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Am J Public Health. 1999 Dec;89(12):1878-82.

The effect of health education on the rate of ophthalmic examinations among African Americans with diabetes mellitus.

Author information

1
Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY 10027, USA. ceb35@columbia.edu

Abstract

OBJECTIVES:

This study evaluated a multicomponent educational intervention to increase ophthalmic examination rates among African Americans with diabetes.

METHODS:

A randomized trial was conducted with 280 African Americans with diabetes, enrolled from outpatient departments of 5 medical centers in the New York City metropolitan area, who had not had a dilated retinal examination within 14 months of randomization (65.7% female, mean age = 54.7 years [SD = 12.8 years]).

RESULTS:

After site differences were controlled, the odds ratio for receiving a retinal examination associated with the intervention was 4.3 (95% confidence interval = 2.4, 7.8). The examination rate pooled across sites was 54.7% in the intervention group and 27.3% in the control group.

CONCLUSIONS:

The intervention was associated with a rate of ophthalmic examination double the rate achieved with routine medical care.

PMID:
10589324
PMCID:
PMC1509007
DOI:
10.2105/ajph.89.12.1878
[Indexed for MEDLINE]
Free PMC Article

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