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[PMID]:27464574
[Au] Autor:Scheiman MM; Talasan H; Mitchell GL; Alvarez TL
[Ad] Endereço:*OD, PhD, FAAO †MS ‡MAS, FAAO §PhD Pennsylvania College of Optometry at Salus University, Elkins Park, Pennsylvania (MS); Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, New Jersey (HT, TA); and The Ohio State University, College of Optometry, Columbus, Ohio (GLM).
[Ti] Título:Objective Assessment of Vergence after Treatment of Concussion-Related CI: A Pilot Study.
[So] Source:Optom Vis Sci;94(1):74-88, 2017 Jan.
[Is] ISSN:1538-9235
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To evaluate changes in objective measures of disparity vergence after office-based vision therapy (OBVT) for concussion-related convergence insufficiency (CI) and determine the feasibility of using this objective assessment as an outcome measure in a clinical trial. METHODS: This was a prospective, observational trial. All participants were treated with weekly OBVT with home reinforcement. Participants included two adolescents and three young adults with concussion-related, symptomatic CI. The primary outcome measure was average peak velocity for 4° symmetrical convergence steps. Other objective outcome measures of disparity vergence included time to peak velocity, latency, accuracy, settling time, and main sequence. We also evaluated saccadic eye movements using the same outcome measures. Changes in clinical measures (near point of convergence, positive fusional vergence at near, Convergence Insufficiency Symptom Survey [CISS] score) were evaluated. RESULTS: There were statistically significant and clinically meaningful changes in all clinical measures for convergence. Four of the five subjects met clinical success criteria. For the objective measures, we found a statistically significant increase in peak velocity, response accuracy to 4° symmetrical convergence and divergence step stimuli, and the main sequence ratio for convergence step stimuli. Objective saccadic eye movements (5 and 10°) appeared normal pre-OBVT and did not show any significant change after treatment. CONCLUSIONS: This is the first report of the use of objective measures of disparity vergence as outcome measures for concussion-related convergence insufficiency. These measures provide additional information that is not accessible with clinical tests about underlying physiological mechanisms leading to changes in clinical findings and symptoms. The study results also demonstrate that patients with concussion can tolerate the visual demands (over 200 vergence and versional eye movements) during the 25-minute testing time and suggest that these measures could be used in a large-scale randomized clinical trial of concussion-related CI as outcome measures.
[Mh] Termos MeSH primário: Concussão Encefálica/terapia
Convergência Ocular/fisiologia
Transtornos da Motilidade Ocular/terapia
Ortóptica/métodos
Movimentos Sacádicos/fisiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Concussão Encefálica/complicações
Concussão Encefálica/fisiopatologia
Feminino
Seres Humanos
Masculino
Transtornos da Motilidade Ocular/etiologia
Transtornos da Motilidade Ocular/fisiopatologia
Projetos Piloto
Estudos Prospectivos
Inquéritos e Questionários
Disparidade Visual/fisiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170811
[Lr] Data última revisão:
170811
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160729
[St] Status:MEDLINE
[do] DOI:10.1097/OPX.0000000000000936


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[PMID]:27464572
[Au] Autor:Conrad JS; Mitchell GL; Kulp MT
[Ad] Endereço:*OD, MS †MAS, FAAO ‡OD, MS, FAAO The Ohio State University College of Optometry, Columbus, Ohio (all authors).
[Ti] Título:Vision Therapy for Binocular Dysfunction Post Brain Injury.
[So] Source:Optom Vis Sci;94(1):101-107, 2017 Jan.
