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

Charles E. Basch, Elizabeth A. Walker, Crystal J. Howard, Harry Shamoon, Patricia Zybert

Research output: Contribution to journalArticle

63 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1878-1882
Number of pages5
JournalAmerican Journal of Public Health
Volume89
Issue number12
StatePublished - Dec 1999

Fingerprint

Health Education
African Americans
Diabetes Mellitus
Random Allocation
Outpatients
Odds Ratio
Confidence Intervals
Control Groups

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

The effect of health education on the rate of ophthalmic examinations among African Americans with diabetes mellitus. / Basch, Charles E.; Walker, Elizabeth A.; Howard, Crystal J.; Shamoon, Harry; Zybert, Patricia.

In: American Journal of Public Health, Vol. 89, No. 12, 12.1999, p. 1878-1882.

Research output: Contribution to journalArticle

@article{c90c2246f1bb424fb99d62564c4668b0,
title = "The effect of health education on the rate of ophthalmic examinations among African Americans with diabetes mellitus",
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.",
author = "Basch, {Charles E.} and Walker, {Elizabeth A.} and Howard, {Crystal J.} and Harry Shamoon and Patricia Zybert",
year = "1999",
month = "12",
language = "English (US)",
volume = "89",
pages = "1878--1882",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "12",

}

TY - JOUR

T1 - The effect of health education on the rate of ophthalmic examinations among African Americans with diabetes mellitus

AU - Basch, Charles E.

AU - Walker, Elizabeth A.

AU - Howard, Crystal J.

AU - Shamoon, Harry

AU - Zybert, Patricia

PY - 1999/12

Y1 - 1999/12

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0032747230&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032747230&partnerID=8YFLogxK

M3 - Article

C2 - 10589324

AN - SCOPUS:0032747230

VL - 89

SP - 1878

EP - 1882

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 12

ER -