<p>Does a diabetic retinopathy educational program raise awareness among elderly diabetic patients?</p>

Abstract

Background and aim: Diabetic retinopathy is a serious and common complication of diabetes that causes irreversible blindness. The aim of the present study was to assess the knowledge, attitudes, and practice regarding diabetic retinopathy among patients attending a diabetic clinic and identify the effect of an educational program about diabetic retinopathy. Patients and methods: Two hundred diabetic patients were recruited from the outpatient's diabetic clinic, Assiut University hospitals, Egypt. Quasi-experimental (pretest-posttest) research design was applied using a structured interview questionnaire; including socio-demographic data, assessment of the patients' knowledge, attitude, and practices toward diabetic retinopathy. Results: The mean score of knowledge and attitude showed significant improvement (5.3 and 15.1, respectively in pretest vs 16.7 and 16.8, respectively in posttest) among the diabetic patients (p<0.001). From multivariate linear regression model; the predictors for knowledge score were educational level, family history of diabetes and diabetic retinopathy and hypertension. Likewise, attitude score predictors were age, residence, and smoking. Predictors for practice score were hypertension, blood sugar level, and weight. Conclusion: There was a statistically significant relationship between educational level and mean knowledge score. The diabetic education program significantly helped to improve awareness of patients in relation to diabetic retinopathy.

The effect of educational program based on theory of planned behavior on promoting retinopathy preventive behaviors in patients with type 2 diabetes: RCT

“…In the present study, an increase in the attitude of patients with diabetes towards diabetes care has been reported in similar study in Iran [20] and Ontario, Canada [21]. However, there was no change in attitude in Khalaf et al study due to the short duration of training [22] because changing patients' attitudes, unlike their awareness, requires longer intervention. In the study of Grimshaw et al in Ottawa Hospital Research Institute [23] and the study of Zwarenstein et al in London [24], training by providing educational booklets to physicians to increase their attitude towards referring patients for ophthalmological examinations was not so effective.…”

Knowledge outcome of visual-simulation-based over print-based diabetic retinopathy health education amongst the Omani community residing in Al Batinah, Oman

“…These study results are similar to a hospital-based study in Egypt that observed the increased DR knowledge. 12 Also, these positive impacts on knowledge level are similar to the other study that used a 'mobile health' intervention that was designed based on the selfdetermination theoretical constructs of the health promotion. 5 The mobile health also observed a positive change in the health behaviour of the community post intervention towards their disease prevention as well as the treatments.…”

“…4 Prior studies have been conducted to evaluate the impact of DR educational programmes amongst the diabetic population. 12 However, the effectiveness of various tools have not been directly compared before their implementation within the general population. 4 In summary, because of the increasing prevalence of DM in the Sultanate of Oman, there is a need to enhance the DR related knowledge levels amongst the community.…”

Knowledge, Attitude and Practice of Elderly Outpatients with Type 2 Diabetes Mellitus in National Geriatric Hospital, Vietnam

“…This study also shows that frailty and co-morbidities/DM complications could impair patients’ knowledge. 32 , 33 The explanation for this may be due to functional and cognitive impairment and dependence to perform the activities of daily living, which can be a barrier to improve knowledge in older diabetic patients. In particular, this finding showed that knowledge of patients aged ≥70 was significantly lower than those aged 60 to 69.…”