A Descriptive Study on Compliance of Spectacle , Wear in Children of Primary Schools at Qassim Province , Saudi Arabia

Aldebasi, Yousef H.

doi:10.12816/0006057

Cited by 34 publications

(49 citation statements)

References 16 publications

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“…Studies on this subject have assessed spectacle use over periods of a month to a year, and relied on a variety of outcomes, including self-reported use; [20][21][22] estimates by parents, teachers, or health professionals; 18 and directly observed wear. 3,6,7,[23][24][25] Observed rates of wear were low, ranging from 13% to 41%.…”

Section: Whereas Previous Studies Of Programs Providingmentioning

confidence: 99%

“…3,6,7,[23][24][25] Observed rates of wear were low, ranging from 13% to 41%. 3,6,7,21,23,24 All of the few studies reporting higher rates (46% by Keay and associates in China, 25 56% by Vincent and associates in Thai refugee camps, 22 and 58% by von-Bischhoffshaussen and associates in Chile 20 ) relied on self-report and/or estimates of teachers or parents, 20,22 and had low (58%-76%) rates of follow-up 20,22 or assessment times as short as 1 month after spectacle distribution. 25 It would appear that longer-term (over the course of a school year) compliance with free spectacles, as measured by objective indicators such as observed wear at unannounced examinations, is low among children without additional interventions.…”

Section: Whereas Previous Studies Of Programs Providingmentioning

confidence: 99%

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Impact of Free Glasses and a Teacher Incentive on Children's Use of Eyeglasses: A Cluster-Randomized Controlled Trial

Zhang

et al. 2015

American Journal of Ophthalmology

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PURPOSE: To study the effect of free glasses combined with teacher incentives on in-school glasses wear among Chinese urban migrant children.DESIGN: Cluster-randomized controlled trial. METHODS: Children with visual acuity (VA) £6/12 in either eye owing to refractive error in 94 randomly chosen primary schools underwent randomization by school to receive free glasses, education on their use, and a teacher incentive (Intervention), or glasses prescriptions only (Control). Intervention group teachers received a tablet computer if ‡80% of children given glasses wore them during unannounced visits 6 weeks and 6 months (main outcome) after intervention. OR [ 43.7,.5, P < .001). Other predictors of observed wear at 6 months included baseline spectacle wear (P < .001), uncorrected VA <6/18 (P [ .01), and parental spectacle wear (P [ .02). The 6-month observed wear rate was only 41% among similar-aged children provided free glasses in our previous trial without teacher incentives.CONCLUSIONS: Free spectacles and teacher incentives maintain classroom wear in the large majority of children needing glasses over a school year. Low wear among Control children demonstrates the need for interventions. (Am J Ophthalmol 2015;160(5): 889-896. Ó 2015 by Elsevier Inc. All rights reserved.)

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Section: Whereas Previous Studies Of Programs Providingmentioning

confidence: 99%

Section: Whereas Previous Studies Of Programs Providingmentioning

confidence: 99%

Impact of Free Glasses and a Teacher Incentive on Children's Use of Eyeglasses: A Cluster-Randomized Controlled Trial

Zhang

et al. 2015

American Journal of Ophthalmology

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“…The most commonly cited reasons for non-compliance with spectacle use in the studies were broken [9][10][11][12]14,15,[17][18][19][20]23,24,27 /lost spectacles [9][10][11][12]14,15,[17][18][19][20]24,27 , forgetfulness [9][10][11]14,15,[17][18][19]24,27 and parental disapproval 8,9,11,12,15,16,18,23,24,34 . These were followed by headache 10-12, 15, 17,23,24,27 , teasing by peers 10,12,19 and dislike for spectacles 9,14,…”

Section: Reasons For Non-compliance With Spectacle Usementioning

confidence: 99%

“…A number of studies are available worldwide to look into the factors determining compliance with spectacle use [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] . Studies have shown that the compliance with spectacle use in children with visual impairment due to REs is only one third or less 11,16,17,19,24 .…”

Section: Introductionmentioning

confidence: 99%

“…Studies have shown that the compliance with spectacle use in children with visual impairment due to REs is only one third or less 11,16,17,19,24 . Compliance remained low even when the spectacles were provided for free, and poorer rates were observed in older children 14,18,21,23,24 and children residing in rural areas 13,15 . Poor follow up after school-based screenings, broken spectacles, loss, forgetfulness 9,11,[13][14][15][17][18][19][20]23,24,27 parental and children's perceptions 8,11,13,15,16,18,[22][23][24] ,peer pressure 9,11,14,18,19,22,24 , safety concerns and the patient's self-esteem are few of the reasons cited for poor compliance.…”

Section: Introductionmentioning

confidence: 99%

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Compliance with spectacle use in children with refractive errors- a systematic review and meta-analysis

