Compliance with orthokeratology care among parents of young children in Taiwan |
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| Affiliation: | 1. School of Nursing, Chang Gung University of Science and Technology, Gui-Shan Town, Tao-Yuan County, Taiwan, ROC;2. Associate researcher fellow, Department of Nursing, Linkou Chang Gung Memorial Hospital, Linkou, Taiwan, ROC;3. Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan, ROC;4. Department of Health Management, I-Shou University, No. 8, Yida Rd., Jiaosu Village Yanchao District, Kaohsiung City, 82445, Taiwan, ROC;1. Centre for Ocular Research & Education (CORE), School of Optometry & Vision Science, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada;2. Centre for Eye & Vision Research (CEVR), 17W Hong Kong Science Park, Hong Kong;1. Department of Ophthalmology and Visual Science, Medical University, Varna, Bulgaria;2. Department of Social Medicine and Healthcare Organization, Medical University, Varna, Bulgaria;1. University of Houston College of Optometry, The Ocular Surface Institute, Houston, USA;2. Mayo Clinic, Rochester, MN, USA;3. Queensland University of Technology (QUT), Centre for Vision and Eye Research, School of Optometry and Vision Science, Contact Lens and Visual Optics Laboratory, Queensland, Australia;1. Centre for Myopia Research, School of Optometry, The Hong Kong Polytechnic University, Hong Kong, China;2. College of Health and Life Sciences, Aston University, Birmingham, United Kingdom;1. Department of Ophthalmology and Vision Science, Eye and ENT Hospital, Fudan University, Shanghai, China;2. Key Laboratory of Myopia, Ministry of Health, China;1. Department of Ophthalmology and Vision Science, Eye and ENT Hospital, Fudan University, Shanghai, China;2. NHC Key Laboratory of Myopia (Fudan University), Shanghai, China;3. Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China;4. Department of Ophthalmology, Shanghai Gongli Hospital of Pudong New Area, Shanghai, China |
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| Abstract: | ObjectivesTo evaluate compliance with orthokeratology (Ortho-K) care and its influencing factors among parents of 6–13-year-old myopic children in Taiwan.MethodsParents who are responsible for the care of the Ortho-K lenses of their myopic children were recruited through a closed Facebook peer support group to answer an online compliance questionnaire, including the wear and care behaviours and follow-up visits of Ortho-K.ResultsA total of 253 online questionnaires were analysed after excluding those with wrong information. Most participants (89.7%) were mothers and had university-level or higher education (72.3%); 67.6% of them could achieve a score equal or higher than 60% correct rate on knowledge items. In addition, 39.3% of participants had high myopia (spherical equivalent ≦ 6.0 diopters). The mean age at onset of myopia was 7.75 years for children, and 57.4% wore Ortho-K lenses for less than a year. Full compliance rate was 22.8%, as reported by fathers or mothers. The compliance rate for follow-up visits significantly increased with provision of axial length information in follow-up visits, knowledge of axial length changes as an effect of myopia control, and Ortho-K use for less than 6 months. The compliance rate for wear and care was significantly associated with high myopia in one of parents, high education level, early onset of myopia in children, knowledge of Ortho-K and myopia control, and Ortho-K use for less than 6 months.ConclusionThese results indicate the need for a comprehensive education programme for parents with young myopic children to ensure strict adherence to fitting and wear protocols and good follow-up of Ortho-K lenses. |
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| Keywords: | Compliance Orthokeratology (ortho-k) Myopic children Parents |
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