Adherence to referrals from preschool vision screening and identification of barriers for non-adherence in Israel

Gordon‐Shaag, Ariela; Ben-Eli, Hadas; Cohen, Orit Sztrigler; Toledano, Monique; Benyamin, Aviya; Stein‐Zamir, Chen

doi:10.1080/08164622.2022.2107891

Cited by 4 publications

(6 citation statements)

References 28 publications

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“…Parental adherence to vision screening and to bringing children who fail to full exams is low worldwide 1 , 24 , 25 , 60 . In many vision screening programs, only 20–50% of the parents adhere the referrals, and the school-based eye care programs rarely referred failed children for long-term follow-up care needs 26 .…”

Section: Discussionmentioning

confidence: 99%

“…In many vision screening programs, only 20–50% of the parents adhere the referrals, and the school-based eye care programs rarely referred failed children for long-term follow-up care needs 26 . A major barrier to seeking vision exams and treatment is the lack of knowledge about the importance of the tests and early treatment 1 , 61 . There is also a positive correlation between understanding the importance of vision tests in parents and taking children for treatment 62 – 64 .…”

Section: Discussionmentioning

confidence: 99%

“…Preschool vision screening is a widely recommended practice that aims to reduce the incidence of amblyopia that persists into adulthood. Despite its importance, parents' perceptions regarding early screening and intervention may pose significant obstacles to seeking eye and vision examinations and pursuing necessary treatment 1 . Therefore, gaining an understanding of parents’ perceptions and knowledge regarding their children’s visual health may lead to effective interventions to improve adherence.…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, parental adherence varies widely across countries, ranging from 25% in the USA 24 – 26 to 83% in Germany 27 . In Israel, a recent study found that 54% of parents adhered to vision screening referrals, and barriers to adherence were primarily derived from the parents' perceptions of the importance of vision screening 1 .…”

Section: Introductionmentioning

confidence: 99%

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Development and validation of a questionnaire for assessing parents’ health literacy regarding vision screening for children: a Delphi study

Ravid-Saffir,

Sella,

Ben-Eli

2023

Sci Rep

Self Cite

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Preschool vision screening is recommended to reduce the incidence of amblyopia that persists into adulthood. However, parent’s perceptions regarding the importance of screening and early intervention may constitute a significant barrier to seeking vision exams and pursuing treatment. The aim of this study is to develop and validate a questionnaire for assessing parent’s awareness, perception and health literacy of children's vision tests. The questionnaire was developed using the Delphi method with experts from the fields of pediatric ophthalmology, optometry, orthoptics, pediatric medicine, social sciences and Mother and Child Health Care centers. Experts were provided with drafts of the questions iteratively in three rounds until a consensus was reached independently on the relevant items, coherently language and redundancies. For the first, second and third stages of the Delphi process, 17, 15 and 13 experts participated in the panel respectively. Validity was achieved by wide consensus among the panel on the relevance of each question, of 75%, 85% and 90%, for the three rounds respectively. Here we describe the final questionnaire, EYES: Evaluating Young-Children Eye health Survey, which includes 31 questions regarding demographics, ocular history, parental health literacy, and perceptions of vision and vison exams.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Development and validation of a questionnaire for assessing parents’ health literacy regarding vision screening for children: a Delphi study

Ravid-Saffir,

Sella,

Ben-Eli

2023

Sci Rep

Self Cite

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“…9 The Andersen's Model, established to elucidate healthcare access and utilisation, 10 suggests that a convergence of predisposing characteristics, enabling resources and need factors drives healthcare usage. 11 Contemporary research into post-vision screening compliance in children is limited, 12 with existing studies primarily focusing on parental 13 and healthcare system 14 determinants.…”

Section: How This Study Might Affect Research Practice or Policymentioning

confidence: 99%

Barriers and facilitators to using ophthalmic clinical health services following school vision screening: a mixed-methods study

Lyu,

Shi,

et al. 2024

bmjpo

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ObjectiveTo identify determinants of the utilisation of ophthalmic clinical health services among students who failed school vision screening.MethodsThis study employed a sequential explanatory mixed methods design, underpinned by Andersen’s Behavioural Model of Health Service Utilisation. Data were initially gathered through interviews with 27 stakeholders—comprising 5 ophthalmologists, 7 community doctors, 7 public health professionals and 8 teachers. The qualitative insights informed the construction of a questionnaire, which subsequently garnered responses from 6215 participants. Qualitative data underwent thematic analysis with NVivo V.12, while quantitative data were analysed using multivariable multinomial logistic regression in SAS V.9.4. Data integration was performed using the Pillar Integration Process for a deductive, evidence-based synthesis of findings.ResultsThe research revealed that students attending vision demonstration schools and receiving encouragement from schools or communities to access clinical ophthalmic services demonstrated higher adherence to referral (OR=1.66, 95% CI 1.30 to 2.12; OR=1.54, 95% CI 1.33 to 1.80). Conversely, older students and those from higher-income families exhibited lower adherence rates (OR=0.31, 95% CI 0.23 to 0.44; OR=0.34, 95% CI 0.25 to 0.46). Moreover, students with less urgent medical needs were more likely to adhere to referrals compared with those needing immediate referrals (OR=1.24, 95% CI 1.06 to 1.45).Four pillars emerged: (a) adherence decreased with age, (b) financial constraints did not pose an obstacle, (c) public health services played a critical role, (d) referral urgency did not linearly correlate with adherence.ConclusionThe utilisation of ophthalmic clinical health services following vision screening failure in students is significantly influenced by public health services provided by schools or communities, such as prompting those with abnormal screening results to access ophthalmic clinical health services.

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Public health and Indigenous eye health: more work to be done in optometry

Bentley

Stapleton

Jalbert

2023

Clinical and Experimental Optometry

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Adherence to referrals from preschool vision screening and identification of barriers for non-adherence in Israel

Cited by 4 publications

References 28 publications

Development and validation of a questionnaire for assessing parents’ health literacy regarding vision screening for children: a Delphi study

Development and validation of a questionnaire for assessing parents’ health literacy regarding vision screening for children: a Delphi study

Barriers and facilitators to using ophthalmic clinical health services following school vision screening: a mixed-methods study

Public health and Indigenous eye health: more work to be done in optometry

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