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Reducing the risk of vision loss for young adults with type 2 diabetes




The Centre for Applied Vision Researchat the School of Health Science, City, University of London welcomes Dr Amelia Lake to discuss her research on the evidence-based development of a retinal screening promotion resource tailored to young adults with type 2 diabetes, as part of the research seminar series.


Young adults with type 2 diabetes (YA, 18-39 years) face increased risk of early onset and rapid progression of diabetic retinopathy (DR). Retinal screening is essential for the early detection of DR; yet screening rates for this group are low, leading to calls for development of cohort-specific eye health resources. Method: we conducted a mixed-methods needs assessment to identify modifiable determinants of retinal screening behaviour for this under-researched group. Results: utilising a questionnaire based on the Theoretical Domains Framework, ten YA (33.3±3.7 years, 50% male, 50% no retinal screen) were interviewed; exploring retinal screening barriers and facilitators. Participants believed that they were at low risk of DR, gave retinal screening low priority, and were not engaged with existing services which they viewed as designed for ‘older’ adults. Following this, 129 YA (34.1±4.5 years, 40.3% male, 29% no retinal screen) participated in an online survey investigating psychosocial correlates of retinal screening. After controlling for age, gender and socioeconomic status, there were significant differences between those who had and had not had a retinal screen, with the latter reporting lower knowledge, motivation and self-efficacy, and less positive attitudes to screening (p<0.05). Behaviour change techniques and persuasive messages were mapped to the identified psychosocial mechanisms and deficits, and included in an eye health leaflet which was subject to stakeholder review and randomised controlled trial evaluation. Conclusions: this study identified cohort-specific determinants to retinal screening uptake and provided an evidence-based foundation for the development of an engaging, age-appropriate eye health leaflet tailored to this priority population.

About the speaker

Dr Amelia J Lake is a Research Fellow at the ACBRD. Amelia joined the Centre in 2013 to manage the Diabetes and Eye Health Project, a Vision 2020 Australia-funded program to promote retinal screening for those at increased risk of vision loss from diabetic retinopathy.  Amelia’s program of PhD research involved the development and evaluation of an evidence-based eye health resource for young adults with type 2 diabetes, one of the key priority populations within the Diabetes and Eye Health project. Amelia has considerable experience in the management of research projects, including randomised controlled trials and process evaluations. Amelia’s principle research interests focus on methods to promote translation and uptake of research findings in preventative health, the self-management of chronic conditions and in promoting health behaviour change. Amelia has a special interest in working with consumer and health professional groups to enable translation of evidence-based research into practice.

A light lunch with refreshments will be provided. Further information and event timings can be found on our website.

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When and where

12.45pm - 2.00pmMonday 25th March 2019

MG26 Myddelton Street Building City, University of London 1 Myddelton Street London EC1R 1UW United Kingdom

Contact Details

CLS Research Events

City, University of London
Northampton Square
United Kingdom
0207 040 3410

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