Please use this identifier to cite or link to this item: https://doi.org/10.1111/dme.12192
Title: Feedback of personal retinal images appears to have a motivational impact in people with non-proliferative diabetic retinopathy and suboptimal HbA1c: Findings of a pilot study
Authors: Rees, G.
Lamoureux, E.L. 
Nicolaou, T.E.
Hodgson, L.A.B.
Weinman, J.
Speight, J.
Issue Date: Sep-2013
Citation: Rees, G., Lamoureux, E.L., Nicolaou, T.E., Hodgson, L.A.B., Weinman, J., Speight, J. (2013-09). Feedback of personal retinal images appears to have a motivational impact in people with non-proliferative diabetic retinopathy and suboptimal HbA1c: Findings of a pilot study. Diabetic Medicine 30 (9) : 1122-1125. ScholarBank@NUS Repository. https://doi.org/10.1111/dme.12192
Abstract: Aim: To conduct a pilot study to explore the potential impact of visual feedback of personal retinal images on diabetes outcomes. Methods: Twenty-five participants with non-proliferative diabetic retinopathy and suboptimal HbA1c (> 53 mmol/mol; > 7%) were randomized to receive visual feedback of their own retinal images or to a control group. At baseline and 3-month follow-up, HbA1c, standard measures of beliefs, diabetes-related distress and self-care activities were assessed. Results: In unadjusted models, relative to controls, the intervention group showed significantly greater improvement in HbA1c at 3-month follow-up (-0.6% vs. +0.3%, P < 0.01), as well as enhanced motivation to improve blood glucose management (P < 0.05). Conclusions: This small pilot study provides preliminary evidence that visual feedback of personal retinal images may offer a practical educational strategy for clinicians in eye care services to improve diabetes outcomes in non-target compliant patients. A fully powered randomized controlled trial is required to confirm these findings and determine the optimal use of feedback to produce sustained effects. © 2013 Diabetes UK.
Source Title: Diabetic Medicine
URI: http://scholarbank.nus.edu.sg/handle/10635/128638
ISSN: 07423071
DOI: 10.1111/dme.12192
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