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Barriers to family intervention to promote child and adolescent vision health: A qualitative study based on community practice in China

      Highlights

      • This study analyzed the reasons for the poor effect of myopia intervention in children and adolescents from a family perspective.
      • The results shows several factors contributed to barriers to promotion of visual health.
      • This study also found when parents faced a conflict between education and vision care, they tended to choose current education and ignore future development of visual problems.

      Abstract

      Purpose

      Child and adolescent myopia is a widespread public health problem worldwide, with high incidence, low age at onset, and severe symptoms. Family management plays a very important role in the prevention and management of myopia in children and adolescents; however, even with knowledge of the health risks of myopia, parents still continue to selectively ignore the importance of visual health, resulting in difficulties with family care related to childhood and adolescent myopia. The purpose of this study was to explore the barriers to family intervention for child and adolescent vision.

      Methods

      This was a qualitative phenomenological research study that used in-depth semi-structured interviews to explore the experiences of 20 parents whose children had been diagnosed with myopia in Shenzhen, China. Data were analyzed using thematic analysis methods.

      Results

      Three themes emerged: Vision health: neglected care, Going outdoors: the forgotten activity, Education: the top priority.

      Conclusions

      Our analysis revealed that several factors contributed to barriers to promotion of visual health. One was an incorrect perception of myopia, including the effects of myopia, its non-lethality, and a view that it has minimal impact on daily life. Additionally, when parents faced a conflict between education and vision care, they tended to choose current education and ignore future development of visual problems.

      Practice implications

      The findings suggest that future family intervention for child and adolescent myopia can be based on the perspective of parental health education, Simultaneously, it should also focus on the balance between education and vision care.

      Keywords

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      References

        • Almujalli A.
        • Almatrafi A.
        • Aldael A.
        • Almojali H.A.
        • Almujalli A.I.
        • Pathan A.
        Knowledge, attitude, and practice about myopia in school students in Marat city of Saudi Arabia.
        Journal of Family Medicine and Primary Care. 2020; 7
        • Bo-Yuan D.
        • Yung-Feng S.
        • Lin Luke L.K.
        • Hsiao C.K.
        • Wang I.-J.
        Myopia among schoolchildren in East Asia and Singapore.
        Survey of Ophthalmology. 2017; 5
        • Chinese white paper on myopia surgery
        (Available from:)
        • Colaizzi P.
        Psychological research as the phenomenologist views it.
        in: Valle R.S. King M. Existential foundations of psychology. Oxford University Press (Chapter, New York, NY1978: 3
        • Dong L.
        • Kang Y.K.
        • Li Y.
        • Wei W.B.
        • Jonas J.B.
        Prevalence and time trends of myopia in children and adolescents in China: A systemic review and meta-analysis.
        RETINA. 2020; 40 (publish ahead of print): 399-411
        • Dorian T.
        • Simon M.
        • Pierre I.
        • Bullimore Mark A.
        • Bourne Rupert R.A.
        • Nicolas L.
        Progression of myopia in children and teenagers: A nationwide longitudinal study.
        The British Journal of Ophthalmology. 2021;
        • Graneheim U.H.
        • Lundman B.
        Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness.
        Nurse Education Today. 2004; 2
        • He M.G.
        • Xiang F.
        • Zeng Y.F.
        • Mai J.
        • Chen Q.
        • Zhang J.
        • Morgan Ian G.
        Effect of time spent outdoors at school on the development of myopia among children in China: A randomized clinical trial.
        JAMA. 2015; 11
        • Health Promotion Board
        Singapore achieves breakthrough in reducing prevalence of myopia by almost 5%..
        2011
        • Holden B.A.
        • Fricke T.R.
        • Wilson D.A.
        • Jong M.
        • Sankaridurg P.
        • Wong T.Y.
        • Resnikoff S.
        Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050.
        Ophthalmology. 2016; 5
        • Hyuna K.
        • Seok S.J.
        • Woong-Sun Y.
        • Kim G.N.
        • Kim R.B.
        • Chae J.E.
        • Jae K.S.
        Factors associated with myopia in Korean children: Korea National Health and nutrition examination survey 2016-2017 (KNHANES VII).
        BMC Ophthalmology. 2020; 1
        • Jinhai H.
        • Daizong W.
        • Wang Q.
        • McAlinden C.
        • Flitcroft I.
        • Chen H.
        • Jia Q.
        Efficacy comparison of 16 interventions for myopia control in children.
        Ophthalmology. 2016; 4
        • Leo S.W.
        • Ophth F.
        • Ling Y.
        • Wong T.Y.
        • Quah B.L.
        Report of the national myopia prevention and control workgroup 2006: a summary.
        Annals Academy of Medicine Singapore. 2007; 36: S65-S71
        • Liu Z.Y.
        The opportunity is ripe, the lens industry to step up to a new level of growth.
        China Glasses Science-Technology Magazine. 2021; 06: 16-19
        • Min T.S.
        • Wai K.K.
        • French Amenda N.
        • Yu M.
        • Chen L.J.
        • Young A.L.
        • Yam Jason C.
        Independent influence of parental myopia on childhood myopia in a dose-related manner in 2,055 Trios: The Hong Kong children eye study.
        American Journal of Ophthalmology. 2020; 218 (prepublish): 199-207
        • Morgan I.G.
        • Ohno-Matsui K.
        • Saw S.M.
        Myopia.
        Lancet. 2012; 379: 1739-1748
        • Pan C.W.
        • Ramamurthy D.
        • Saw S.M.
        Worldwide prevalence and risk factors for myopia.
        Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists). 2012; 32: 3-16
        • Promotion Committee of Healthy China lnitiative
        The healthy China initiative(2019–2030)[EB/OL].
        • Sherwin J.C.
        • Reacher M.H.
        • Keogh R.H.
        • Khawaja A.P.
        • Mackey D.A.
        • Foster P.J.
        The association between time spent outdoors and myopia in children and adolescents: A systematic review and meta-analysis.
        Ophthalmology. 2012; 119: 2141-2151
        • Smith T.S.T.
        • Frick K.D.
        • Holden B.A.
        • Fricke T.
        • Naidoo K.
        Potential lost productivity resulting from the global burden of uncorrected refractive error.
        Bulletin of the World Health Organization. 2009; 6
        • Virginia B.
        • Victoria C.
        Using thematic analysis in psychology.
        Qualitative Research in Psychology. 2006; 2
        • Wong T.Y.
        • Ferreira A.
        • Rowena Hughes,... & Paul Mitchell.
        Epidemiology and disease burden of pathologic myopia and myopic choroidal neovascularization: An evidence-based systematic review.
        American Journal of Ophthalmology. 2014; 1
        • World Health Organization
        WHO launches first World report on vision.
        (Available from)
        • Xiong S.
        • Sankaridurg P.
        • Naduvilath T.
        • Zang J.
        • Zou H.
        • Zhu J.
        • Xu X.
        Time spent in outdoor activities in relation to myopia prevention and control: A meta-analysis and systematic review.
        Acta Ophthalmologica. 2017; 95: 551-566
        • Zhao-Yu X.
        • Hai-Dong Z.
        • Suphi T.
        Recent epidemiology study data of myopia.
        Journal of Ophthalmology. 2020;