The psychological impact of eyedrops administration in children

Sujuan, Jane Lim; Handa, Swati; Perera, Champika; Chia, Audrey

doi:10.1016/j.jaapos.2015.05.010

Cited by 10 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 1 Frequency of eyedrop administration is a main factor influencing patient compliance. Most children are uncooperative with eyedrops, 30 older patients have even lower compliance due to motor disabilities and reduced visual acuity 31 and critically ill patients depend on caregivers to properly administer drops. However, the outcomes of many eye diseases largely depend on the compliance of the patient to follow the treatment regimens.…”

Section: Discussionmentioning

confidence: 99%

Dexamethasone Drug Eluting Nanowafers Control Inflammation in Alkali-Burned Corneas Associated With Dry Eye

Bian

Shin

Wang

et al. 2016

Invest. Ophthalmol. Vis. Sci.

View full text Add to dashboard Cite

PurposeTo evaluate the efficacy of a controlled release dexamethasone delivery system for suppressing inflammation in an ocular burn + desiccating stress (OB+DS) model.MethodsNanowafers (NW) loaded with Dexamethasone (Dex, 10 μg) or vehicles (2.5% Methylcellulose; MC) were fabricated using hydrogel template strategy. C57BL/6 mice were subjected to unilateral alkali ocular burn with concomitant desiccating stress for 2 or 5 days and topically treated either with 2 μL of 0.1% Dex or vehicle four times per day and compared with mice that had MC-NW or Dex-NW placed on their corneas. Clinical parameters were evaluated daily. Mice were euthanized after 2 or 5 days. Quantitative PCR evaluated the expression of inflammatory cytokines IL-1β and IL-6 and matrix metalloproteinases (MMP) in whole cornea lysates. Myeloperoxidase activity (MPO) was measured using a commercial kit in cornea lysates.ResultsBoth Dex drop and Dex-NW groups had significantly lower corneal opacity scores compared with their vehicles. Both Dex drops and Dex-NW significantly decreased expression of IL-1β, IL-6, and MMP-9 RNA transcripts compared with vehicle drops or wafers 2 and 5 days after the initial lesion. A significant lower number of neutrophils was found in both Dex treatment groups and this was accompanied by decreased MPO activity compared with vehicle controls.ConclusionsDex-NW has efficacy equal to Dex drops in preserving corneal clarity and decreasing expression of MMPs and inflammatory cytokines of the corneas of mice subjected to an OB+DS model.

show abstract

Section: Discussionmentioning

confidence: 99%

Dexamethasone Drug Eluting Nanowafers Control Inflammation in Alkali-Burned Corneas Associated With Dry Eye

Bian

Shin

Wang

et al. 2016

Invest. Ophthalmol. Vis. Sci.

View full text Add to dashboard Cite

show abstract

“…4,5 Dilating eye drop administration can also be distressing for children, especially in those under 4 years old. 6,7 Recent consumer-driven research identifying priorities in paediatric perioperative medicine found that reducing fear and anxiety throughout the hospital experience was a high priority. 8 In paediatric oncology, developmentally appropriate preparation for invasive medical procedures is recommended as a standard of care.…”

Section: Introductionmentioning

confidence: 99%

“…Childhood needle phobia can lead to reduced adherence to medical treatment and can persist into adulthood, leading to healthcare avoidance 4,5 . Dilating eye drop administration can also be distressing for children, especially in those under 4 years old 6,7 …”

Section: Introductionmentioning

confidence: 99%

Captains on call: A qualitative investigation of an intervention to support children with retinoblastoma undergoing regular eye examinations

