eCite Digital Repository

Improving parents' knowledge of early signs of paediatric eye disease: a double-blind randomized controlled trial

Citation

Staffieri, SE and Rees, G and Sanfilippo, PG and Cole, S and Mackey, DA and Hewitt, AW, Improving parents' knowledge of early signs of paediatric eye disease: a double-blind randomized controlled trial, Clinical and Experimental Ophthalmology pp. 1-11. ISSN 1442-6404 (2020) [Refereed Article]

Copyright Statement

Copyright 2020 Royal Australian and New Zealand College of Ophthalmologists

DOI: doi:10.1111/ceo.13866

Abstract

Importance: Educating parents to recognize signs of eye disease and consult a healthcare professional is critical to timely diagnosis, intervention and outcomes.

Background: We evaluate the effectiveness of an eye-health information pamphlet on parents' level of concern and help-seeking intention should they hypothetically observe leukocoria or strabismus in their child.

Design: Double-blind, randomized controlled trial conducted at a metropolitan antenatal outpatient clinic.

Participants: In total, 518 pregnant women were enrolled in the study.

Methods: After completing a study-specific, pre-test survey describing hypothetical clinical scenarios at baseline, participants were randomly assigned to receive a pamphlet on either paediatric eye health (intervention) or infant play (control). The post-test survey was sent by email 2 weeks after baseline.

Main outcome measures: A change in the parents' level of concern if they observed leukocoria or strabismus and a change in their help-seeking intention if they hypothetically observed leukocoria or strabismus in their child.

Results: Of the 518 women, 382 (73.7%) completed the post-test survey. At follow-up, women who received the intervention were more likely to report a higher level of concern if they observed leukocoria (OR 1.711 [CI: 1.176-2.497] P = .005]) and were less likely to delay help-seeking (OR 0.560 [CI 0.382-0.817] P = .003). No change in the level of concern for strabismus was identified between the groups; however, at follow-up, women who received the intervention were less likely to delay help-seeking (OR 0.318 [CI 0.125-0.806] P = .016).

Conclusion and relevance: Providing parents with relevant, evidence-based information can significantly improve their knowledge and positively influence help-seeking intentions if leukocoria or strabismus are observed.

Item Details

Item Type:Refereed Article
Keywords:help-seeking intention, leukocoria, strabismus
Research Division:Biomedical and Clinical Sciences
Research Group:Ophthalmology and optometry
Research Field:Ophthalmology
Objective Division:Health
Objective Group:Clinical health
Objective Field:Diagnosis of human diseases and conditions
UTAS Author:Hewitt, AW (Professor Alex Hewitt)
ID Code:142068
Year Published:2020
Deposited By:Menzies Institute for Medical Research
Deposited On:2020-12-10
Last Modified:2021-02-12
Downloads:0

Repository Staff Only: item control page