Nancy J. Ellish
Tailored and Targeted Interventions to Encourage Dilated Fundus Examinations in Older African Americans
Visual Sciences (United States)|University of Mary|Howard University
compare effects tailored individualized targeted designed subgroup print intervention promoting dilated fundus examinations dfes older african americans determine whether factors eg demographics preventive health practices health literacy score behavioral intentions dfe rates associated getting dfeafrican americans aged 65 years older dfe least 2 years recruited community settings participants randomized receive either tailored targeted newsletter telephone followup conducted 1 3 6 months ascertain eye examination status participantreported dfes confirmed contacting eye doctor optometrist ophthalmologist telephone main outcome measure eye doctorconfirmed dfe 6 monthsof 329 participants enrolled 128 389 eye doctorconfirmed dfe significant difference noted measure intervention group relative risk 107 95 confidence interval 082140 66 participants tailored group 402 62 participants targeted group 376 eye doctorconfirmed dfe based logistic regression analysis reading newsletter odds ratio 176 95 confidence interval 108287 planning make appointment dfe odds ratio 246 95 confidence interval 142426 significant predictors dfethe tailored targeted interventions equally effective promoting eye doctorconfirmed dfes 6 months given increased cost effort associated tailoring results suggest welldesigned targeted print messages motivate older african americans get dfes trial registration clinicaltrialsgov identifier nct00649766