Barriers to Follow-up Eye Care After Preschool Vision Screening in the Primary Care Setting: Findings From a Pilot Study

Kemper, Alex R.; Uren, Rebecca L.; Clark, Sarah J.

doi:10.1016/j.jaapos.2006.07.009

Cited by 30 publications

(17 citation statements)

References 3 publications

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“…Kemper et al found that minority and low-income families were less likely to follow up, consistent with the lower rate we found among children referred by the HD sites. 31 Fourth, the study results related to screening rates, untestability, underreferral, and failure to show for ophthalmologic examinations were suboptimal, perhaps due to incomplete acceptance of screening among staff at certain primary care sites and among some parents. Confirmatory examination and treatment are necessary following a screening failure.…”

Section: Limitationsmentioning

confidence: 95%

Preschool Vision Screening in Primary Care Pediatric Practice

Hered

Wood

2013

Public Health Rep

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Objectives. We determined the efficacy of pediatric-based preschool vision screening, as knowledge of vision screening effectiveness in primary care pediatrics is incomplete.Methods. Pediatricians and staff at nine primary care pediatric practices were trained in vision screening, and practices screened children aged 3-5 years from May 2007 through July 2008. Children failing or considered untestable were referred for pediatric ophthalmology examinations. We determined rates of testability, failure, referral, and ophthalmologic examination completion, as well as positive predictive values (PPVs) of screening failure and untestability. We also surveyed practices to assess the ease and accuracy of preschool vision screening.Results. Of 2,933 children screened, 93 (3.2%) failed the vision screening and 349 (11.9%) were untestable. Untestability was highest (27.1%) among 3-year-olds. The PPV for failing any aspect of the vision screening was 66.7%; for children aged 3, 4, and 5 years, the PPVs for failing were 30.0%, 77.8%, and 87.5%, respectively. However, only 38.7% of children who failed the vision screening received ophthalmologic examinations, despite multiple follow-up attempts. Pediatricians rated the ease and accuracy of screening 3-year-old children lower than for screening older children.Conclusions. Visual acuity-based screening had good PPV for vision loss for 4-and 5-year-old children but was less successful for 3-year-olds. Rates of referral and ophthalmologic examination completion were low, especially among children from low-income families.

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Section: Limitationsmentioning

confidence: 95%

Preschool Vision Screening in Primary Care Pediatric Practice

Hered

Wood

2013

Public Health Rep

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“…For example, Alotaibi (2006) revealed that the lack of low vision specialists is one of the important reasons why Saudi society has not been aware of the significance of low vision service. Kemper, Uren, and Clark (2006) also found that the greatest barriers of preschool-aged children for compliance in follow-up eye care were a lack of knowledge about the benefits of early intervention. Furthermore, Kimel (2006) reported that parent perceptions of vision problems were significant barriers.…”

Section: Knowledge Of Eye Healthmentioning

confidence: 97%

Parents' Perceptions towards the Role of School Health Units at Early Detection of Ocular Disorders among Students in Qassim Province, Saudi Arabia

F.Al-Qesair¹,

Alshammari²

2016

MJSS

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“…A large community-based preschool vision screening program [9] found only about 50% of children referred received follow-up care. Multiple issues including lack of insurance, eye-care provider availability and parental understanding negatively impact the likelihood of compliance with referrals [12 ].…”

Section: Diagnosis Of Refractive Errorsmentioning

confidence: 99%