What works to increase attendance for diabetic retinopathy screening? An evidence synthesis and economic analysis

Abstract

Background: Diabetic retinopathy screening (DRS) is effective but uptake is suboptimal. Objectives: To determine the effectiveness of quality improvement (QI) interventions for DRS attendance; describe the interventions in terms of QI components and behaviour change techniques (BCTs); identify theoretical determinants of attendance; investigate coherence between BCTs identified in interventions and determinants of attendance; and determine the cost-effectiveness of QI components and BCTs for improving DRS. Data sources and review methods: Phase 1-systematic review of randomised controlled trials (RCTs) evaluating interventions to increase DRS attendance (The Cochrane Library, MEDLINE, EMBASE..