Ayorinde O O, Murthy G V S, Akinyemi O O
Department of Ophthalmology, University College Hospital, Ibadan, Nigeria.
International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London.
Ann Ib Postgrad Med. 2016 Dec;14(2):65-73.
To determine if primary school pupils aged 9-14 years can be satisfactorily trained, using the child-to- parent approach, to assess vision, refer and motivate people to attend screening eye camps.
Ninety pupils aged 9-14 years attending two purposively-selected primary schools were selected by simple random sampling. Using the child-to-parent approach and Snellens 6/60 illiterate E-chart, participants had a three-day knowledge and skill-based training followed by 2 days of community-based vision assessment and referral of those assessed. The adequacy and success of the training were assessed by comparing preand post-test scores.
Three hundred and thirty-six persons were referred and examined; of these, 142 (42.3%) persons were reviewed. Overall, there was significant improvement in knowledge. The accuracy of assessments was 82.1% for Right Eyes (RE), 83.3% for Left Eyes (LE) and 72.1% for presbyopia. The sensitivities for the RE, LE and presbyopia were 84.8%, 86.1% and 76.3% respectively. Similarly, the specificities were 44.4% for RE, 50.0% for LE and 68.6% for presbyopia. The performances were not significantly influenced by age, sex and locality.
Children aged 9-14 years in primary schools can be empowered, using the child-to-child approach, to assess vision and motivate members of their communities to utilize available eye care services.
为了确定是否可以采用儿童对家长的方法，对9至14岁的小学生进行令人满意的培训，使其能够评估视力、进行转诊并激励人们参加眼部筛查营地。
通过简单随机抽样，从两所经特意挑选的小学中选取了90名9至14岁的学生。采用儿童对家长的方法以及斯内伦6/60文盲E视力表，参与者接受了为期三天的基于知识和技能的培训，随后进行了两天的社区视力评估，并对评估对象进行转诊。通过比较测试前和测试后的分数来评估培训的充分性和成功率。
共转诊并检查了336人；其中142人（42.3%）接受了复查。总体而言，知识水平有显著提高。右眼（RE）评估的准确率为82.1%，左眼（LE）为83.3%，老花眼为72.1%。右眼、左眼和老花眼的敏感度分别为84.8%、86.1%和76.3%。同样，右眼的特异性为44.4%，左眼为50.0%，老花眼为68.6%。这些表现不受年龄、性别和地点的显著影响。
采用儿童对儿童的方法，可以使小学中9至14岁的儿童有能力评估视力，并激励其社区成员利用现有的眼部护理服务。
