Exploring Factors Associated with Diabetic Retinopathy Treatment Compliance Behaviour in Cape Town, South Africa

Complete patient adherence to treatment for diabetic retinopathy (DR) is critical to limit vision loss. There is a dearth of evidence regarding the reasons why South African patients referred for suspected vision-threatening DR stay compliant to or default their treatment. The current study sought t...

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Autores principales:	Annalie Wentzel, Zandile June-Rose Mchiza
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	diabetes mellitus diabetic retinopathy compliance behaviour retinal screening SARS-CoV-2 Cape Town Medicine R
Acceso en línea:	https://doaj.org/article/7ec5491d9abd4e4aae811141d011f079
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spelling	oai:doaj.org-article:7ec5491d9abd4e4aae811141d011f0792021-11-25T17:52:00ZExploring Factors Associated with Diabetic Retinopathy Treatment Compliance Behaviour in Cape Town, South Africa10.3390/ijerph1822122091660-46011661-7827https://doaj.org/article/7ec5491d9abd4e4aae811141d011f0792021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12209https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Complete patient adherence to treatment for diabetic retinopathy (DR) is critical to limit vision loss. There is a dearth of evidence regarding the reasons why South African patients referred for suspected vision-threatening DR stay compliant to or default their treatment. The current study sought to explore factors associated with treatment compliance among patients living with diabetes who have been referred for suspected vision-threatening DR in the Northern/Tygerberg sub-Structure (NTSS) public health care system of Cape Town, South Africa. A qualitative research approach was used where semi-structured in-depth interviews were conducted with 13 adult patients living with DR, and 2 key informants who are primary eye care providers. Thematic data analysis was conducted using taguette.org. Fear of going blind was the most notable patient-related factor associated with compliance. Notable patient-related barriers reported were forgetfulness and a poor state of health. Notable institution-related barriers included suboptimal information received from health care service providers, poor referral management by the organisation delivering retinal screening services, as well as the inaccessibility of the main NTSS hospital via telephone calls. All these factors were confirmed by the key informants of the current study. Finally, all patients and key informants agreed that SARS-CoV-2 negatively affected patients’ adherence to their DR treatment. Hence, scaling up of health care, referral, and appointment setting services could increase the uptake of treatment and retinal screenings among patients attending the Cape Town, NTSS public health care system.Annalie WentzelZandile June-Rose MchizaMDPI AGarticlediabetes mellitusdiabetic retinopathycompliance behaviourretinal screeningSARS-CoV-2Cape TownMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12209, p 12209 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes mellitus diabetic retinopathy compliance behaviour retinal screening SARS-CoV-2 Cape Town Medicine R
spellingShingle	diabetes mellitus diabetic retinopathy compliance behaviour retinal screening SARS-CoV-2 Cape Town Medicine R Annalie Wentzel Zandile June-Rose Mchiza Exploring Factors Associated with Diabetic Retinopathy Treatment Compliance Behaviour in Cape Town, South Africa
description	Complete patient adherence to treatment for diabetic retinopathy (DR) is critical to limit vision loss. There is a dearth of evidence regarding the reasons why South African patients referred for suspected vision-threatening DR stay compliant to or default their treatment. The current study sought to explore factors associated with treatment compliance among patients living with diabetes who have been referred for suspected vision-threatening DR in the Northern/Tygerberg sub-Structure (NTSS) public health care system of Cape Town, South Africa. A qualitative research approach was used where semi-structured in-depth interviews were conducted with 13 adult patients living with DR, and 2 key informants who are primary eye care providers. Thematic data analysis was conducted using taguette.org. Fear of going blind was the most notable patient-related factor associated with compliance. Notable patient-related barriers reported were forgetfulness and a poor state of health. Notable institution-related barriers included suboptimal information received from health care service providers, poor referral management by the organisation delivering retinal screening services, as well as the inaccessibility of the main NTSS hospital via telephone calls. All these factors were confirmed by the key informants of the current study. Finally, all patients and key informants agreed that SARS-CoV-2 negatively affected patients’ adherence to their DR treatment. Hence, scaling up of health care, referral, and appointment setting services could increase the uptake of treatment and retinal screenings among patients attending the Cape Town, NTSS public health care system.
format	article
author	Annalie Wentzel Zandile June-Rose Mchiza
author_facet	Annalie Wentzel Zandile June-Rose Mchiza
author_sort	Annalie Wentzel
title	Exploring Factors Associated with Diabetic Retinopathy Treatment Compliance Behaviour in Cape Town, South Africa
title_short	Exploring Factors Associated with Diabetic Retinopathy Treatment Compliance Behaviour in Cape Town, South Africa
title_full	Exploring Factors Associated with Diabetic Retinopathy Treatment Compliance Behaviour in Cape Town, South Africa
title_fullStr	Exploring Factors Associated with Diabetic Retinopathy Treatment Compliance Behaviour in Cape Town, South Africa
title_full_unstemmed	Exploring Factors Associated with Diabetic Retinopathy Treatment Compliance Behaviour in Cape Town, South Africa
title_sort	exploring factors associated with diabetic retinopathy treatment compliance behaviour in cape town, south africa
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/7ec5491d9abd4e4aae811141d011f079
work_keys_str_mv	AT annaliewentzel exploringfactorsassociatedwithdiabeticretinopathytreatmentcompliancebehaviourincapetownsouthafrica AT zandilejunerosemchiza exploringfactorsassociatedwithdiabeticretinopathytreatmentcompliancebehaviourincapetownsouthafrica
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Exploring Factors Associated with Diabetic Retinopathy Treatment Compliance Behaviour in Cape Town, South Africa

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