Overview
A pragmatic trial will be conducted in two representative clinics in each of the three types of targeted settings. It will be run for 3 months in each clinic to complete data collection of up to 100 patients in SPGC and Optometry Clinics, 200 at GPGC and 200 in GOPC in total. All the subjects will conduct a DIY screening, physician consultation, survey with questionnaires and a phone interview three months after their baseline assessment. This study will assess automated screening in terms of success rate of the DIY system without active assistant help, accuracy, screening rate and detection rate, adherence to referral and experience of participants, as well as cost-effectiveness in real-world settings.
Eligibility
Inclusion Criteria:
- subjects who are 50 years of age or older, or subjects who are 18 years of age or older and have diabetes, and
- have not undertaken an eye examination in the previous 12 months (elevated risk of undiagnosed disease).
- Provide written informed consent.
Exclusion Criteria:
- individuals with physical disabilities that prevent the use of a fundus camera, or
- individuals with speech impairments who are unable to complete telephone follow-ups.