Increasing Screening Follow-Up for Vulnerable Children: A Partnership with School Nurses

Rodríguez, Eduardo; Srivastava, Ashini; Landau, Melinda

doi:10.3390/ijerph15081572

Cited by 13 publications

(17 citation statements)

References 24 publications

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“…School nurses can raise awareness of and help to address vision issues like myopia by ensuring that every child participates in vision screening, and that those found to have vision problems receive further assessment and follow-up (Jan, Timbo, & Congdon, 2017; Rodriguez, Srivastava, & Landau, 2018). For example, in Taiwan, schools follow a common protocol that is facilitated by a national, universal health-care system.…”

Section: Discussionmentioning

confidence: 99%

“…Since a single approach to communicating with families is unlikely to be uniformly effective in any school community, school nurses should tailor their efforts to the needs of targeted groups. For example, phone calls or take home information may work well in some situations, whereas in others it may be helpful to enlist parents early on in home-based screenings (Rodriguez, Srivastava, & Landau, 2018) or hands-on learning activities (McClendon & Zeni, 2019).…”

Section: Discussionmentioning

confidence: 99%

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A Nationwide Study of Myopia in Taiwanese School Children: Family, Activity, and School-Related Factors

Holton¹,

Hinterlong²,

Tsai³

et al. 2019

The Journal of School Nursing

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The purpose of the study was to explore how fixed and modifiable family, activity, and school factors affect a student’s myopia risk and severity. We used national cross-sectional data from Taiwanese children in Grades 4–6. Bivariate and multivariate analyses, including logistic and ordinary least squares regression, examined factors related to children’s myopia status and severity. Age, parent myopia, and school district were associated with risk of myopia. One hour or more per day of near work (OR = 1.26) increased the odds of myopia. The same amount of time in outdoor activities (OR = 0.85) or moderate or vigorous physical activities (OR = 0.82) was associated with lower risk. Near work (β = 0.06), outdoor activity (β = −0.04), and outdoor recess (β = −0.03) predicted myopia severity. To promote healthy vision, nurses should advocate for and implement interventions that increase school children’s time outdoors and in physical activities and reduce their time on near work.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Nationwide Study of Myopia in Taiwanese School Children: Family, Activity, and School-Related Factors

Holton¹,

Hinterlong²,

Tsai³

et al. 2019

The Journal of School Nursing

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“…School nurses should enlist teachers and administrators in fostering a school environment and using instructional practices that promote healthy vision. This interprofessional collaboration augments their critical role in providing vision screening and ensuring that children receive the necessary follow‐up vision supports (Kemper, Helfrich, Talbot, & Patel, ; Lineberry & Ickes, ; Rodriguez, Srivastava, & Landau, ). As trusted sources of health information and advocates for children, nurses can raise awareness of the potential risks posed to children's vision by regular exposure to digital projection.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, effective school nursing practice occurs within an array of interprofessional partnerships, attends to the complex health and healthcare needs of students and requires nurses to serve as leaders, educators, advocates and health professionals (Maughan et al, 2016). We also would add that nurses understand the importance of (Kemper, Helfrich, Talbot, & Patel, 2011;Lineberry & Ickes, 2015;Rodriguez, Srivastava, & Landau, 2018). As trusted sources of health information and advocates for children, nurses can raise awareness of the potential risks posed to children's vision by regular exposure to digital projection.…”

Section: Implications For School Nursesmentioning

confidence: 99%

Association of multimedia teaching with myopia: A national study of school children