[Is] ISSN:1538-9235
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To prospectively evaluate the effectiveness of home-based computer vergence therapy for the treatment of binocular vision disorders in adults at least 3 months after an acquired brain injury. METHODS: Eligibility criteria included presence of binocular dysfunction characterized by receded near point of convergence (≥6 cm break), insufficient positive fusional vergence at near (failing Sheard's criterion or <15â–³ blur or break), insufficient negative fusional vergence at near (<12â–³ blur or break), and/or reduced vergence facility at near (<15 cycles per minute with 12â–³BO/3â–³BI). Participants were prescribed 12 weeks of home-based computer vergence therapy. Phoria (cover test), negative fusional vergence, positive fusional vergence, near point of convergence, vergence facility, and symptoms (convergence insufficiency symptom survey [CISS]) were assessed at baseline and after 4, 8, and 12 weeks of prescribed therapy. ANOVA was used to evaluate change in each measure. Percentage successful was also determined. RESULTS: Nineteen participants were enrolled (mean age 45.4 ± 12.9 years); six participants were lost to follow-up. Baseline findings were orthophoria at distance, 7.2â–³ exophoria at near, near point of convergence break = 17.5 cm, near point of convergence recovery = 21.8 cm, negative fusional vergence = 12.3â–³, positive fusional vergence blur = 8.4â–³, vergence facility = 3.9 cycles per minute, and CISS = 32.1. ANOVA showed a statistically significant improvement for near point of convergence break (p = 0.002) and recovery (p < 0.001), positive fusional vergence blur (p < 0.0001), break (p < 0.0001), and recovery (p < 0.0001), negative fusional vergence blur (p = 0.037), break (p = 0.003), and recovery (p = 0.006), vergence facility (p < 0.0001), and CISS (p = 0.0001). The percentage of patients who were classified as "successful" or "improved" was 69% for near point of convergence (<6 cm or decrease of ≥4 cm), 77% for positive fusional vergence (>15â–³ and passing Sheard's criterion or increase of ≥10â–³), 77% for negative fusional vergence (≥12â–³ or increase of ≥6â–³), 62% for positive fusional vergence and near point of convergence composite, and 92% for vergence facility (15 cycles per minute or increase of 3 cycles per minute). CONCLUSIONS: The majority of participants who completed the study experienced meaningful improvements in signs and symptoms.
[Mh] Termos MeSH primário: Lesões Encefálicas/complicações
Transtornos da Motilidade Ocular/terapia
Ortóptica/métodos
Transtornos da Visão/terapia
Visão Binocular
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Transtornos da Motilidade Ocular/etiologia
Estudos Prospectivos
Inquéritos e Questionários
Terapia Assistida por Computador
Transtornos da Visão/etiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170811
[Lr] Data última revisão:
170811
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160729
[St] Status:MEDLINE
[do] DOI:10.1097/OPX.0000000000000937


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[PMID]:27938957
[Au] Autor:Sharma A; Wong AM; Colpa L; Chow AH; Jin YP
[Ad] Endereço:Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, Ont. Electronic address: asharma.w@gmail.com.
[Ti] Título:Socioeconomic status and utilization of amblyopia services at a tertiary pediatric hospital in Canada.
[So] Source:Can J Ophthalmol;51(6):452-458, 2016 Dec.
[Is] ISSN:1715-3360
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate whether socioeconomic status is associated with equal utilization of amblyopia services at The Hospital for Sick Children (SickKids), a pediatric tertiary hospital in Canada. DESIGN: This is a retrospective, cross-sectional study. PARTICIPANTS: The medical records of children aged under 7 years diagnosed with amblyopia at SickKids from 2007 to 2009 were reviewed. METHODS: Socioeconomic status was derived from patients' residential postal codes through linking with income data in the 2006 Canadian census report. Patients were divided into 5 income quintiles to compare with amblyopia service utilization. The main outcome measure was the observed distribution of amblyopia patients by socioeconomic status versus the expected distribution of 20% for each quintile. RESULTS: The analyses included 336 patients. Children with amblyopia at SickKids were more likely to come from the richest neighbourhood (32.5%), whereas children from each of the 3 lowest quintiles (14.6%-15.5%) were less likely to present at SickKids. These results differed significantly from the expected 20% for each quintile (p < 0.0001). All types of amblyopia were significantly under-represented for children from the lower socioeconomic groups. When analyses were stratified by travel distance to the hospital, a significant inequality between the lower and higher income quintiles remained for nonmetropolitan Toronto patients, but not for metropolitan Toronto patients. CONCLUSION: Despite a publicly funded health-care system in Canada, children from lower socioeconomic neighbourhoods in distant areas utilize the amblyopia services in a tertiary pediatric centre less often than those from higher socioeconomic status.
