Loudon S E, Passchier J, Chaker L, de Vos S, Fronius M, Harrad R A, Looman C W N, Simonsz B, Simonsz H J
Department of Ophthalmology, Erasmus MC University Medical Center Rotterdam, PO Box 2040, 3000 CA Rotterdam, The Netherlands.
Br J Ophthalmol. 2009 Nov;93(11):1499-503. doi: 10.1136/bjo.2008.149815. Epub 2009 Aug 5.
To analyse psychological causes for low compliance with occlusion therapy for amblyopia.
In a randomised trial, the effect of an educational programme on electronically measured compliance had been assessed. 149 families who participated in this trial completed a questionnaire based on the Protection Motivation Theory after 8 months of treatment. Families with compliance less than 20% of prescribed occlusion hours were interviewed to better understand their cause for non-compliance.
Poor compliance was most strongly associated with a high degree of distress (p<0.001), followed by low perception of vulnerability (p = 0.014), increased stigma (p = 0.017) and logistical problems with treatment (p = 0.044). Of 44 families with electronically measured compliance less than 20%, 28 could be interviewed. The interviews confirmed that lack of knowledge, distress and logistical problems resulted in non-compliance.
Poor parental knowledge, distress and difficulties implementing treatment seemed to be associated with non-compliance. For the same domains, the scores were more favourable for families who had received the educational programme than for those who had not.
分析弱视遮盖治疗依从性低的心理原因。
在一项随机试验中，评估了一项教育计划对电子测量的依从性的影响。149个参与该试验的家庭在治疗8个月后完成了一份基于保护动机理论的问卷。对依从性低于规定遮盖时间20%的家庭进行了访谈，以更好地了解他们不依从的原因。
依从性差与高度痛苦密切相关（p<0.001），其次是低易感性认知（p = 0.014）、耻辱感增加（p = 0.017）和治疗的后勤问题（p = 0.044）。在44个电子测量依从性低于20%的家庭中，28个家庭接受了访谈。访谈证实，知识缺乏、痛苦和后勤问题导致了不依从。
家长知识不足、痛苦和治疗实施困难似乎与不依从有关。对于相同的领域，接受教育计划的家庭的得分比未接受教育计划的家庭更有利。
Zotero 插件