Table 5.
Respondent suggestions as to how screening uptake in young adults could be improved. Interventions were coded to the intervention and policy taxonomy used in the behavior change wheel
| What else do you think could be done to encourage attendance in young adults? (n=102) | ||
|
|
Frequency n (%) |
Examples |
| Intervention |
|
|
| Education | 23 (22.6) | ‘More education about the long terms risks, and the asymptomatic nature of Diabetic retinopathy’ ‘More education for General Practioners (GPs)’ |
| Persuasion | 0 (0.0) | N/A |
| Incentivization | 3 (2.9) | ‘Re-imbursement of travel costs as pts can't drive themselves with dilation’ |
| Coercion | 0 (0.0) | N/A |
| Training | 1 (0.98) | ‘More training’ |
| Restriction | 0 (0.0) | N/A |
| Environmental restructuring | 1 (0.98) |
‘Ensuring they are aware that a drop-in appointment is possible’ ‘More freedom to discuss consequence of non-attendance with patients in clinic’ |
| Modeling | 0 (0.0) | N/A |
| Enablement | 11 (10.8) | ‘Active encouragement from GPs/Diabetic nurses’ ‘Chasing up young adults who have not attended to get them rebooked and see if there is anything the programme can do to help’ |
| Policy | ||
| Communication/marketing | 28 (27.5) | ‘Social media campaigns aimed specifically at young people - celebrity endorsement of DRS’ |
| Guidelines | 0 (0.0) | N/A |
| Fiscal | 0 (0.0) | N/A |
| Regulation | 2 (1.96) | ‘Running audits and reports into young patients who have not attended’ |
| Legislation | 0 (0.0) | N/A |
| Environmental/social planning | 0 (0.0) | N/A |
| Service provision | 58 (56.9) |
‘A joint up service. All diabetic services working together’ ‘A mobile clinic, weekend appointments as young adults work/childcare during the week so evening clinics not enough’ |
DRS, diabetic retinopathy screening; N/A, not applicable.