[Mh] Termos MeSH primário: Ambliopia/terapia
Serviços de Saúde/utilização
Hospitais Pediátricos
Ortóptica
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Classe Social
[Mh] Termos MeSH secundário: Canadá
Criança
Pré-Escolar
Estudos Transversais
Feminino
Acesso aos Serviços de Saúde/economia
Seres Humanos
Renda
Lactente
Masculino
Programas Nacionais de Saúde/economia
Programas Nacionais de Saúde/utilização
Ortóptica/estatística & dados numéricos
Encaminhamento e Consulta
Estudos Retrospectivos
Centros de Atenção Terciária
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161213
[St] Status:MEDLINE


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[PMID]:27799588
[Au] Autor:Morrison D
[Ad] Endereço:American Orthoptic Council.
[Ti] Título:Editorial.
[So] Source:Am Orthopt J;66(1):vi, 2016 Jan.
[Is] ISSN:0065-955X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ortóptica/organização & administração
Sociedades Médicas/organização & administração
[Mh] Termos MeSH secundário: Acreditação
Certificação
Seres Humanos
Ortóptica/educação
Estados Unidos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170316
[Lr] Data última revisão:
170316
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161102
[St] Status:MEDLINE


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[PMID]:27799583
[Au] Autor:Scheetz J; Koklanis K; Long M; Morris ME
[Ad] Endereço:From the School of Allied Health, La Trobe University, Victoria, Australia. J.Scheetz@latrobe.edu.au.
[Ti] Título:Accuracy and Efficiency of Orthoptists in Comprehensive Pediatric Eye Examinations.
[So] Source:Am Orthopt J;66(1):98-106, 2016 Jan.
[Is] ISSN:0065-955X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION AND PURPOSE: To investigate the level of agreement between orthoptists and medical practitioners in the comprehensive eye examination of children seen in an orthoptist-led triage clinic. PATIENTS AND METHODS: Patient records over a 6-month period were retrospectively reviewed. Those with a presenting complaint related to vision or ocular motility were triaged into the orthoptist-led clinic and included in the study. Patients who did not meet the triage protocol and those who were not assessed by a medical practitioner at a subsequent appointment were excluded from analysis. The clinical findings from the orthoptist and medical practitioner were collected and compared. RESULTS: In total, sixty-three patients were reviewed during the 6-month period and met the inclusion criteria. After the initial comprehensive eye examination with an orthoptist, thirty-two were discharged from hospital and thirty-one were asked to return for a review appointment with a medical practitioner. Agreement between the orthoptists and medical practitioners for the diagnosis of strabismus and/or amblyopia was 84.6% (κ = 0.649, P < 0.001). There was strong agreement between orthoptists and medical practitioners for refractive error of the right eye [τ (19) = 0.352, P = 0.729] and left eye [τ (19) = 1.785, P = 0.090]. Fundus examination comparisons between the orthoptists and medical practitioners showed very high agreement (95.7%). CONCLUSIONS: Orthoptists have the skills necessary to provide comprehensive care of children referred for ocular motility and/or vision related disorders. There was close agreement between orthoptists and medical practitioners when performing comprehensive eye examinations.
