Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China.
Shanghai Key Laboratory of Ocular Fundus Diseases, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China.
Diabet Med. 2020 Jan;37(1):84-94. doi: 10.1111/dme.14092. Epub 2019 Aug 18.
To translate the Compliance with Annual Diabetic Eye Exams Survey (CADEES) into Chinese, allowing assessment of its reliability and validity, and to identify variables that predict attendance at annual eye examinations.
People with vision-threatening diabetic retinopathy were recruited from the Shanghai Diabetic Eye Study. The study involved three phases: (1) translation and cross-cultural adaptation, (2) a pilot study (n = 496) to evaluate the psychometric properties of the Chinese-CADEES, and (3) a primary cross-sectional survey (n = 3818) to assess self-reported attendance at annual eye examinations. Factors related to non-attendance were identified using univariate analysis, and then a multiple logistic regression model. Finally, a component model and individual item models were built to predict attendance.
The Chinese-CADEES had satisfactory reliability and validity. The issue of low attendance at annual eye examinations was serious. In addition to 13 health belief items, living in semi-urban suburban areas, shorter duration of diabetes, poor glucose control, lower education level, better presenting visual acuity and milder diabetic retinopathy diagnosis were significantly related to non-attendance. The multivariate predictive model was able to predict, with 64.7% accuracy, whether or not participants were going to attend annual eye examinations and explained ~ 11.3% of the variance in attendance.
The Chinese-CADEES showed good reliability and validity for predicting attendance at annual eye examinations in people with diabetic retinopathy. Clinicians and researchers can improve attendance by addressing modifiable characteristics and increasing education on diabetic retinopathy and the importance of eye health in people with diabetes.
将《年度糖尿病眼病检查依从性调查》（CADEES）翻译成中文，评估其信度和效度，并确定预测年度眼科检查依从性的变量。
本研究从上海糖尿病眼病研究中招募了有威胁视力的糖尿病视网膜病变患者。研究分为三个阶段：（1）翻译和跨文化调适，（2）预试验（n=496）评估中文 CADEES 的心理测量特性，（3）横断面调查（n=3818）评估自我报告的年度眼科检查依从性。采用单因素分析和多因素逻辑回归模型确定不依从的相关因素。最后，构建了成分模型和个体项目模型来预测依从性。
中文 CADEES 具有良好的信度和效度。年度眼科检查依从性低的问题严重。除了 13 个健康信念项目外，居住在半城市郊区、糖尿病病程较短、血糖控制较差、教育程度较低、较好的视力和较轻的糖尿病视网膜病变诊断与不依从显著相关。多因素预测模型能够以 64.7%的准确率预测参与者是否会参加年度眼科检查，并解释了约 11.3%的依从性差异。
中文 CADEES 对预测糖尿病视网膜病变患者年度眼科检查依从性具有良好的信度和效度。临床医生和研究人员可以通过解决可改变的特征，加强对糖尿病视网膜病变和眼部健康重要性的教育，提高患者的依从性。
