Evaluation of the effect of ICCC model based comprehensive intervention with community participation initiative on diabetic blindness

• Main Authors: Ran Tao, Lei Gao, Lei-Lei Zhan, Wei-Ying Li, Li Bao, Yue Sun
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2019-08-01
• Series: Guoji Yanke Zazhi
• Subjects: diabetic eye care; intervention strategy; effect evaluation
• Online Access: http://ies.ijo.cn/cn_publish/2019/9/201909001.pdf

AIM: To evaluate the effect of ICCC based comprehensive intervention with community participation initiative on diabetic blindness prevention in Eye Health Management of Baotou. <p>METHODS: Totally 470 diabetic patients newly registered within 3mo in local community health center were recruited in the study by random sampling. The control group received conventional public health service from chronic disease management approach with medical organization initiative on diabetic blindness prevention, and study group received comprehensive intervention based on ICCC model with community participation initiative. Informative knowledge, beheld accurate beliefs and acting behavior(KAP)in preventing diabetic blindness were measured in baseline survey before intervention and final survey after 1 y intervention in both groups respectively to evaluate the effect of different eye health management approaches on diabetic blindness prevention. Chi-square test and <i>t</i>-test were used to compare the effect of intervention and multiple linear regression analysis was used for analyzing influencing factors.<p>RESULTS: With 235 in control group and 235 in study group in baseline survey, and 208 and 216 in final survey. For study group accurate knowledge informative rate, accurate beheld belief rate and desired acting behavior rate in all the items of questions regarding diabetic blindness and its prevention in the final survey were all significant higher than the ones in baseline survey, and were significantly higher than that in control group. Multiple linear regression analysis showed that group type, educational level and DM duration were the influencing factors on the level of the knowledge. Group type, educational level and gender were the influencing factors on the level of beheld belief. Group type and educational level were the influencing factors on the level of acting behaviors in preventing diabetic blindness. <p>CONCLUSION:Comprehensive intervention with community participation initiative on managing diabetic eye health to prevent diabetic blindness had better performance compared to traditional intervention, thus it is an effective strategy in promoting diabetic eye health among diabetes.