[Mh] Termos MeSH primário: Ambliopia/diagnóstico
Competência Clínica/normas
Oftalmologistas/normas
Ortóptica/normas
Erros de Refração/diagnóstico
Estrabismo/diagnóstico
Seleção Visual/normas
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Assistência à Saúde/normas
Feminino
Seres Humanos
Lactente
Masculino
Reprodutibilidade dos Testes
Estudos Retrospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170316
[Lr] Data última revisão:
170316
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161102
[St] Status:MEDLINE


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[PMID]:27799582
[Au] Autor:Godts D; Moorkens G; Mathysen DG
[Ad] Endereço:From the Antwerp University Hospital, Department of Ophthalmology, Edegem (Antwerp); godts@uza.be.
[Ti] Título:Binocular Vision in Chronic Fatigue Syndrome.
[So] Source:Am Orthopt J;66(1):92-97, 2016 Jan.
[Is] ISSN:0065-955X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION AND PURPOSE: To compare binocular vision measurements between Chronic Fatigue Syndrome (CFS) patients and healthy controls. METHODS: Forty-one CFS patients referred by the Reference Centre for Chronic Fatigue Syndrome of the Antwerp University Hospital and forty-one healthy volunteers, matched for age and gender, underwent a complete orthoptic examination. Data of visual acuity, eye position, fusion amplitude, stereopsis, ocular motility, convergence, and accommodation were compared between both groups. RESULTS: Patients with CFS showed highly significant smaller fusion amplitudes (P < 0.001), reduced convergence capacity (P < 0.001), and a smaller accommodation range (P < 0.001) compared to the control group. CONCLUSION: In patients with CFS binocular vision, convergence and accommodation should be routinely examined. CFS patients will benefit from reading glasses either with or without prism correction in an earlier stage compared to their healthy peers. Convergence exercises may be beneficial for CFS patients, despite the fact that they might be very tiring. Further research will be necessary to draw conclusions about the efficacy of treatment, especially regarding convergence exercises. To our knowledge, this is the first prospective study evaluating binocular vision in CFS patients.
[Mh] Termos MeSH primário: Síndrome de Fadiga Crônica/fisiopatologia
Visão Binocular/fisiologia
[Mh] Termos MeSH secundário: Acomodação Ocular/fisiologia
Adulto
Convergência Ocular/fisiologia
Feminino
Voluntários Saudáveis
Seres Humanos
Masculino
Meia-Idade
Ortóptica
Estudos Prospectivos
Acuidade Visual/fisiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170316
[Lr] Data última revisão:
170316
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161102
[St] Status:MEDLINE


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[PMID]:27765453
[Au] Autor:Clotuche B; Dorizy N; Franquelin M; Kuhne P; Lakhdar M; Massart S; Strenk J
[Ad] Endereço:Cabinet privé, 15, chemin de l'Avouerie, 4877 Olne, Belgique. Electronic address: bclotuche@gmail.com.
[Ti] Título:[Strabismus and reading: Effect of strabismus on reading tests in children from 8 to 11 years].
[Ti] Título:Strabisme et lecture : incidence du strabisme sur des tests de lecture chez des enfants de 8 à 11 ans..
[So] Source:J Fr Ophtalmol;39(9):756-764, 2016 Nov.
[Is] ISSN:1773-0597
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:PURPOSE: We try to show a relationship between strabismus and changes in reading skills. MATERIAL AND METHODS: We have carried out a prospective study including 135 children from 8 to 11 years (French level CE2 to CM2). They were given an ophthalmologic and orthoptic examination and then divided into 4 groups: strabismus with vertical deviation without binocular vision, accommodative strabismus with binocular vision, accommodative strabismus without binocular vision and control group (children without strabismus). Each child took 4 validated reading tests: reading fluency, uncommon words reading, comparison of letters sequences without signification, searching "verbal index". RESULTS: Results are significantly lower in children with accommodative strabismus without binocular vision for two tests (reading fluency and uncommon words reading). In contrast, results for the two other tests do not differ significantly between the 4 groups. CONCLUSION: Our study demonstrated lowered reading skills in tests of reading fluency in children with accommodative strabismus without binocular vision.
