A comparison of pre-school versus school-age orthoptic screening programmes in the North-East of England

Dent, Michelle; Fieldsend, Caroline S.

doi:10.22599/bioj.90

Cited by 3 publications

(6 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A previous study by Dent and Fieldsend (2015) suggested coverage is much better when screening is carried out in school compared to pre-school. They found the coverage at pre-school to be as low as 60% in contrast to 96% at school.…”

Section: Discussionmentioning

confidence: 98%

Scottish Pre-School Vision Screening – First 3 Years of National Data

Pentland

Patel

2020

British and Irish Orthoptic Journal

View full text Add to dashboard Cite

Introduction: Pre-school orthoptic vision screening (POVS) was implemented by the Scottish government and is a standardised assessment to promote early detection of visual problems in children. The target conditions are amblyopia, refractive errors and strabismus. We present the preliminary findings for the first three years of the screening program. Methods: The data from POVS was collected retrospectively. The data includes screening years 2013 to 2016 inclusive. Data was collected from each health board in Scotland. We report the coverage, referral rate, true positives and positive predictive values. Results: A total of 167,962 children were due to have vision screening over the 3 screening years included in this paper. This figure does not include the children that opted out of the eye test (mean opt-out rate 1.8%) and children that already attend the hospital eye service (mean already attend rate 3.1%). The POVS program had a mean coverage of 85.5%, ranging from 63.7% to 94.8% between health boards. Over the 3 year screening period, the mean referral rate was found to be 17.9%. The mean true positive rate was 88.9%, and the mean positive predictive value was 86.9%. Conclusion: The Scottish data set on pre-school orthoptic vision screening has shown excellent mean coverage. A consistently high true positive rate over the three screening years demonstrates it is a sensitive screening program, which is essential for the detection of visual problems in children.

show abstract

Section: Discussionmentioning

confidence: 98%

Scottish Pre-School Vision Screening – First 3 Years of National Data

Pentland

Patel

2020

British and Irish Orthoptic Journal

View full text Add to dashboard Cite

show abstract

“…Based on our findings and those from school screening programs, it is clear that access to children for screening without the need for specific expenditure of parental time and effort is the most successful approach to recruiting a large proportion of children. It appears that screening in community health centers and centralized locations poses barriers associated with parents attending with their child, and invitation-based recruitment processes frequently achieve comparatively low rates of response 14,15. Adding to the success of the StEPS program in accessing children in NSW is the Australian government’s commitment to providing universal access to preschool education in the year prior to starting school.…”

Section: Discussionmentioning

confidence: 99%

“…The program also had a high screening rate that increased over the time period studied, particularly in rural and regional locations, while remaining steady in metropolitan Sydney. In previous reports of childhood vision screening programs, the main determinant of access by children to vision screening has appeared to be where screening is conducted, with considerably higher uptake rates ( > 90%) from school screening 14,15 than preschool settings (49%-75%). [14][15][16][17] As reports of school vision screening programs are generally from countries with comprehensive education, recruitment to vision screening for school-aged children is likely to be more universal.…”

Section: Discussionmentioning

confidence: 99%

“…In previous reports of childhood vision screening programs, the main determinant of access by children to vision screening has appeared to be where screening is conducted, with considerably higher uptake rates ( > 90%) from school screening 14,15 than preschool settings (49%-75%). [14][15][16][17] As reports of school vision screening programs are generally from countries with comprehensive education, recruitment to vision screening for school-aged children is likely to be more universal. Preschool attendance is frequently not universal and may require specific recruitment strategies to access a high proportion of children of this age.…”

Section: Discussionmentioning

confidence: 99%

“…The StEPS program is unique compared to other programs targeting preschool children [12][13][14][15] as it follows a model similar to school screening, with children screened at their preschool or childcare center. Based on our findings and those from school screening programs, it is clear that access to children for screening without the need for specific expenditure of parental time and effort is the most successful approach to recruiting a large proportion of children.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Vision Screening in Children: The New South Wales Statewide Eyesight Preschooler Screening Program

French

Murphy

Martin

et al. 2022

Asia-Pacific Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose: The aim was to investigate universality of access, screening rate, and outcomes from the New South Wales (NSW) Statewide Eyesight Preschooler Screening (StEPS) over the period of 2009 to 2016. Design: Cross-sectional, observational study. Methods: The StEPS program provides vision screening to 4-year-old children residing in NSW and is administered within Local Health Districts (LHDs). Visual acuity (VA) was examined by trained lay and nurse screeners using HOTV logMAR. Children who had VA <6/9−2 were referred to local practitioners while those with VA <6/18 were referred to public hospital pediatric ophthalmic outpatient clinics where available. Activity data were collected by NSW Health and screening rates determined from population projections of 4-year-olds per LHD based on adjusted 2014 Census data. To determine factors impacting screening and referral rates, a random effects panel analysis was undertaken. Results: A total of 719,686 (96.4%) NSW 4-year-old children were offered StEPS vision screening between 2009 and 2016, 84% accepted and 564,825 children (75.6%) were screened. The screening rate increased from 67.3% in 2009 to 74.5% in 2016, with an 80% target reached for 3 consecutive years from 2013 to 2015. Of those screened, 19.2% were referred to an eye health professional or advised to have a vision retest in 12 months. This referral rate remained steady over the period studied, with little variation between metropolitan, and rural and regional LHDs. Conclusions: StEPS is an ideal service model for preschool vision screening providing coverage that is comparable to school-based screening programs and at an age likely to facilitate optimal treatment outcomes.

show abstract

Final Visual Outcomes and Treatment Received for Children Referred from a UK Primary School Visual Screening Program: A Comparison of An Orthoptic-led Program with Orthoptic-delivered Services

Garretty

2017

Strabismus

View full text Add to dashboard Cite

show abstract

A comparison of pre-school versus school-age orthoptic screening programmes in the North-East of England

Cited by 3 publications

References 16 publications

Scottish Pre-School Vision Screening – First 3 Years of National Data

Scottish Pre-School Vision Screening – First 3 Years of National Data

Vision Screening in Children: The New South Wales Statewide Eyesight Preschooler Screening Program

Final Visual Outcomes and Treatment Received for Children Referred from a UK Primary School Visual Screening Program: A Comparison of An Orthoptic-led Program with Orthoptic-delivered Services

Contact Info

Product

Resources

About