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英国近视管理的认知与获取障碍

Perceptions and Barriers to Accessing Myopia Management in the UK.

作者信息

Kearney Stephanie, Coverdale Sophie, Saunders Cheralynn, Day Mhairi, Rountree Lindsay, Webber Kathryn, Mallen Edward A H, Ghorbani-Mojarrad Neema

机构信息

Department of Vision Sciences, Glasgow Caledonian University, Glasgow G4 0BA, UK.

School of Optometry and Vision Science, University of Bradford, Bradford BD7 1DP, UK.

出版信息

Children (Basel). 2024 Dec 6;11(12):1490. doi: 10.3390/children11121490.

Abstract

BACKGROUND/OBJECTIVES: Perceptions and barriers to myopia management (MM) in childhood have not been fully explored within some countries, including the UK, where there is minimal public health education on myopia.

METHODS

The aim of this mixed-methods study was to explore perceptions of myopia and MM interventions using focus groups and a survey to obtain qualitative and quantitative data. Topics included the understanding of myopia, perceptions of MM, considerations when initiating MM, lifestyle risk factors, and barriers to uptake of intervention.

RESULTS

Parent awareness and understanding of myopia and MM is limited. Many parents felt that they had not been provided with sufficient explicit advice about their child's diagnosis or treatment. Despite this, parents were aware of some of the protective lifestyle behaviours which may slow myopia progression. The common belief was that myopia can affect a child's quality of life. The most common reason that MM had been recommended to parents by practitioners was to reduce disease risk.

CONCLUSIONS

The cost and lack of public awareness that MM interventions are available were the main barriers to the uptake of MM. There is a need to improve practitioner communication of myopia and its management and, subsequently, improve the standard of children's eyecare.

摘要

背景/目的:在包括英国在内的一些国家,儿童近视管理(MM)的认知和障碍尚未得到充分探讨,在英国,关于近视的公共健康教育极少。

方法

这项混合方法研究的目的是通过焦点小组和一项调查来探讨对近视和MM干预措施的认知,以获取定性和定量数据。主题包括对近视的理解、对MM的认知、开始MM时的考虑因素、生活方式风险因素以及采用干预措施的障碍。

结果

家长对近视和MM的认知和理解有限。许多家长觉得他们没有得到关于孩子诊断或治疗的足够明确的建议。尽管如此,家长们意识到一些可能减缓近视进展的保护性生活方式行为。普遍的看法是近视会影响孩子的生活质量。从业者向家长推荐MM的最常见原因是降低疾病风险。

结论

MM干预措施的成本以及公众对其可用性缺乏认知是采用MM的主要障碍。有必要改善从业者对近视及其管理的沟通,进而提高儿童眼保健水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e396/11674830/f04de3d2cf19/children-11-01490-g001.jpg

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