Feasibility of an implementation intervention to increase attendance at diabetic retinopathy screening: protocol for a cluster randomised pilot trial

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dc.contributor.authorRiordan, Fiona
dc.contributor.authorRacine, Emmy
dc.contributor.authorSmith, Susan
dc.contributor.authorMurphy, Aileen
dc.contributor.authorBrowne, John P.
dc.contributor.authorKearney, Patricia M.
dc.contributor.authorBradley, Colin P.
dc.contributor.authorJames, Mark
dc.contributor.authorMurphy, Mark
dc.contributor.authorMcHugh, Sheena M.
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2022-05-10T11:47:58Z
dc.date.available2022-05-10T11:47:58Z
dc.date.issued2020-05
dc.date.updated2022-05-10T10:58:29Z
dc.description.abstractBackground: Diabetic retinopathy screening (DRS) leads to the earlier detection of retinopathy and treatment that can prevent or delay the development of diabetes-related blindness. However, uptake continues to be sub-optimal in many countries, including Ireland. Routine management of type 2 diabetes largely takes place in primary care. As such, there may be an opportunity in primary care to introduce interventions to improve DRS uptake. However, few studies test the feasibility of interventions to enhance DRS uptake in this context. Our aim is to investigate the feasibility of an implementation intervention (IDEAs (Improving Diabetes Eye screening Attendance)) delivered in general practice to improve the uptake of the national DRS programme, RetinaScreen. Methods: The IDEAs study is a cluster randomised pilot trial with an embedded process evaluation and economic evaluation. Following stratification by practice size, eight general practices (clusters) will be randomly allocated to intervention (n = 4) or wait-list control groups (n = 4). The intervention will be delivered for 6 months, after which, it will be administered to wait-list control practices. The intervention is multi-faceted and comprises provider-level components (training, audit and feedback, health care professional prompt, reimbursement) and patient-level components (GP-endorsed reminder with information leaflet delivered opportunistically face-to-face, and systematically by phone and letter). Patient inclusion criteria are type 1 or type 2 diabetes and DRS programme non-attendance. A multi-method approach will be used to determine screening uptake, evaluate the trial and study procedures and examine the acceptability and feasibility of the intervention from staff and patient perspectives. Quantitative and qualitative data will be collected on intervention uptake and delivery, research processes and outcomes. Data will be collected at the practice, health professional and patient level. A partial economic evaluation will be conducted to estimate the cost of delivering the implementation intervention in general practice. Formal continuation criteria will be used to determine whether IDEAs should progress to a definitive trial. Discussion: Findings will determine whether IDEAsis feasible and acceptable and will be used to refine the intervention and study procedures. A definitive trial will determine whether IDEAs is a cost-effective intervention to improve DRS uptake and reduce diabetes-related blindness. Trial registration: ClinicalTrials.gov NCT03901898. Registered 3rd April 2019.en
dc.description.sponsorshipHealth Research Board (Definitive Interventions and Feasibility Awards (DIFA-2017-006))en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationRiordan, F., Racine, E., Smith, S., Murphy, A., Browne, J. P., Kearney, P. M., Bradley, C. P., James, M., Murphy, M. and McHugh, S. M. (2020) 'Feasibility of an implementation intervention to increase attendance at diabetic retinopathy screening: protocol for a cluster randomised pilot trial', Pilot And Feasibility Studies, 6 (1), (18pp). doi: 10.1186/s40814-020-00608-yen
dc.identifier.doi10.1186/s40814-020-00608-yen
dc.identifier.endpage18en
dc.identifier.issn2055-5784
dc.identifier.journaltitlePilot And Feasibility Studiesen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/13161
dc.identifier.volume6en
dc.language.isoenen
dc.publisherSpringer BMCen
dc.rights© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectFamily practitioneren
dc.subjectFeasibilityen
dc.subjectImplementation interventionen
dc.subjectPilot trialen
dc.subjectRetinal screeningen
dc.titleFeasibility of an implementation intervention to increase attendance at diabetic retinopathy screening: protocol for a cluster randomised pilot trialen
dc.typeArticle (peer-reviewed)en
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