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The Resource Barriers to obtaining annual diabetic eye exams among adult rural patients, by Gina Koch

Barriers to obtaining annual diabetic eye exams among adult rural patients, by Gina Koch

Creator
Author
Contributor
Summary
Purpose: Examine the barriers experienced by adults living in rural areas to obtaining annual diabetic eye exams (DEE) and evaluate the validity and reliability of the Compliance with Annual Diabetic Eye Exams Survey (CADEES). Background: Diabetic retinopathy (DR) is the leading cause of newly diagnosed blindness in adult Americans. Patients should obtain annual (DEE) to diagnosis the earliest stages of DR, when treatment is most effective. Only half of patients currently obtain annual DEE. Theoretical Framework: Health Belief Model (HBM) Methods: Content analysis of the CADEES was based on responses to the open-ended question, "We are interested in why some people do not have yearly eye exams. Can you think of any reasons we did not ask about in this survey?" Construct validity was examined using factor analysis. Predictive validity was determined using logistic regression, with self-reported adherence as the outcome of interest. Cronbach's alpha was used to evaluate internal consistency as a measure of scale reliability. Differences were evaluated between adherent and non-adherent (to annual DEE) groups, the 45-64 year age and 65+ year groups, and the rural and non-rural groups using two-sample independent t-tests for means. Results: Surveys were mailed to 351 potential participants; 122 respondents were eligible for inclusion (63 females; 59 males). Good strength in validity and reliability were found within CADEES, along with the presence of a strong barriers construct from the HBM. Barriers included "cost" (p=.003), "no treatment available" (p=.001) and "there are many things that make it hard to get an eye exam every year" (p<.001). Implications: Health care providers must help identify barriers for their patients, to increase adherence to annual DEE
Language
eng
Work
Publication
Extent
1 online resource (ix, 114 pages)
Note
  • Abstract from short.pdf file
  • Dissertation supervisor: Dr. Gregory Alexander
  • Includes vita
Instance
Label
Barriers to obtaining annual diabetic eye exams among adult rural patients
Title
Barriers to obtaining annual diabetic eye exams among adult rural patients
Statement of responsibility
by Gina Koch
Creator
Contributor
Author
Thesis advisor
Subject
Genre
Language
eng
Summary
Purpose: Examine the barriers experienced by adults living in rural areas to obtaining annual diabetic eye exams (DEE) and evaluate the validity and reliability of the Compliance with Annual Diabetic Eye Exams Survey (CADEES). Background: Diabetic retinopathy (DR) is the leading cause of newly diagnosed blindness in adult Americans. Patients should obtain annual (DEE) to diagnosis the earliest stages of DR, when treatment is most effective. Only half of patients currently obtain annual DEE. Theoretical Framework: Health Belief Model (HBM) Methods: Content analysis of the CADEES was based on responses to the open-ended question, "We are interested in why some people do not have yearly eye exams. Can you think of any reasons we did not ask about in this survey?" Construct validity was examined using factor analysis. Predictive validity was determined using logistic regression, with self-reported adherence as the outcome of interest. Cronbach's alpha was used to evaluate internal consistency as a measure of scale reliability. Differences were evaluated between adherent and non-adherent (to annual DEE) groups, the 45-64 year age and 65+ year groups, and the rural and non-rural groups using two-sample independent t-tests for means. Results: Surveys were mailed to 351 potential participants; 122 respondents were eligible for inclusion (63 females; 59 males). Good strength in validity and reliability were found within CADEES, along with the presence of a strong barriers construct from the HBM. Barriers included "cost" (p=.003), "no treatment available" (p=.001) and "there are many things that make it hard to get an eye exam every year" (p<.001). Implications: Health care providers must help identify barriers for their patients, to increase adherence to annual DEE
Cataloging source
MUU
http://library.link/vocab/creatorDate
1968-
http://library.link/vocab/creatorName
Koch, Gina
Degree
Ph. D.
Dissertation note
Thesis
Dissertation year
2016.
Government publication
government publication of a state province territory dependency etc
Granting institution
University of Missouri--Columbia
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • theses
http://library.link/vocab/relatedWorkOrContributorDate
1961-
http://library.link/vocab/relatedWorkOrContributorName
Alexander, Gregory Lynn
http://library.link/vocab/subjectName
  • Medical care
  • Diabetics
  • Diabetic retinopathy
  • Eye
  • Rural health services
Label
Barriers to obtaining annual diabetic eye exams among adult rural patients, by Gina Koch
Instantiates
Publication
Note
  • Abstract from short.pdf file
  • Dissertation supervisor: Dr. Gregory Alexander
  • Includes vita
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
989728978
Extent
1 online resource (ix, 114 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations
Specific material designation
remote
System control number
(OCoLC)989728978
Label
Barriers to obtaining annual diabetic eye exams among adult rural patients, by Gina Koch
Publication
Note
  • Abstract from short.pdf file
  • Dissertation supervisor: Dr. Gregory Alexander
  • Includes vita
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
989728978
Extent
1 online resource (ix, 114 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations
Specific material designation
remote
System control number
(OCoLC)989728978

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