A tailored intervention to promote uptake of retinal screening among young adults with type 2 diabetes - an intervention mapping approach
Abstract Background Young adults (18–39 years) with type 2 diabetes are at risk of early development and rapid progression of diabetic retinopathy, a leading cause of vision loss and blindness in working-age adults. Retinal screening is key to the early detection of diabetic retinopathy, with risk o...
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doaj-b7ea2676dadf487ba37bdd5f346bcb8f2020-11-25T02:08:40ZengBMCBMC Health Services Research1472-69632018-05-0118111810.1186/s12913-018-3188-5A tailored intervention to promote uptake of retinal screening among young adults with type 2 diabetes - an intervention mapping approachAmelia J. Lake0Jessica L. Browne1Charles Abraham2Dee Tumino3Carolyn Hines4Gwyneth Rees5Jane Speight6School of Psychology, Deakin UniversitySchool of Psychology, Deakin UniversityInstitute of Health Research, University of Exeter Medical SchoolVision 2020 AustraliaDiabetes VictoriaCentre for Eye Research Australia, Royal Victorian Eye and Ear HospitalSchool of Psychology, Deakin UniversityAbstract Background Young adults (18–39 years) with type 2 diabetes are at risk of early development and rapid progression of diabetic retinopathy, a leading cause of vision loss and blindness in working-age adults. Retinal screening is key to the early detection of diabetic retinopathy, with risk of vision loss significantly reduced by timely treatment thereafter. Despite this, retinal screening rates are low among this at-risk group. The objective of this study was to develop a theoretically-grounded, evidence-based retinal screening promotion leaflet, tailored to young adults with type 2 diabetes. Methods Utilising the six steps of Intervention Mapping, our multidisciplinary planning team conducted a mixed-methods needs assessment (Step 1); identified modifiable behavioural determinants of screening behaviour and constructed a matrix of change objectives (Step 2); designed, reviewed and debriefed leaflet content with stakeholders (Steps 3 and 4); and developed program implementation and evaluation plans (Steps 5 and 6). Results Step 1 included in-depth qualitative interviews (N = 10) and an online survey that recruited a nationally-representative sample (N = 227), both informed by literature review. The needs assessment highlighted the crucial roles of knowledge (about diabetic retinopathy and screening), perception of personal risk, awareness of the approval of significant others and engagement with healthcare team, on retinal screening intentions and uptake. In Step 2, we selected five modifiable behavioural determinants to be targeted: knowledge, attitudes, normative beliefs, intention, and behavioural skills. In Steps 3 and 4, the “Who is looking after your eyes?” leaflet was developed, containing persuasive messages targeting each determinant and utilising engaging, cohort-appropriate imagery. In Steps 5 and 6, we planned Statewide implementation and designed a randomised controlled trial to evaluate the leaflet. Conclusions This research provides an example of a systematic, evidence-based approach to the development of a simple health intervention designed to promote uptake of screening in accordance with national guidelines. The methods and findings illustrate how Intervention Mapping can be employed to develop tailored retinal screening promotion materials for specific priority populations. This paper has implications for future program planners and is intended to assist those wishing to use Intervention Mapping to create similar theoretically-driven, tailored resources.http://link.springer.com/article/10.1186/s12913-018-3188-5Type 2 diabetesYoung adultsDiabetic retinopathyIntervention mappingNeeds assessmentRetinal screening |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Amelia J. Lake Jessica L. Browne Charles Abraham Dee Tumino Carolyn Hines Gwyneth Rees Jane Speight |
spellingShingle |
Amelia J. Lake Jessica L. Browne Charles Abraham Dee Tumino Carolyn Hines Gwyneth Rees Jane Speight A tailored intervention to promote uptake of retinal screening among young adults with type 2 diabetes - an intervention mapping approach BMC Health Services Research Type 2 diabetes Young adults Diabetic retinopathy Intervention mapping Needs assessment Retinal screening |
author_facet |
Amelia J. Lake Jessica L. Browne Charles Abraham Dee Tumino Carolyn Hines Gwyneth Rees Jane Speight |
author_sort |
Amelia J. Lake |
title |
A tailored intervention to promote uptake of retinal screening among young adults with type 2 diabetes - an intervention mapping approach |
title_short |
A tailored intervention to promote uptake of retinal screening among young adults with type 2 diabetes - an intervention mapping approach |
title_full |
A tailored intervention to promote uptake of retinal screening among young adults with type 2 diabetes - an intervention mapping approach |
title_fullStr |
A tailored intervention to promote uptake of retinal screening among young adults with type 2 diabetes - an intervention mapping approach |
title_full_unstemmed |
A tailored intervention to promote uptake of retinal screening among young adults with type 2 diabetes - an intervention mapping approach |
title_sort |
tailored intervention to promote uptake of retinal screening among young adults with type 2 diabetes - an intervention mapping approach |
publisher |
BMC |
series |
BMC Health Services Research |
issn |
1472-6963 |
publishDate |
2018-05-01 |
description |
Abstract Background Young adults (18–39 years) with type 2 diabetes are at risk of early development and rapid progression of diabetic retinopathy, a leading cause of vision loss and blindness in working-age adults. Retinal screening is key to the early detection of diabetic retinopathy, with risk of vision loss significantly reduced by timely treatment thereafter. Despite this, retinal screening rates are low among this at-risk group. The objective of this study was to develop a theoretically-grounded, evidence-based retinal screening promotion leaflet, tailored to young adults with type 2 diabetes. Methods Utilising the six steps of Intervention Mapping, our multidisciplinary planning team conducted a mixed-methods needs assessment (Step 1); identified modifiable behavioural determinants of screening behaviour and constructed a matrix of change objectives (Step 2); designed, reviewed and debriefed leaflet content with stakeholders (Steps 3 and 4); and developed program implementation and evaluation plans (Steps 5 and 6). Results Step 1 included in-depth qualitative interviews (N = 10) and an online survey that recruited a nationally-representative sample (N = 227), both informed by literature review. The needs assessment highlighted the crucial roles of knowledge (about diabetic retinopathy and screening), perception of personal risk, awareness of the approval of significant others and engagement with healthcare team, on retinal screening intentions and uptake. In Step 2, we selected five modifiable behavioural determinants to be targeted: knowledge, attitudes, normative beliefs, intention, and behavioural skills. In Steps 3 and 4, the “Who is looking after your eyes?” leaflet was developed, containing persuasive messages targeting each determinant and utilising engaging, cohort-appropriate imagery. In Steps 5 and 6, we planned Statewide implementation and designed a randomised controlled trial to evaluate the leaflet. Conclusions This research provides an example of a systematic, evidence-based approach to the development of a simple health intervention designed to promote uptake of screening in accordance with national guidelines. The methods and findings illustrate how Intervention Mapping can be employed to develop tailored retinal screening promotion materials for specific priority populations. This paper has implications for future program planners and is intended to assist those wishing to use Intervention Mapping to create similar theoretically-driven, tailored resources. |
topic |
Type 2 diabetes Young adults Diabetic retinopathy Intervention mapping Needs assessment Retinal screening |
url |
http://link.springer.com/article/10.1186/s12913-018-3188-5 |
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