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

Staffieri, SE, Rees, G, Sanfilippo, PG, Cole, S, Mackey, DA and Hewitt, AW ORCID: 0000-0002-5123-5999 2020 , 'Improving parents' knowledge of early signs of paediatric eye disease: a double-blind randomized controlled trial' , Clinical and Experimental Ophthalmology , pp. 1-11 , doi: 10.1111/ceo.13866.

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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 Type: Article
Authors/Creators:Staffieri, SE and Rees, G and Sanfilippo, PG and Cole, S and Mackey, DA and Hewitt, AW
Keywords: help-seeking intention, leukocoria, strabismus
Journal or Publication Title: Clinical and Experimental Ophthalmology
Publisher: Blackwell Publishing Asia
ISSN: 1442-6404
DOI / ID Number: 10.1111/ceo.13866
Copyright Information:

Copyright 2020© Royal Australian and New Zealand College of Ophthalmologists

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