| Impact of Free Glasses and a Teacher Incentive on Children's Use of Eyeglasses: A Cluster-Randomized Controlled Trial | |
| Yi H. M.; Zhang, H. Q.; Ma, X. C.; Zhang, L. X.; Wang, X. Q.; Jin, L.; Naidoo, K.; Minto, H.; Zou, H. D.; Lu, L. N. | |
| 2015 | |
| 关键词 | pediatric-refractive-error secondary-school children spectacle-wear compliance study x-pres rural china aged children students myopia improvement acceptance |
| 英文摘要 | PURPOSE: To study the effect of free glasses combined with teacher incentives on in-school glasses wear among Chinese urban migrant children. DESIGN: Cluster-randomized controlled trial. METHODS: Children with visual acuity (VA) <= 6/12 in either eye owing to refractive error in 94 randomly chosen primary schools underwent randomization by school to receive free glasses, education on their use, and a teacher incentive (Intervention), or glasses prescriptions only (Control). Intervention group teachers received a tablet computer if >= 80% of children given glasses wore them during unannounced visits 6 weeks and 6 months (main outcome) after intervention. RESULTS: Among 4376 children, 728 (16.7%, mean age 10.9 years, 51.0% boys) met enrollment criteria and were randomly allocated, 358 (49.2%, 47 schools) to Intervention and 370 (50.8%, 47 schools) to Control. Among these, 693 children (95.2%) completed the study and underwent analysis. Spectacle wear was significantly higher at 6 months among Intervention children (Observed [main outcome]: 68.3% vs 23.9%, adjusted odds ratio [OR] = 11.5, 95% confidence interval [CI] 5.91-22.5, P < .001; Self-reported: 90.6% vs 32.1%, OR = 43.7, 95% CI = 21.7-88.5, P < .001). Other predictors of observed wear at 6 months included baseline spectacle wear (P < .001), uncorrected VA < 6/18 (P = .01), and parental spectacle wear (P = .02). The 6-month observed wear rate was only 41% among similar-aged children provided free glasses in our previous trial without teacher incentives. CONCLUSIONS: Free spectacles and teacher incentives maintain classroom wear in the large majority of children needing glasses over a school year. Low wear among Control children demonstrates the need for interventions. (C) 2015 by Elsevier Inc. All rights reserved. |
| 出处 | American Journal of Ophthalmology |
| 卷 | 160 |
| 期 | 5 |
| 页 | 889-896 |
| 收录类别 | SCI |
| 语种 | 英语 |
| ISSN号 | 0002-9394 |
| 内容类型 | SCI/SSCI论文 |
| 源URL | [http://ir.igsnrr.ac.cn/handle/311030/38997]  |
| 专题 | 地理科学与资源研究所_历年回溯文献 |
| 推荐引用方式 GB/T 7714 | Yi H. M.,Zhang, H. Q.,Ma, X. C.,et al. Impact of Free Glasses and a Teacher Incentive on Children's Use of Eyeglasses: A Cluster-Randomized Controlled Trial. 2015. |
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