Dhirar

Dudeja

Duggal

et al. 2020

Preprint

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Background Primary objective of this review was to measure compliance with spectacle use in children with refractive errors. Secondary objective was to understand the reasons for non-compliance.Methods The databases searched were Ovid, EMBASE, CINAHL and Pubmed. All studies up to March, 2018 were included. The search terms were- ((((((Compliance [Title/Abstract]) OR Adherence[Title/Abstract]) OR Compliant[Title/Abstract]) OR Adherent[Title/Abstract])) AND (((Spectacle[Title/Abstract]) OR Spectacles[Title/Abstract]) OR Eye Glasses[Title/Abstract])) AND ((((Child[Title/Abstract]) OR Children[Title/Abstract]) OR Adolescent[Title/Abstract]) OR Adolescents[Title/Abstract]). Two researchers independently searched the databases and initial screening obtained 33 articles. The PRISMA guidelines were followed for conducting and writing the systematic review. Two reviewers assessed data quality independently using the Quality Assessment tool for systematic reviews of observational studies (QATSO). Poor quality studies were those, which had a score of less than 33% on the QATSO tool. Sensitivity analysis was done to determine if poor quality studies effected compliance. Galbraith plot was used to investigate statistical heterogeneity amongst studies. A random effects model was used to pool compliance.Results Twenty-three studies were included in the review, of which 20 were included in the quantitative analysis. All the studies were cross sectional. The overall compliance with spectacle use was 40.14% (95% CI- 32.78-47.50). The compliance varied from 9.84% (95% CI=2.36-17.31) to 78.57% (95% CI=68.96-88.18). The compliance derived in sensitivity analysis was 40.09%. Reasons for non-compliance were broken/lost spectacles, forgetfulness, and parental disapproval.Conclusion Appropriate remedial measures such as health education and strengthening vision care services will be required to address poor compliance with spectacle use among children.

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Spectacle Wear Among Children in a School-Based Program for Ready-Made vs Custom-Made Spectacles in India

et al. 2017

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IMPORTANCE Uncorrected refractive errors are the most common cause of visual impairment in children despite correction being highly cost-effective. OBJECTIVE To determine whether less expensive ready-made spectacles produce rates of spectacle wear at 3 to 4 months comparable to those of more expensive custom-made spectacles among eligible school-aged children. DESIGN, SETTING, AND PARTICIPANTS This noninferiority, double-masked, randomized clinical trial recruited children aged 11 to 15 years from January 12 through July 31, 2015, from government schools in urban and periurban areas surrounding Bangalore, India. Follow-up occurred from August 1 through September 31, 2015. Participants met the following eligibility criteria for ready-made spectacles: failed vision screening at the 6/9 level in each eye; refraction was indicated; acuity improved with correction by 2 or more lines in the better-seeing eye; the corrected acuity with the spherical equivalent was not more than 1 line less than with full correction; anisometropia measured less than 1.0 diopter; and an appropriate frame was available. INTERVENTIONS Eligible children were randomized to ready-made or custom-made spectacles. MAIN OUTCOMES AND MEASURES Proportion of children wearing their spectacles at unannounced visits 3 to 4 months after the intervention. RESULTS Of 23 345 children aged 11 to 15 years who underwent screening, 694 had visual acuity of less than 6/9 in both eyes, and 535 underwent assessment for eligibility. A total of 460 children (227 female [49.3%] and 233 male [50.7%]; mean [SD] age, 13.4 [1.3] years) were eligible for ready-made spectacles (2.0% undergoing screening and 86.0% undergoing assessment) and were randomized to ready-made (n = 232) or custom-made (n = 228) spectacles. Follow-up rates at 3 to 4 months were similar (184 [79.3%] in the ready-made group and 178 [78.1%] in the custom-made group). Rates of spectacle wear in the 2 arms were similar among 139 of 184 children (75.5%) in the ready-made arm and 131 of 178 children (73.6%) in the custom-made arm (risk difference, 1.8%; 95% CI, −7.1% to 10.8%). CONCLUSIONS AND RELEVANCE Most children were eligible for ready-made spectacles, and the proportion wearing ready-made spectacles was not inferior to the proportion wearing custom-made spectacles at 3 to 4 months. These findings suggest that ready-made spectacles could substantially reduce costs for school-based eye health programs in India without compromising spectacle wear, at least in the short term.

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A Descriptive Study on Compliance of Spectacle , Wear in Children of Primary Schools at Qassim Province , Saudi Arabia

Cited by 34 publications

References 16 publications

Impact of Free Glasses and a Teacher Incentive on Children's Use of Eyeglasses: A Cluster-Randomized Controlled Trial

Impact of Free Glasses and a Teacher Incentive on Children's Use of Eyeglasses: A Cluster-Randomized Controlled Trial

Compliance with spectacle use in children with refractive errors- a systematic review and meta-analysis

Spectacle Wear Among Children in a School-Based Program for Ready-Made vs Custom-Made Spectacles in India

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