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Follow-Up Adherence After Community Health Vision Screening Programs: A Review of the Literature
Rebecca Zeng1, Kara C LaMattina1,2
1Department of Ophthalmology, Boston University School of Medicine, Boston, Massachusetts.
Journal of Academic Ophthalmology (2017)
|October 5, 2023
Summary
Community eye screening follow-up rates vary widely. Interventions like scheduled appointments and patient navigators show promise for improving adherence, especially in disadvantaged populations.
Area of Science:
- Ophthalmology
- Public Health
- Health Disparities
Background:
- Community eye screening programs aim to reduce health disparities.
- Participant adherence to follow-up appointments is crucial for program effectiveness.
- Limited follow-up rates hinder the impact of community eye screenings.
Purpose of the Study:
- To identify factors influencing follow-up adherence after community eye screenings.
- To explore interventions aimed at increasing follow-up rates.
- To inform strategies for improving eye care access for underserved populations.
Main Methods:
- Systematic literature review of studies published between January 2000 and May 2023.
- Searched databases including PubMed, Web of Science, Embase, Proquest/Global Health Library, and Google Scholar.
- Analyzed 28 articles focusing on barriers, facilitators, and interventions in the United States, excluding school and clinic-based screenings.
Main Results:
- Follow-up rates in included studies ranged from 12.5% to 89%.
- Barriers and facilitators to follow-up were identified in 19 articles.
- Interventions tested included prescheduled appointments, transportation assistance, patient education, and patient navigators.
Conclusions:
- Promising interventions exist to enhance follow-up adherence in community eye screenings.
- Further research, particularly randomized trials, is needed to validate interventions.
- Focus on improving adherence in disadvantaged populations is essential, considering ethical limitations.
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