Vincent Jerry E, Netek Satja, Parry Amy, Mladenovich Derek, Thein Nyunt Naing, Amendola Paul R
International Rescue Committee, Health Unit, New York, New York, USA.
Optom Vis Sci. 2010 Dec;87(12):958-65. doi: 10.1097/OPX.0b013e3181fef3a9.
Ready-made spectacles are often used in low-resource environments, but to date, there has been little evaluation of the continued use of these spectacles over time. The aim of this study was to assess wearing compliance of those who received ready-made spectacles.
The International Rescue Committee trains refugee health workers to provide simple refractive services and dispense ready-made spherical lenses to residents of refugee camps on the Thailand-Burma border. We conducted follow-up interviews in five camps among all eligible and available spectacle recipients who had been examined either 6 (n = 230) or 12 months earlier (n = 187). Interviewers asked about continued use of spectacles and, among those who had discontinued spectacle use, asked the reason for discontinuing.
Reported spectacle wear was significantly higher at 6 months compared with 12 months (73.9 vs. 55.6%, p < 0.001). At 6 months, wearing compliance was significantly higher for females than males (79.2 vs. 67.6%, p = 0.033), but gender differences in wearing compliance were not seen at 12 months, and no differences were found between 10-year age groups at 6 or 12 months. Wearing compliance rates among recipients seen at different camps were significantly different at both 6 months (range, 58.1 to 87.5%, p = 0.005) and 12 months (range, 32 to 85.7%, p = 0.002). The top reason given for discontinued spectacle wear was broken frames, followed by vision-related complaints, scratched lenses, lost spectacles, and appearance.
Our findings suggest that spectacle wearing compliance studies will not be comparable unless a standard time frame is used to assess compliance. We found assessing self-reported compliance to be a useful tool in guiding our program. Understanding the reasons for non-compliance will help guide corrective action and planning of interventions designed to increase wearing rates.
成品眼镜常在资源匮乏的环境中使用，但迄今为止，对这些眼镜随时间推移的持续使用情况评估甚少。本研究的目的是评估接受成品眼镜者的佩戴依从性。
国际救援委员会培训难民卫生工作者提供简单的屈光服务，并向泰国 - 缅甸边境难民营的居民分发成品球面镜片。我们在五个难民营对所有符合条件且可找到的眼镜接受者进行了随访访谈，这些接受者在6个月前（n = 230）或12个月前（n = 187）接受过检查。访谈者询问眼镜的持续使用情况，对于那些已停止使用眼镜的人，询问停止使用的原因。
报告的眼镜佩戴率在6个月时显著高于12个月时（73.9%对55.6%，p < 0.001）。在6个月时，女性的佩戴依从性显著高于男性（79.2%对67.6%，p = 0.033），但在12个月时未观察到佩戴依从性的性别差异，在6个月或12个月时，不同10岁年龄组之间也未发现差异。在不同难民营接受检查的接受者中，6个月时（范围为58.1%至87.5%，p = 0.005）和12个月时（范围为32%至85.7%，p = 0.002）的佩戴依从率均存在显著差异。停止佩戴眼镜的首要原因是镜架损坏，其次是视力相关问题、镜片划伤、眼镜丢失和外观问题。
我们的研究结果表明，除非使用标准时间框架来评估依从性，否则眼镜佩戴依从性研究将无法进行比较。我们发现评估自我报告的依从性是指导我们项目的有用工具。了解不依从的原因将有助于指导纠正措施以及旨在提高佩戴率的干预措施的规划。
