Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
From Screening to Care: Delayed Clinical Follow-up After Childhood Myopia Identification and the Design of a Prospective Intervention Study.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Pan Wei, Xu Xiaofan, Li Peixuan, Zhang Xiyan, Yang Jie, Yang Zhikuan, Lan Weizhong
Аннотация
BACKGROUND: This study was a pilot investigation on delays in seeking clinical care after myopia screening and describes the design of a prospective cohort study to test whether additional intervention can shorten the delay in seeking eye care.
METHODS: In the pilot study, parents who brought their children to the myopia clinic were surveyed regarding their knowledge, attitudes and behaviours toward myopia. Comparisons between first-time myopia visits (FTMV) and non-first-time myopia visits (NFTMV) were made using the Chi-squared test. The prospective study will involve Grades 1-3 students from four primary schools. Each will be randomly assigned to one of four groups: (1) self-examination visual acuity app; (2) myopia-education videos; (3) both interventions or (4) control. Visual acuity, non-cycloplegic auto-refraction and questionnaires will be collected at baseline and 6-month visit.
RESULTS: In the pilot study, 496 valid questionnaires were included (173 FTMV; 323 NFTMV). In both groups, 74.6% recognised that myopia can lead to blindness (p = 0.99). In the FTMV and NFTMV groups, 95.4% and 97.8% believed that myopia can be prevented and controlled (p = 0.13), 92.5% and 94.1% identified short reading distance as a risk factor (p = 0.48) and 97.7% and 98.8% recognised poor indoor lighting as a risk factor (p = 0.37), respectively. Among FTMV parents, 41.0% reported waiting >12 months before seeking clinical care. In the prospective study, a total of 2400 subjects are anticipated. The primary outcome is the time to myopia-related clinical visit after screening, using survival analysis. Parents' knowledge, attitudes and behaviours toward myopia at the beginning and the end of the study will also be assessed.
CONCLUSION: Delays in children's first myopia-related clinic visit appear to be common among parents in China, based on preliminary findings from hospital-based survey samples. Further systematic evaluation of large-scale myopia screening and health education initiatives is warranted to enhance their real-world effectiveness.
METHODS: In the pilot study, parents who brought their children to the myopia clinic were surveyed regarding their knowledge, attitudes and behaviours toward myopia. Comparisons between first-time myopia visits (FTMV) and non-first-time myopia visits (NFTMV) were made using the Chi-squared test. The prospective study will involve Grades 1-3 students from four primary schools. Each will be randomly assigned to one of four groups: (1) self-examination visual acuity app; (2) myopia-education videos; (3) both interventions or (4) control. Visual acuity, non-cycloplegic auto-refraction and questionnaires will be collected at baseline and 6-month visit.
RESULTS: In the pilot study, 496 valid questionnaires were included (173 FTMV; 323 NFTMV). In both groups, 74.6% recognised that myopia can lead to blindness (p = 0.99). In the FTMV and NFTMV groups, 95.4% and 97.8% believed that myopia can be prevented and controlled (p = 0.13), 92.5% and 94.1% identified short reading distance as a risk factor (p = 0.48) and 97.7% and 98.8% recognised poor indoor lighting as a risk factor (p = 0.37), respectively. Among FTMV parents, 41.0% reported waiting >12 months before seeking clinical care. In the prospective study, a total of 2400 subjects are anticipated. The primary outcome is the time to myopia-related clinical visit after screening, using survival analysis. Parents' knowledge, attitudes and behaviours toward myopia at the beginning and the end of the study will also be assessed.
CONCLUSION: Delays in children's first myopia-related clinic visit appear to be common among parents in China, based on preliminary findings from hospital-based survey samples. Further systematic evaluation of large-scale myopia screening and health education initiatives is warranted to enhance their real-world effectiveness.