[Mh] Termos MeSH primário: Leitura
Estrabismo/fisiopatologia
Visão Binocular/fisiologia
[Mh] Termos MeSH secundário: Bélgica
Criança
Feminino
Seres Humanos
Masculino
Ortóptica
Testes Visuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170523
[Lr] Data última revisão:
170523
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161022
[St] Status:MEDLINE


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[PMID]:27575992
[Au] Autor:Pediatric Eye Disease Investigator Group
[Ti] Título:Home-Based Therapy for Symptomatic Convergence Insufficiency in Children: A Randomized Clinical Trial.
[So] Source:Optom Vis Sci;93(12):1457-1465, 2016 Dec.
[Is] ISSN:1538-9235
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To compare the effectiveness of home-based (HB) computer vergence/accommodative therapy (HB-C) to HB near target push-up therapy (HB-PU) and to HB placebo treatment (HB-P) among children aged 9 to <18 years with symptomatic convergence insufficiency (CI). METHODS: In this multicenter randomized clinical trial, participants were randomly assigned to computer therapy, near target push-ups, or placebo. All therapy was prescribed for 5 days per week at home. A successful outcome at 12 weeks was based on meeting predetermined composite criteria for the CI Symptom Survey, near point of convergence, and positive fusional vergence at near. RESULTS: A total of 204 participants were randomly assigned to HB-C (n = 75), HB-PU (n = 85), or HB-P (n = 44). At 12 weeks, 16 of 69 (23%, 95% CI: 14-35%) in the HB-C group, 15 of 69 (22%, 95% CI: 13-33%) in the HB-PU group, and 5 of 31 (16%, 95% CI: 5-34%) in the HB-P group were classified as having a successful outcome. The difference in the percentage of participants with a successful outcome in the HB-C group compared with the HB-PU group was -4% (two-sided 97.5% CI: -19 to +11%; p = 0.56) and with the HB-P group was +5% (two-sided 97.5% CI: -12 to +22%; p = 0.52), adjusted for baseline levels of the composite outcome components. CONCLUSIONS: The majority of participants with symptomatic CI did not have a successful outcome at 12 weeks. Some participants treated with placebo were successful. With recruitment reaching only 34% of that originally planned and differential loss to follow-up among groups, estimates of success are not precise and comparisons across groups are difficult to interpret.
[Mh] Termos MeSH primário: Acomodação Ocular/fisiologia
Convergência Ocular/fisiologia
Transtornos da Motilidade Ocular/terapia
Ortóptica/métodos
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Seguimentos
Seres Humanos
Masculino
Transtornos da Motilidade Ocular/diagnóstico
Transtornos da Motilidade Ocular/fisiopatologia
Estudos Retrospectivos
Inquéritos e Questionários
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170816
[Lr] Data última revisão:
170816
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160831
[St] Status:MEDLINE


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[PMID]:27537251
[Au] Autor:El-Sahn MF; Granet DB; Marvasti A; Roa A; Kinori M
[Ti] Título:Strabismus in Adults Older Than 60 Years.
[So] Source:J Pediatr Ophthalmol Strabismus;53(6):365-368, 2016 Nov 01.
[Is] ISSN:1938-2405
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To describe the epidemiology of adult strabismus, its etiology, and treatment methods in patients 60 years and older presenting to a tertiary care center. METHODS: This retrospective chart review study of patients with strabismus was performed at the Ratner Eye Center, University of California-San Diego. Data collected included demographics, etiology of misalignment, alignment in the primary position, binocularity, previous surgical intervention, and treatment methods. RESULTS: A total of 291 patients were included. The majority of patients (87.9%) had an acquired underlying etiology of misalignment (neurological, non-neurological, thyroid eye disease, or myotoxic). The most common presenting complaint was diplopia (77%). A total of 38.8% of patients had previous strabismus surgery. Surgical interventions were pursued in 32% of patients. CONCLUSIONS: This article provides insight into the epidemiology of strabismus in patients older than 60 years. The characterization and greater understanding of strabismus in this age group can be used to enhance prevention, diagnosis, and treatment of these patients. [J Pediatr Ophthalmol Strabismus. 2016;53(6):365-368.].
