Titre du document / Document title

Psychosocial and clinical determinants of compliance with occlusion therapy for amblyopic children

Auteur(s) / Author(s)

SEARLE A. ⁽¹⁾ ; NORMAN P. ⁽²⁾ ; HARRAD R. ⁽³⁾ ; VEDHARA K. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ MRC Health Services Research Collaboration, Department of Social Medicine, University of Bristol, Bristol, ROYAUME-UNI
⁽²⁾ Department of Psychology, University of Sheffield, Sheffield, ROYAUME-UNI
⁽³⁾ Directorate of Ophthalmology, Bristol Eye Hospital, Bristol, ROYAUME-UNI

Résumé / Abstract

Aims The objective of this study was to determine the extent that psychosocial and clinical variables influence parental compliance with occlusion therapy (eye patching) in children with amblyopia. Methods Children (n = 151) receiving occlusion therapy (eye patching) for the treatment of amblyopia were recruited from five orthoptic clinics in Bristol, UK. Parents completed a questionnaire based on Rogers' (1983) Protection Motivation Theory (PMT). The parents (n = 105) were also followed up 2 months later. Clinical data, including measures of visual acuity, were also recorded. Compliance with eye patching was assessed through self-report accounts of parents. Stepwise regression analyses were used to determine the factors predictive of compliance with eye patching. Results Self-reported compliance with eye patching at study entry revealed that only 54% of parents were achieving orthoptists' recommendations to patch their child. Perceived self-efficacy, was positively associated with compliance and perceived prohibition of the child's activities were negatively associated with compliance. At follow-up, past behaviour accounted for the largest proportion of explained variance in patching behaviour followed by response efficacy, and prohibition of the child's activities. Conclusion The present findings may serve to inform interventions aimed at enhancing current orthoptic practice to improve compliance in amblyopic children. The importance of 'self-efficacy' and past behaviour suggests that consultations with parents exhibiting higher levels of success with patching may elicit strategies that could be shared with parents experiencing difficulties with patching their children. In addition, it is possible that the perceived efficacy of the treatment could be enhanced if orthoptists emphasised evidence of improvements in visual acuity which may, in turn, foster the maintenance of eye patching.

Revue / Journal Title

Eye   ISSN 0950-222X   CODEN EYEEEC 

Source / Source

2002, vol. 16, n^o2, pp. 150-155 (25 ref.)

Langue / Language

Anglais

Editeur / Publisher

Nature Publishing Group, Basingstoke, ROYAUME-UNI  (1987) (Revue)

Mots-clés anglais / English Keywords

Vision disorder ; Eye disease ; Human ; Parent ; Treatment compliance ; Psychosocial factor ; Child ; Treatment ; Occlusion ; Amblyopia ;

Mots-clés français / French Keywords

Trouble vision ; Oeil pathologie ; Homme ; Parent ; Observance thérapeutique ; Facteur psychosocial ; Enfant ; Traitement ; Occlusion ; Amblyopie ;

Mots-clés espagnols / Spanish Keywords

Trastorno visión ; Ojo patología ; Hombre ; Pariente ; Observancia del tratamiento ; Factor sicosocial ; Niño ; Tratamiento ; Oclusión ; Ambliopía ;

Localisation / Location

INIST-CNRS, Cote INIST : 21076, 35400010135540.0080