTrials.gov Protocol Registration and Results System, ClinicalTrials.gov Identifier: NCT04834648 , 08/04/2021. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Compliance; Counseling; Diabetic retinopathy; Nepal; Referral systems |
| سلسلة جزيئية: | ClinicalTrials.gov NCT04834648 |
| تواريخ الأحداث: | Date Created: 20240209 Date Completed: 20240214 Latest Revision: 20240214 |
| رمز التحديث: | 20240214 |
| مُعرف محوري في PubMed: | PMC10858536 |
| DOI: | 10.1186/s12913-024-10647-3 |
| PMID: | 38336691 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1472-6963 |
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| DOI: | 10.1186/s12913-024-10647-3 |