Hinterlong¹,

Holton²,

Chiang

et al. 2019

Journal of Advanced Nursing

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Aim The aim of this study was to determine whether students’ exposure to digitally projected, multimedia teaching material under naturally varying classroom lighting conditions is associated with myopia risk and severity. Design A population‐based, cross‐sectional study in 2012 of children in grades 4–6 across 87 schools in Taiwan. Methods Students (N = 3,686) reported demographic information, outdoor time, physical activity and near work. Parents provided their myopia status. Student‐reported multimedia teaching frequency and classroom lighting levels were confirmed with direct observation. School nurses conducted vision screening and ophthalmologist referral. Myopia status and severity were measured by spherical equivalent refraction; SE ≤−0.5 dioptres was coded as myopic. Binary logistic and tobit regression were used to estimate the contributions of classroom multimedia exposure and lighting to myopia risk and severity controlling for risk factors. Results/Findings Age, parental myopia and hours of near work increased the odds of myopia and predicted greater severity. Physical activity and outdoor time predicted lower risk and severity. Multimedia exposure in relatively bright classrooms was associated with greater odds of myopia. Classroom lighting levels during multimedia teaching were inversely related to severity; exposure frequency was unrelated. Conclusions Multimedia exposure under brighter classroom conditions may contribute to the myopia incidence in schoolchildren. Impact Teaching with digital projection technology is increasingly prevalent. This may increase children's odds of developing myopia, which has far‐reaching and lifelong deleterious effects. School nurses should raise awareness of and promote strategies that reduce this risk, including working with children, parents, school personnel and system leaders to adopt eye‐healthy behaviours, practices and policies.

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“…An initial randomised controlled trial (RCT) evaluating effectiveness of adding patient navigators within an already supportive eyecare programme showed inconclusive results 72 but a follow-up RCT is underway. [73][74][75] Hiring school nurses to help students navigate from screening to full eye exams and comply with treatment was reported to be effective compared with screening alone 76 (although some universal childhood screening programmes were very effective at promoting follow-up). 77 Initiatives with wider, integrated approaches also demonstrated effectiveness at improving attendance at follow-up eye exams (though not always significantly so).…”

Section: Bmj Global Healthmentioning

confidence: 99%

Interventions to promote access to eyecare for non-dominant ethnic groups in high-income countries: a scoping review

et al. 2021

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PurposePeople who are distinct from the dominant ethnic group within a country can experience a variety of barriers to accessing eyecare services. We conducted a scoping review to map published interventions aimed at improving access to eyecare for non-Indigenous, non-dominant ethnic groups residing in high-income countries.MethodsWe searched MEDLINE, Embase and Global Health for studies that described an intervention to promote access to eyecare for the target population. Two authors independently screened titles and abstracts followed by review of the full text of potentially relevant sources. For included studies, data extraction was carried out independently by two authors. Findings were summarised using a combination of descriptive statistics and thematic analysis.ResultsWe screened 5220 titles/abstracts, of which 82 reports describing 67 studies met the inclusion criteria. Most studies were conducted in the USA (90%), attempted to improve access for Black (48%) or Latinx (28%) communities at-risk for diabetic retinopathy (42%) and glaucoma (18%). Only 30% included the target population in the design of the intervention; those that did tended to be larger, collaborative initiatives, which addressed both patient and provider components of access. Forty-eight studies (72%) evaluated whether an intervention changed an outcome measure. Among these, attendance at a follow-up eye examination after screening was the most common (n=20/48, 42%), and directly supporting patients to overcome barriers to attendance was reported as the most effective approach. Building relationships between patients and providers, running coordinated, longitudinal initiatives and supporting reduction of root causes for inequity (education and economic) were key themes highlighted for success.ConclusionAlthough research evaluating interventions for non-dominant, non-Indigenous ethnic groups exist, key gaps remain. In particular, the paucity of relevant studies outside the USA needs to be addressed, and target communities need to be involved in the design and implementation of interventions more frequently.

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Increasing Screening Follow-Up for Vulnerable Children: A Partnership with School Nurses

Cited by 13 publications

References 24 publications

A Nationwide Study of Myopia in Taiwanese School Children: Family, Activity, and School-Related Factors

A Nationwide Study of Myopia in Taiwanese School Children: Family, Activity, and School-Related Factors

Association of multimedia teaching with myopia: A national study of school children

Interventions to promote access to eyecare for non-dominant ethnic groups in high-income countries: a scoping review

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