Strabismic amblyopia: compliance with occlusion treatment in a tertiary hospital in
            Midwestern Brazil

Barbosa, Márcia Cartaxo; Ávila, Marcos Pereira de; Isaac, David Leonardo Cruvinel; Rebouças, Márcio Cartaxo; Salviano, Lívia Maria Oliveira; Neto, João Jorge Nassaralla; Teixeira, Crystal Campos; Luzini, Rafael Rocha; Trentin, Caio de Oliveira

doi:10.5935/0034-7280.20200065

Cited by 1 publication

(1 citation statement)

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“…However, the method for determining this adherence was more subjective in those other studies than the one we employed. (6,13,14) The present study had several positive points. It was randomized, blinded, and included patients from both private and public health systems.…”

Section: Discussionmentioning

confidence: 53%

Amblyopic patient adherence under patching treatment

Tavares¹,

Isaac²,

Cruz³

et al. 2023

Revista Brasileira De Oftalmologia

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Objective: To evaluate the effectiveness of text messaging in improving adherence to occlusion therapy for amblyopia. The secondary objective was to correlate the responses given in a self-reporting questionnaire with treatment outcome (improvement in visual acuity).Methods: This is a prospective, randomized, blinded clinical trial. The patients' parents or legal guardians in the intervention group received text messages reminding them of the importance of patching. The control group received no text messages. At final evaluation, after a period of three to six months, the patients' parents or legal guardians answered a self-reporting questionnaire to evaluate adherence to treatment. Results:The study included 34 patients with an average age of 5.35 years, 20 in the intervention group and 14 in the control group. According to the results of the self-reporting questionnaire, 50% of the study population was considered as having low adherence to treatment, 29% as having medium adherence, and 21% as having good adherence. There was no significant difference between trial groups. The comparison between an improvement in visual acuity and the mean value obtained in the self-reporting questionnaire showed a significant association between this improvement and adherence to treatment (p=0.03). Conclusion:The present study did not find a correlation between text messaging and an improvement in adherence to occlusion therapy, as shown by previous studies for different treatments. A statistically significant association was identified between an improvement in visual acuity and a good therapeutic adherence, as measured by the self-reporting questionnaire. This finding allows us to recommend using a self-reporting questionnaire as a simple method to measure adherence to treatment and help decisions about therapeutic strategies to be adopted in the patient's continuing treatment.

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Section: Discussionmentioning

confidence: 53%