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The effect of health education on the rate of ophthalmic examinations among African Americans with diabetes mellitus

C.E. Basch, E.A. Walker, C.J. Howard, H. Shamoon and P. Zybert

American Journal of Public Health, 1999, vol. 89, issue 12, 1878-1882

Abstract: Objectives. This study evaluated a multicomponent educational intervention to increase ophthalmic examination rates among African Americans with diabetes. Methods. A randomized trial was conducted with 280 African Americans with diabetes, enrolled from outpatient departments of 5 medical centers in the New York City metropolitan area, who had not had a dilated retinal examination within 14 months of randomization (65.7% female, mean age = 54.7 years [SD = 12.8 years]). Results. After site differences were controlled, the odds ratio for receiving a retinal examination associated with the intervention was 4.3 (95% confidence interval = 2.4, 7.8). The examination rate pooled across sites was 54.7% in the intervention group and 27.3% in the control group. Conclusions. The intervention was associated with a rate of ophthalmic examination double the rate achieved with routine medical care.

Date: 1999
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