The effect of health education on the rate of ophthalmic examinations among African Americans with diabetes mellitus

Am J Public Health. 1999 Dec;89(12):1878-82. doi: 10.2105/ajph.89.12.1878.


Objectives: This study evaluated a multicomponent educational intervention to increase ophthalmic examination rates among African Americans with diabetes.

Methods: A randomized trial was conducted with 280 African Americans with diabetes, enrolled from outpatient departments of 5 medical centers in the New York City metropolitan area, who had not had a dilated retinal examination within 14 months of randomization (65.7% female, mean age = 54.7 years [SD = 12.8 years]).

Results: After site differences were controlled, the odds ratio for receiving a retinal examination associated with the intervention was 4.3 (95% confidence interval = 2.4, 7.8). The examination rate pooled across sites was 54.7% in the intervention group and 27.3% in the control group.

Conclusions: The intervention was associated with a rate of ophthalmic examination double the rate achieved with routine medical care.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • African Americans* / statistics & numerical data
  • Diabetic Retinopathy / prevention & control*
  • Female
  • Health Education / methods*
  • Humans
  • Logistic Models
  • Male
  • New York City
  • Odds Ratio
  • Ophthalmoscopy / statistics & numerical data*
  • Patient Acceptance of Health Care*
  • Program Evaluation