Parental Reasons for Non‐Response Following a Referral in School Vision Screening

Mark, Hayley; Mark, Tami

doi:10.1111/j.1746-1561.1999.tb02341.x

Cited by 35 publications

(30 citation statements)

References 9 publications

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“…For these vision-screening programs to be effective, students who fail the screening need to receive a comprehensive eye examination and adhere to the recommended treatment. Unfortunately, numerous studies have found that many children who fail a vision screening do not receive follow-up care 6, 7 , and many children with prescribed eyeglasses do not comply with spectacle wear 6–8 .…”

mentioning

confidence: 99%

Predictors of Adequate Correction Following Vision Screening Failure

Manny¹,

Sinnott²,

Jones‐Jordan³

et al. 2012

Optometry and Vision Science

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Purpose To determine if compliance with referral one year after vision screening failure was associated with care model, demographic, or ocular factors. Methods Data were analyzed from 798 children in the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error (CLEERE) Study with habitual logMAR visual acuity (VA) ≥ 0.26 (20/40 +2 or worse) in either eye due to uncorrected or under-corrected refractive error and who returned the following year. The parents of 492 children failing in TX and CA were sent letters indicating the need for a complete vision exam (screening model), while 306 children seen primarily in AZ and AL received a free complete exam and eyeglasses if needed (complete care model). Presenting to follow-up with adequate correction (logMAR < 0.26) in each eye was considered compliant. Logistic regression models for compliance were fit to assess if care model, ethnicity, sex, age, uncorrected logMAR in the better eye, or parental income, education or myopia were predictors. Results Overall compliance was 28%. Age (p=0.01, odds ratio (OR) = 1.12) and uncorrected logMAR (p<0.001, OR = 1.13) were associated with compliance but care model, ethnicity, and sex were not. Among the 447 children on whom data on parental factors was available, 27% were compliant. In this model, age, ethnicity, sex, parental income, parental education and parental myopia were not associated with compliance, but uncorrected logMAR (p=0.005; OR = 1.13) was predictive. An interaction between unaided VA and care model predicted improved compliance with poorer unaided VA in the complete care model. Conclusions Expensive complete care screening programs may not improve compliance over typical notification and referral screening protocols in school-aged children, unless unaided VA is worse than the common 20/40 referral criteria. Unaided VA had less impact on predicted compliance in the screening only protocol.

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confidence: 99%

Predictors of Adequate Correction Following Vision Screening Failure

Manny¹,

Sinnott²,

Jones‐Jordan³

et al. 2012

Optometry and Vision Science

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“…Two other studies confirmed that follow-up care of children referred for a specialized eye exam is often significantly delayed (Mark & Mark, 1999;Yawn, Lydick, Epstein, & Jacobesen, 1996). Kindergarten children experienced an average lag time of 4.1 years between referral and their first visit with an eye care professional.…”

Section: Review Of the Literaturementioning

confidence: 87%

Use of a Noncycloplegic Autorefractor to Perform Vision Screening in Preschools

Clarke

Shacks

Kerr

et al. 2008

The Journal of School Nursing

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Early detection and treatment of vision disorders in children are important to avoid lifelong visual impairment; however, preschool vision-screening rates are low. Traditional methods of screening lack the precision of objective tests and are difficult to administer in preschoolers. This study adopted a method using school nurses to conduct vision screening in preschoolers with a portable autorefractor. In addition, the effectiveness of the school nurse in conducting follow-up was evaluated. In a sample of 600 children, more than 98% completed the screening, and 7% were referred for follow-up evaluation. Seventeen percent of parents had plans to follow-up after receiving a brochure indicating that their child would benefit from a comprehensive eye exam. However, after a conversation with the school nurse, 86% had plans to schedule an evaluation with an eye care professional. Of the 15 students with known follow-up, 10 received glasses. The described method is effective in identifying young children with potential vision problems and facilitating their correction after contact made by the school nurse.

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“…Other studies are more conclusive in this regard, finding that socioeconomic classification and fluency in the national language do affect compliance. 11,12,15,[20][21][22] Parents of non-Western children are less likely to consult an ophthalmologist than parents of Dutch children. 23 With this in mind, the proportion of unsuccessful referral may well be lower in other noncosmopolitan areas in the Netherlands.…”

Section: Discussionmentioning

confidence: 98%

“…Compliance with a referral after a positive screening test, however, may influence an amblyopia outcome as well. [12][13][14] Williamson and colleagues 15 showed that high rates of default in terms of vision screening appointments, particularly in geographical areas of lower socioeconomic classification, have hampered the attempts at reducing the incidence of insufficiently treated amblyopia. Early results of a large birth-cohort study on vision screening showed that approximately one third of the children had not been successfully referred after a positive screening test.…”

mentioning

confidence: 98%