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Barriers and enablers to diabetic retinopathy screening attendance: Protocol for a systematic review

Overview of attention for article published in Systematic Reviews, August 2016
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Title
Barriers and enablers to diabetic retinopathy screening attendance: Protocol for a systematic review
Published in
Systematic Reviews, August 2016
DOI 10.1186/s13643-016-0309-2
Pubmed ID
Authors

Ella Graham-Rowe, Fabiana Lorencatto, John G. Lawrenson, Jennifer Burr, Jeremy M. Grimshaw, Noah M. Ivers, Tunde Peto, Catey Bunce, Jill J. Francis, For the WIDeR-EyeS Project team

Abstract

Diabetic retinopathy is a serious complication of diabetes which, if left untreated, can result in blindness. Population screening among people with diabetes has been shown to be clinically effective; however, suboptimal attendance with wide demographic disparities has been reported. To develop quality improvement interventions to maximise attendance, it is important to understand the theoretical determinants (i.e. barriers and enablers) of screening behaviour. The aim of this systematic review is to identify and synthesise the modifiable barriers and enablers associated with diabetic retinopathy screening attendance. Primary and secondary studies will be included if they report perceived barriers/enablers of diabetic retinopathy screening attendance, from the perspectives of people with diabetes and healthcare providers. There will be no restrictions on study design. Studies will be identified from published and grey literature through multiple sources. Bibliographic databases will be searched using synonyms in four search domains: diabetic retinopathy; screening; barriers/enablers; and theoretical constructs relating to behaviour. Search engines and established databases of grey literature will be searched to identify additional relevant studies. Extracted data will include: participant quotations from qualitative studies, statistical analyses from questionnaire and survey studies, and interpretive descriptions and summaries of results from reports. All extracted data will be coded into domains from the Theoretical Domains Framework (TDF) and (for organisational level data) the Consolidated Framework of Implementation Research (CFIR); with domains representing theoretical barriers/enablers proposed to mediate behaviour change. The potential role of each domain in influencing retinopathy screening attendance will be investigated through thematic analysis of the TDF/ CFIR coding. Domain importance will be identified using pre-specified criteria: "frequency" and "expressed importance". Variations in perceived barriers and enablers between demographic groups (e.g., socio-economic, ethnic) will be explored. This review will identify important barriers and enablers likely to influence attendance for diabetic retinopathy screening. The results will be used to assess the extent to which existing interventions targeting attendance address the theoretical determinants of attendance behaviour. Findings will inform recommendations for future intervention design. PROSPERO CRD42016032990.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 92 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 92 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 19 21%
Researcher 16 17%
Student > Ph. D. Student 11 12%
Student > Bachelor 9 10%
Other 8 9%
Other 14 15%
Unknown 15 16%
Readers by discipline Count As %
Medicine and Dentistry 26 28%
Nursing and Health Professions 14 15%
Social Sciences 8 9%
Psychology 7 8%
Biochemistry, Genetics and Molecular Biology 5 5%
Other 10 11%
Unknown 22 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 November 2017.
All research outputs
#19,854,405
of 24,397,600 outputs
Outputs from Systematic Reviews
#1,896
of 2,122 outputs
Outputs of similar age
#282,810
of 362,952 outputs
Outputs of similar age from Systematic Reviews
#26
of 31 outputs
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