Understanding Factors Leading to low Uptake of diabetic Retinopathy scReening In Primary Care

Research Summary

Diabetes is a very common condition affecting 1 in 20 UK adults. One complication of diabetes is diabetic retinopathy which occurs when diabetes damages the small blood vessels at the back of the eye (retina). If left untreated this can cause loss of vision and blindness. People with diabetes are invited annually to have photographs taken of the backs of their eye. This screening detects early stage problems that are treatable and prevent further vision loss. However many people invited for screening do not attend and may be putting themselves at risk of future blindness. Research has shown a relationship with non-attendance at screening and subsequent loss of vision.We are interested in finding out why people do not attend to have their eyes photographed so that we can use this information to try to increase the numbers who do. People living in deprived areas are less likely to attend but this does not explain variations between GP practices. Reasons given to screening programme staff for nonattendance include inconvenient appointment times forgetting the attitude of administrative staff booking the appointments and anxiety about screening. There may be system barriers around culture and language for minority ethnic groups.We will choose GP practices in Gloucestershire Birmingham and Warwickshire some with good attendance levels and others with poor attendance located in areas of high or low health need. Gloucestershire and Warwickshire run screening programmes using retinal screeners in both mobile and fixed locations. The Birmingham programme uses high street optometrists. We will speak to health professionals in these practices to understand how they inform and educate people with diabetes about retinal screening. We will also speak with retinal screeners and optometrists who undertake photographic screening. We will speak to patients who have attended and also those who have not to identify how uptake might be improved.

Research Overview
PI Name Denniston - A
Sponsor Gloucestershire Hospitals NHS Foundation Trust
Project Status Open
Proposed End Date 22/08/2013
Study Run through CRF? No
Recruitment so far 0