ArticlePloS one2018
Factors influencing patient adherence with diabetic eye screening in rural communities: A qualitative study.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
53 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.
- Systematic review on barriers and enablers for access to diabetic retinopathy screening services in different income settings.PloS one · 2019Pooled it
- Implementing Diabetic Eye Care in Rural Primary Care Through Teleophthalmology and Pop-Up Clinics: Mixed Methods Study.JMIR diabetes · 2026Article
- Development of a patient journey map for diabetic retinopathy: exploring evidence from qualitative research.BMC health services research · 2026Article
- Knowledge, attitudes and practices regarding prevention of diabetic eye complications among people living with diabetes in Limpopo province of South Africa: A cross-sectional study.African journal of primary health care & family medicine · 2026Article
- Review
- Two-stage diagnostic intervals in diabetic retinopathy and associated factors: a cross-sectional study.BMC ophthalmology · 2026Article
- Telemedicine for diabetic retinopathy screening.The Cochrane database of systematic reviews · 2026Article
- Dissemination and implementation science for global ophthalmology: closing the last-mile translational gap.Frontiers in public health · 2026Review
- Factors Influencing Poor Drug Compliance Among Patients with Diabetes Mellitus: An Experience from Rural Indonesia.Journal of multidisciplinary healthcare · 2026Article
- Digital eyes on diabetes: a systematic review of attitudes toward telemedicine-based retinopathy screening.Oxford open digital health · 2026Article
- Performance of a Retinal Imaging Camera With On-Device Intelligence for Primary Care: Retrospective Study.JMIR formative research · 2025Article
- Caregiver acceptability of seasonal malaria chemoprevention in two districts in the Upper West region, Ghana: a cross-sectional study.Malaria journal · 2025Article
- Factors Associated with Adherence to Diabetic Retinopathy Screening Among Patients Attending a Nurse-Led Community Clinic in Australia: A Qualitative Study.Nursing reports (Pavia, Italy) · 2025Article
- A machine learning-based prediction of diabetic retinopathy using the Korea national health and nutrition examination survey (2008-2012, 2017-2021).Frontiers in medicine · 2025Article
- Patient perspectives on accessing eye-related healthcare from rural communities.Eye (London, England) · 2024Article
- A qualitative study to understand the barriers and enablers of access to diabetic screening services in Nigeria.International journal of community medicine and public health · 2024Article
- Evaluating the Relationship between Neighborhood-Level Social Vulnerability and Patient Adherence to Ophthalmology Appointments.Ophthalmic epidemiology · 2024Article
- Factors associated with the uptake and utilisation of diabetic retinopathy screening services in sub-Saharan Africa: A scoping review.PloS one · 2024Article
- Adherence to Periodic Dilated Eye Examinations and Its Determinants Among Nepalese Patients With Diagnosed Diabetes: A Single-Center Hospital-Based Analysis Using Health Belief Model.BioMed research international · 2024Article
- Factors Influencing Eye Screening Adherence Among Latinx Patients With Diabetes: A Qualitative Study.Translational vision science & technology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveDiabetic retinopathy remains the leading cause of blindness among working-age U.S. adults largely due to low screening rates. Rural populations face particularly greater challenges to screening because they are older, poorer, less insured, and less likely to receive guideline-concordant care than those in urban areas. Current patient education efforts may not fully address multiple barriers to screening faced by rural patients. We sought to characterize contextual factors affecting rural patient adherence with diabetic eye screening guidelines. RESEARCH DESIGN AND
methodsWe conducted semi-structured interviews with 29 participants (20 adult patients with type 2 diabetes and 9 primary care providers) in a rural, multi-payer health system. Both inductive and directed content analysis were performed.
resultsFactors influencing rural patient adherence with diabetic eye screening were categorized as environmental, social, and individual using the Ecological Model of Health. Major themes included limited access to and infrequent use of healthcare, long travel distances to obtain care, poverty and financial tradeoffs, trusting relationships with healthcare providers, family members' struggles with diabetes, anxiety about diabetes complications, and the burden of diabetes management.
conclusionsSignificant barriers exist for rural patients that affect their ability to adhere with yearly diabetic eye screening. Many studies emphasize patient education to increase adherence, but current patient education strategies fail to address major environmental, social, and individual barriers. Addressing these factors, leveraging patient trust in their healthcare providers, and strategies targeted specifically to environmental barriers such as long travel distances (e.g. teleophthalmology) may fill crucial gaps in diabetic eye screening in rural communities.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.