Spectacle-Wear Compliance in School Children in Concepción Chile

von-Bischhoffshausen, Fernando Barría; Muñoz, Beatriz; Riquelme, Ana; Ormeño, Maria Jose; Silva, Juan Carlos

doi:10.3109/09286586.2014.975823

Cited by 36 publications

(61 citation statements)

References 19 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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“…2 However, it is seen that many times, children do not like to wear spectacles. 3 Wearing spectacles is not only a social stigma but also has tremendous impact on the psychological development of a child. 4,5 Now, it is worth a thought why don't children like spectacles.…”

Section: Introductionmentioning

confidence: 99%

Spectacles and Refractive Errors: Children’s Perspective

Maitreya¹

2017

Delhi Journal of Ophthalmology

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“…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%

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 Compliance in School Children in Concepción Chile

Abstract: We found greater compliance in spectacle wear than that reported in most published studies. Guidelines for provision of children's spectacles should consider excluding children with mild refractive error and improving spectacle quality and appearance.

Cited by 36 publications

References 19 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

Spectacles and Refractive Errors: Children’s Perspective

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

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