Rich,

Plummer,

Padhy

et al. 2024

Psycho-Oncology

View full text Add to dashboard Cite

BackgroundRetinoblastoma is a rare childhood ophthalmic cancer that requires frequent eye examinations under anaesthesia and painful or distressing procedures. This can cause significant anxiety for children and their families.ObjectiveWe evaluated a Starlight Children's Foundation programme, ‘Captains on Call’, at the Queensland Children's Hospital, which aims to provide positive distraction and reduce stress, anxiety and pain during the perioperative journey for children in the retinoblastoma treatment pathway. This study examined the impact of the programme on the perioperative experience of the children and their families, using a qualitative design.MethodsThis study was conducted in a paediatric operating suite at a tertiary‐level children's hospital in Australia. We interviewed a parent from 20 families (from a cohort of 40 families, including 44 children), whose children received treatment or screening for retinoblastoma, focusing on the programme's impact on the child and family at various stages during the perioperative journey. We undertook a thematic analysis of transcribed interviews.ResultsWe identified two themes, each with two sub‐themes: (1) the programme positively contributed to the overall treatment journey, by addressing different needs at different times, and helping to reframe a traumatic medical experience, and (2), the programme supported the whole family unit by empowering children through play, and adopting a family systems approach which recognised the impact of cancer treatment on the whole family.ConclusionThis study highlights the value of the Captains on Call programme in supporting children with retinoblastoma and their families during perioperative visits. The Captains, particularly as non‐medicalised professionals in a healthcare setting, built trust and rapport with the children through play over repeated episodes of care. The interprofessional collaborative approach with a reflective cycle of practice extended it beyond a programme providing simple distraction. Other retinoblastoma services may benefit from implementing a similar approach.

show abstract

“…The challenges of administering eye drops to infants and young children is further exacerbated by their poorer understanding and ability to cooperate. In ophthalmological inpatient and outpatient settings, where eyedrops are administered by health care professionals, as many as a quarter of pre-school children have been observed to be distressed and uncooperative [5][6][7]. It has been observed that the younger the child the more likely they are to be distressed by eye drops administration [8].…”

Section: Introductionmentioning

confidence: 99%

‘The mean mummy way’ – experiences of parents instilling eye drops to their young children as described in online forums and blogs

et al. 2020

View full text Add to dashboard Cite

Background Adults often have difficulty instilling eye drops in their own eyes, but little has been documented about the difficulties experienced by parents when administering eye drops to their young children, where the challenges of instillation are accentuated by their inability to cooperate. This qualitative study explores parents’ experiences of administering eye drops to their children as described in online forum discussions and blog posts. Methods This was an exploratory study using qualitative methods. We thematically analysed the written exchanges between parents participating in online forum discussions and blog posts about the administration of eye drops to their young children. Results We found 64 forum discussion threads and 4 blog posts, representing 464 unique contributors expressing their experiences of eye drop administration to young children. Three major themes were identified – administration challenges, administration methods and role of health care professionals. Besides describing their children’s distress, parents discussed their own discomfort and anxiety when administering eye drops. Parents used a variety of techniques to facilitate adherence with medication, including restraining the child, role-play, reassurance, distraction, or reward. The ideas exchanged about eye drop administration occasionally included reiteration of professional advice, but were dominated by parents’ own ideas/suggestions; interestingly health care professionals were considered diagnosticians and prescribers, rather than sources of practical advice on administration. Conclusions Parents struggling to deliver eye drops to their young children may seek advice on how to administer treatment from parental on-line discussion forums. The distress experienced by the young child and their parents is a powerful reminder to clinicians that procedures common and routine in health care may be challenging to parents. The advice given to parents needs to go beyond the instillation of the eye drops, and include advice on child restraint, distraction techniques and allaying distress. Forewarned of the potential difficulties and provided with coping strategies parents can employ when the child resists, could alleviate their own and their child’s distress.

show abstract

The psychological impact of eyedrops administration in children

Cited by 10 publications

References 23 publications

Dexamethasone Drug Eluting Nanowafers Control Inflammation in Alkali-Burned Corneas Associated With Dry Eye

Dexamethasone Drug Eluting Nanowafers Control Inflammation in Alkali-Burned Corneas Associated With Dry Eye

Captains on call: A qualitative investigation of an intervention to support children with retinoblastoma undergoing regular eye examinations

‘The mean mummy way’ – experiences of parents instilling eye drops to their young children as described in online forums and blogs

Contact Info

Product

Resources

About