A multi-center diabetes eye screening study in community settings

Study design and methodology

Ann P. Murchison, David S. Friedman, Emily W. Gower, Julia A. Haller, Byron L Lam, David J Lee, Gerald Mcgwin, Cynthia Owsley, Jinan Saaddine

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: Diabetes is the leading cause of new cases of blindness among adults aged 20-74 years within the United States. The Innovative Network for Sight Research group (INSIGHT) designed the Diabetic Eye Screening Study (DESS) to examine the feasibility and short-term effectiveness of non-mydriatic diabetic retinopathy (DR) screening for adults with diabetes in community-based settings.Methods: Study enrollment began in December 2011 at four sites: an internal medicine clinic at a county hospital in Birmingham, Alabama; a Federally-qualified community healthcare center in Miami-Dade County, Florida; a university-affiliated outpatient pharmacy in Philadelphia, Pennsylvania; and a medical home in Winston-Salem, North Carolina. People 18 years or older with previously diagnosed diabetes were offered free DR screening using non-mydriatic retinal photography that was preceded by a brief questionnaire addressing demographic information and previous eye care use. Visual acuity was also measured for each eye. Images were evaluated at a telemedicine reading center by trained evaluators using the National Health System DR grading classification. Participants and their physicians were sent screening report results and telephoned for a follow-up survey 3 months post-screening to determine whether participants had sought follow-up comprehensive eye care and their experiences with the screening process.Results: Target enrollment at each site was a minimum of 500 persons. Three of the four sites met this enrollment goal.Conclusion: The INSIGHT/DESS is intended to establish the feasibility and short-term effectiveness of DR screening using non-mydriatic retinal photography in persons with diabetes who seek services in community-based clinic and pharmacy settings.

Original languageEnglish (US)
Pages (from-to)109-115
Number of pages7
JournalOphthalmic Epidemiology
Volume23
Issue number2
DOIs
StatePublished - Mar 3 2016

Fingerprint

Diabetic Retinopathy
Photography
County Hospitals
Community Health Services
Patient-Centered Care
Telemedicine
Blindness
Internal Medicine
Research
Visual Acuity
Reading
Outpatients
Demography
Physicians
Health
Surveys and Questionnaires

Keywords

  • Diabetes
  • eye screening
  • methodology
  • study design
  • tele-ophthalmology

ASJC Scopus subject areas

  • Ophthalmology
  • Epidemiology

Cite this

A multi-center diabetes eye screening study in community settings : Study design and methodology. / Murchison, Ann P.; Friedman, David S.; Gower, Emily W.; Haller, Julia A.; Lam, Byron L; Lee, David J; Mcgwin, Gerald; Owsley, Cynthia; Saaddine, Jinan.

In: Ophthalmic Epidemiology, Vol. 23, No. 2, 03.03.2016, p. 109-115.

Research output: Contribution to journalArticle

Murchison, AP, Friedman, DS, Gower, EW, Haller, JA, Lam, BL, Lee, DJ, Mcgwin, G, Owsley, C & Saaddine, J 2016, 'A multi-center diabetes eye screening study in community settings: Study design and methodology', Ophthalmic Epidemiology, vol. 23, no. 2, pp. 109-115. https://doi.org/10.3109/09286586.2015.1099682
Murchison, Ann P. ; Friedman, David S. ; Gower, Emily W. ; Haller, Julia A. ; Lam, Byron L ; Lee, David J ; Mcgwin, Gerald ; Owsley, Cynthia ; Saaddine, Jinan. / A multi-center diabetes eye screening study in community settings : Study design and methodology. In: Ophthalmic Epidemiology. 2016 ; Vol. 23, No. 2. pp. 109-115.
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