[Mh] Termos MeSH primário: Estrabismo/epidemiologia
Estrabismo/terapia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Toxinas Botulínicas Tipo A/administração & dosagem
California/epidemiologia
Diplopia/diagnóstico
Óculos
Feminino
Seres Humanos
Masculino
Meia-Idade
Músculos Oculomotores/cirurgia
Procedimentos Ortoceratológicos
Ortóptica
Estudos Retrospectivos
Estrabismo/diagnóstico
Centros de Atenção Terciária
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
E211KPY694 (onabotulinumtoxinA); EC 3.4.24.69 (Botulinum Toxins, Type A)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160819
[St] Status:MEDLINE
[do] DOI:10.3928/01913913-20160722-02


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[PMID]:27486016
[Au] Autor:Tjiam AM; Asjes-Tydeman WL; Holtslag G; Vukovic E; Sinoo MM; Loudon SE; Passchier J; de Koning HJ; Simonsz HJ
[Ad] Endereço:a Department of Ophthalmology , Erasmus MC, University Medical Center Rotterdam , Rotterdam , the Netherlands.
[Ti] Título:Implementation of an Educational Cartoon ("the Patchbook") and Other Compliance-Enhancing Measures by Orthoptists in Occlusion Treatment of Amblyopia.
[So] Source:Strabismus;24(3):120-35, 2016 09.
[Is] ISSN:1744-5132
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: This implementation study evaluated orthoptists' use of an educational cartoon ("the Patchbook") and other measures to improve compliance with occlusion therapy for amblyopia. METHODS: Participating orthoptists provided standard orthoptic care for one year, adding the Patchbook in the second year. They attended courses on compliance and intercultural communication by communication skills training. Many other compliance-enhancing measures were initiated. Orthoptists' awareness, attitude, and activities regarding noncompliance were assessed through interviews, questionnaires, and observations. Their use of the Patchbook was measured. The study was performed in low socio-economic status (SES) areas and in other areas in the Netherlands. It was attempted to integrate education on compliance into basic and continuing orthoptic training. RESULTS: The Patchbook was used by all 9 orthoptists who participated in low-SES areas and 17 of 23 orthoptists in other areas. Courses changed awareness and attitude about compliance, but this was not sustained. Although orthoptists estimated compliance during patching at 70%, three-quarters never suspected noncompliance during a full day of observation in any of their patients. Explanations to parents who spoke Dutch poorly were short. In the second year, explanations to children were longer. Implementation of all 7 additional compliance-enhancing measures failed. Education on compliance was not integrated into orthoptists' training. CONCLUSION: Almost all orthoptists used the Patchbook and, as another study demonstrated, it proved to be very effective, especially in low-SES areas. Duration of explanation was inversely proportional to parents' fluency in Dutch. Noncompliance was rarely suspected by orthoptists. Although 7 additional compliance-enhancing measures had been conceived and planned with the best intentions, they were not realized. These required extra, unpaid time from the orthoptists, which is especially scarce in hospitals in low-SES areas where the educational cartoon is most needed.
[Mh] Termos MeSH primário: Ambliopia/terapia
Bandagens
Desenhos Animados como Assunto
Implementação de Plano de Saúde/organização & administração
Ortóptica/métodos
Materiais de Ensino
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Feminino
Seres Humanos
Países Baixos
Pais
Cooperação do Paciente
Privação Sensorial
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160804
[St] Status:MEDLINE
[do] DOI:10.1080/09273972.2016.1205101



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