Augmenting Referral Pathway to Improve Uptake of Retinal Services by Diabetic Patients

NCT04829084 | Completed DMC

• 1 other identifier: REMEH/ERB/582/2020 P
• Study Type: interventional
• Target: 19
• Locations: 1 country
• Sites: 1

Brief Summary

Reiyukai Eiko Masunaga Eye Hospital (REMEH) is a non-profitable organization. Retina services were resumed from October 2019. Until this retinal service started, it has been mostly cataract-focused. People are unaware of this new retinal service in the hospital. The investigators would like to fill this gap and our objective is to increase the attendance of patients with Diabetes Mellitus, for retinal screening at REMEH by providing health education intervention to selected physicians and establish a referral pathway. Study Design: pre- post-intervention Methods: The investigators are going to conduct intervention by providing health education on diabetes Retinopathy to the health personnel of Scheer Memorial Hospital. It has been referring eye patients to REMEH as there is no eye department there. Data Management: The demographic information of health personnel of Sheer memorial and demographic information and other variables of the patient who are referred from Scheer Hospital will be collected and entered in an excel sheet. The study period of approximately 16 months (March 2020 to Sep 2021): Initial 10 months for proposal writing, preparation, and getting ethical approval. Feb2021 - April 2021 three months for pretest intervention May- July further data collection and last two months Aug- Sep Analysis and writing result. Results: The proposed outcome is to increase the proportional change in the number of patients availing retinal services and to find out a proportional increase in the number of diabetes screenings from the baseline. Also, a positive outcome is a clear indication for health education, and setting communication between general physicians and specialties will set the path for improvement in a timely health care delivery system.

Conditions

Diabetic Retinopathy

Keywords

Diabetes; Diabetic retinopathy; Nepal; Health education; Referral

Outcome Measures

Primary Outcomes (1)

• Increased number of DR patients at REMEH for eye screening

  The proposed result of the study is the proportional change in number of patients availing retinal services will be calculated and to find out proportional increase in number of diabetes screening from the baseline.

  4 months

Study Arms (2)

Intervention Arm

EXPERIMENTAL

Health education

Behavioral: Pre-post educational intervention

Control Arm

NO INTERVENTION

No health education

Interventions

Pre-post educational intervention BEHAVIORAL

To Increase the attendance of patients with Diabetes Mellitus, for retinal screening at REMEH by providing health education intervention to selected physicians and establishing a referral pathway

Intervention Arm

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Complete enumerations of all Health Personnel treating patients with Diabetes.

You may not qualify if:

• Health Personnel who are not directly linked with treating patients with Diabetes.
• Health personnel not willing to participate in the study

Sponsors & Collaborators

• Seva Foundation: lead
• Reiyukai Eiko Masunaga Eye Hospital (REMEH): collaborator
• Indian Institute of Public Health, India: collaborator
• Seva Canada Society: collaborator
• Queen's University, Belfast: collaborator

Study Sites (1)

Reiyukai Eiko Masunaga Eye Hospital (REMEH)

Banepa, Nepal

Location

Related Publications (2)

• Shrestha R, Singh P, Dhakwa P, Tetali S, Batchu T, Thapa PS, Agiwal V, Pant H. "Augmenting the referral pathway for retinal services among diabetic patients at Reiyukai Eiko Masunaga Eye Hospital, Nepal: a non-randomized, pre-post intervention study". BMC Health Serv Res. 2023 Feb 8;23(1):126. doi: 10.1186/s12913-023-09105-3.

  PMID: 36750897 DERIVED

• Shrestha R, Singh P, Dhakhwa P, Tetali S, Batchu T, Shrestha Thapa P. Augmenting the Referral Pathway for Retinal Services Among Patients With Diabetes Mellitus at Reiyukai Eiko Masunaga Eye Hospital, Nepal: Protocol for a Nonrandomized, Pre-Post Intervention Study. JMIR Res Protoc. 2021 Dec 17;10(12):e33116. doi: 10.2196/33116.

  PMID: 34927596 DERIVED

MeSH Terms

Conditions

Diabetic Retinopathy; Diabetes Mellitus; Health Education

Condition Hierarchy (Ancestors)

Retinal Diseases; Eye Diseases; Diabetic Angiopathies; Vascular Diseases; Cardiovascular Diseases; Diabetes Complications; Endocrine System Diseases; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: To Increase the attendance of patients with Diabetes Mellitus, for retinal screening at REMEH by providing health education intervention to selected physicians and establishing a referral pathway.

Study Record Dates

• First Submitted: March 30, 2021
• First Posted: April 2, 2021
• Study Start: February 26, 2021
• Primary Completion: September 30, 2021
• Study Completion: December 30, 2021
• Last Updated: March 10, 2022

Record last verified: 2022-03

Locations

NE (1)