Understandability and actionability of patient education materials for diabetic retinopathy among indigenous and general populations

While most DR-related PEMs are generally understandable, their low actionability, especially audiovisual formats, indicates a need for clearer, step-by-step guidance to support patient self-management. Improving the structure and content of both printable and audiovisual PEMs can improve engagement and adherence to preventive behaviours among people living with diabetes, potentially reducing the burden of DR.