College of Optometry, The Ohio State University, Columbus, Ohio, USA.
College of Optometry, University of Houston, Houston, Texas, USA.
Ophthalmic Physiol Opt. 2023 Mar;43(2):202-211. doi: 10.1111/opo.13078. Epub 2022 Dec 4.
To use the Health Belief Model (HBM) to understand daily disposable (DD) soft contact lens (SCL) wearers' attitudes and beliefs.
A convenience sample of DD SCL wearers (18-33 years) was enrolled at two sites. Participants were queried about demographics, SCL wear and HBM constructs. Rasch analysis was used to assess the psychometric properties of the survey instrument and generate scores for each HBM subscale. ANOVA was used to determine relationships among HBM constructs, subject demographics and DD SCL-related health behaviours.
One hundred people participated (mean ± SD), age = 24.2 ± 3.9 years, 76% female. Thirty-seven percent reported sleeping in DD SCLs and 25% reported reusing DD SCLs. Self-report of reusing DD SCLs was associated with scores on the benefits: reuse (p = 0.02) and barriers (p = 0.007) subscales, and sleeping in lenses was associated with scores on the susceptibility (p = 0.05), benefits: wear behaviours (p = 0.006) and barriers (p = 0.01) subscales. Rasch analysis showed some subscales demonstrated multidimensionality.
Selected health belief constructs were associated with DD SCL-related behaviours including reusing and overnight wear. Increased understanding of SCL attitudes and beliefs could inform patient education and interventions to decrease risks associated with improper SCL wear.
运用健康信念模型（HBM）理解日抛型软性隐形眼镜（SCL）佩戴者的态度和信念。
在两个地点招募了方便的日抛型 SCL 佩戴者（18-33 岁）样本。询问参与者人口统计学信息、SCL 佩戴情况和 HBM 结构。Rasch 分析用于评估调查工具的心理测量特性，并为每个 HBM 子量表生成分数。方差分析用于确定 HBM 结构、受试者人口统计学特征和与日抛型 SCL 相关的健康行为之间的关系。
共有 100 人参与（平均值±标准差，年龄=24.2±3.9 岁，76%为女性）。37%的人报告在日抛型 SCL 中睡觉，25%的人报告重复使用日抛型 SCL。自我报告的重复使用日抛型 SCL 与益处：再利用（p=0.02）和障碍（p=0.007）子量表的分数相关，并且戴镜睡觉与易感性（p=0.05）、益处：佩戴行为（p=0.006）和障碍（p=0.01）子量表的分数相关。Rasch 分析表明，一些子量表表现出多维性。
选择的健康信念结构与日抛型 SCL 相关行为相关，包括再利用和过夜佩戴。对 SCL 态度和信念的深入了解可以为患者教育和干预措施提供信息，以降低与不正确的 SCL 佩戴相关的风险。
