Shared decision‐making, treatment decision regret, and vision-related quality of life among parents of children with myopia: An online survey in Taiwan

IF 4.1 3区 医学 Q1 OPHTHALMOLOGY Contact Lens & Anterior Eye Pub Date : 2024-08-06 DOI:10.1016/j.clae.2024.102283
Li-Chun Chang , Chi-Chin Sun , Tzu-Chi Lee , Ya-Ni Wang , Li-Ling Liao
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Abstract

Objectives

To investigate the relationships among myopia treatment, decision regret, shared decision-making, and vision-related quality of life among parents of 6–12-year-old children with myopia.

Methods

An online Google Forms questionnaire was developed using a cross-sectional design and distributed between January 16 and August 22, 2023. Parents of 6–12-year-old children with myopia were recruited through school nurses working in Taiwan. The children’s and parents’ demographic data were collected. Study instruments included the Decisional Regret Scale, Shared Decision‐Making, and Vision-Related Quality of Life questionnaires. Multivariable linear regression analysis was used to identify factors influencing vision-related quality of life.

Results

Of 350 parents contacted, 314 questionnaires were analyzed. Among the respondents, 77.39 % (n = 243) were mothers, and most were aged >40 years. The mean age of children at myopia diagnosis was 7.12 ± 1.24 years; 46.50 % had < − 1.0 diopters of refractive error. Atropine eye drops were the primary treatment; 17.71 % of children were prescribed orthokeratology for myopia control. Parents reported low levels of decision regret and moderate levels of shared decision-making and vision-related quality of life. Children’s age, use of orthokeratology lenses, decision regret, and shared decision-making significantly influenced the vision-related quality of life reported by the parents, accounting for 22.5 % of the variance.

Conclusion

The study’s findings emphasize the importance of addressing decision regret and promoting shared decision-making in myopia treatment. Eye care professionals should discuss treatment options thoroughly before making decisions. Through shared decision-making, parents can make informed choices about treatments based on a comprehensive understanding of the benefits and drawbacks, ultimately benefitting children’s vision health.
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近视儿童家长的共同决策、治疗决策后悔以及与视力相关的生活质量:台湾在线调查。
目的调查 6-12 岁近视儿童的父母在近视治疗、决策后悔、共同决策和视力相关生活质量之间的关系:采用横断面设计制作了一份在线谷歌表格调查问卷,并于 2023 年 1 月 16 日至 8 月 22 日期间发放。通过在台湾工作的学校护士招募了 6-12 岁近视儿童的家长。收集了儿童和家长的人口统计学数据。研究工具包括决策后悔量表、共同决策和视力相关生活质量问卷。研究采用多变量线性回归分析来确定影响视力相关生活质量的因素:在接触的 350 名家长中,对 314 份问卷进行了分析。受访者中,77.39%(n = 243)为母亲,年龄大多大于 40 岁。确诊近视时儿童的平均年龄为 7.12 ± 1.24 岁;46.50% 的儿童患有先天性近视:研究结果强调了在近视治疗中解决决策遗憾和促进共同决策的重要性。眼科专业人员在做出决定前,应充分讨论治疗方案。通过共同决策,家长可以在全面了解利弊的基础上做出明智的治疗选择,最终有利于儿童的视力健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.60
自引率
18.80%
发文量
198
审稿时长
55 days
期刊介绍: Contact Lens & Anterior Eye is a research-based journal covering all aspects of contact lens theory and practice, including original articles on invention and innovations, as well as the regular features of: Case Reports; Literary Reviews; Editorials; Instrumentation and Techniques and Dates of Professional Meetings.
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