Reported Wearing Compliance of Ready-Made Spectacles at 6 and 12 Months

Vincent, Jerry E.; Netek, Satja; Parry, Amy; Mladenovich, Derek; Thein, Nyunt Naing; Amendola, Paul

doi:10.1097/opx.0b013e3181fef3a9

Cited by 18 publications

(24 citation statements)

References 14 publications

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“…Other studies in which spectacles were provided free of charge have also found loss, breakage, or scratched lenses to be one of the main reasons given for not wearing their spectacles. 4, 6, 9, 21 Fear that glasses will make their vision worse 11-13 , parental disapproval 10, 13 , concern over appearance or being teased 4, 10, 11 , and leaving glasses at home or only wearing glasses part-time 6, 8 have also been found to be major reasons for non-compliance with spectacle wear. Unfortunately, we did not collect data on how many students actually received their replacement spectacles, nor did we specifically ask the students if they had broken or lost both pairs of spectacles.…”

Section: Discussionmentioning

confidence: 99%

Spectacle Wear in Children Given Spectacles Through a School-Based Program

Messer¹,

Mitchell²,

Twelker

et al. 2012

Optometry and Vision Science

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Purpose To investigate factors associated with spectacle wear in a group of primarily Native-American children provided spectacles free of charge through a school-based vision program. Methods Spectacle wear was studied in 247 participants provided two pairs of spectacles the previous year. Univariate and multivariate logistic regression models assessed whether gender, race, parental education levels, family income, uncorrected distance visual acuity, refractive error, or the children’s attitudes and beliefs about their vision and spectacles were associated with spectacle wear. Results Two-thirds of the participants (165/247) were not wearing their spectacles at their annual exam. The most common reasons given for non-wear were lost (44.9%) or broken (35.3%) spectacles. A one diopter increase in myopic spherical equivalent was associated with more than a 2-fold increase in the odds of wearing spectacles (Odds Ratio [OR]=2.5, 95% CI = 1.7, 3.7). Among non-myopic participants, increasing amounts of astigmatism in the better- and worse-seeing eye were associated with an increased likelihood of spectacle wear (p-values ≤ 0.02). In multivariate analysis, only poorer uncorrected acuity in the better-seeing eye (p < 0.001) and shorter acceptance time (p = 0.007) were found to be significantly associated with spectacle wear. For each line of poorer uncorrected acuity in the better-seeing eye, the likelihood that the participant was wearing spectacles increased by 60% (adjusted OR] = 1.6, 95% CI = 1.4, 1.8). Not surprisingly, participants who reported never getting used to their spectacles were less likely to be wearing spectacles than those who reported getting used to wearing glasses in a few days (adjusted OR = 5.7, 95% CI = 1.9, 17.5). Conclusions Despite being provided with two pairs of spectacles, loss and breakage were the most commonly reported reasons for not wearing spectacles. The best predictive factor for determining whether participants were wearing spectacles was their uncorrected acuity.

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Section: Discussionmentioning

confidence: 99%

Spectacle Wear in Children Given Spectacles Through a School-Based Program

Messer¹,

Mitchell²,

Twelker

et al. 2012

Optometry and Vision Science

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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%

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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“…Future research should seek to attain longer follow-up as long-term spectacle acceptance may not mirror our 1 month results. 34 Important strengths of the study include randomized design, large sample size, low loss to follow-up, and use of validated visual function instrument.…”

Section: Discussionmentioning

confidence: 99%