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This is a randomized controlled trial aimed to explore the effect of behavioral interventions based on doctors' and nurses' health education on the onset and development of myopia in children's. Participants were randomly assigned to one of two groups: eye health intervention, or the control group. Intervention group's parents would reveive eye health education in response to their children's myopia progression at baseline, 1 month, 3 months, and 6 months, while the control group did not receive any. Visual acuity, cycloplegic refraction, axial length, Strengths and Difficulties Questionnaire, and Generalized Anxiety Disorder 7-item Scale were the main outcomes and measures.
After doctors' and nurses' education, parents would keep a diary to regulate the children's "Sedentary", "Sunshine", "Sleep", "Screen", and "Stress" that is, the "5S" eye education. To urging parents pay attention to the children's eye behavior every day, and targeted to children "eye" education to delay the occurrence and development of myopia and reduce the incidence of high myopia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Eye Education Intervention | Experimental | Doctors and nurses will educate parents about eye health in response to their child's myopia progression at baseline, 1 month, 3 months, 6 months. |
|
| Control | Experimental | Parents in the control group will not receive eye health education information from doctors and nurses. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eye Education Intervention | Behavioral | Doctors and nurses will educate parents about eye health in response to theirchild's myopia progression at baseline, 1 month, 3 months, 6 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Axial Length | Ocular biometry was used for measuring the axial length, which is the physical distance between the anterior corneal pole and the retinal structure at the posterior pole. | Baseline, 1 month, 3 months, 6 months. |
| Cycloplegic Refraction | Cycloplegic refractive errors were measured with an autorefractor. | Baseline, 1 month, 3 months, 6 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual acuity | The visual acuity of the children is assessed through a self-administered vision test conducted by their guardians via WeChat mini program. | Baseline, 1 month, 3 months, 6 months. |
| Anxiety Disorder Screening 7-item Scale |
| Measure | Description | Time Frame |
|---|---|---|
| Fundus Image | Two fundus photographs were taken for each subject, centered on the optic disc and macula with a 45° field of view. If the quality of the photographs was low, they were retaken. | Baseline, 1 month, 3 months, 6 months. |
Inclusion Criteria
Exclusion Criteria:
(10)Do not receive cycloplegia or have contraindications; (11)Poor overall condition, unable to follow up for a long time; (12)The subject refuses to participate in the research; (13)Other cases in which the researcher judges that it is not suitable for participation in the study.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shi-Ming Li, MD, PHD | Contact | +86-010-58269920 | lishiming81@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Tongren Hospital, Beijing | Beijing | Beijing Municipality | 100730 | China |
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| ID | Term |
|---|---|
| D006266 | Health Education |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D000099060 | Adherence Interventions |
| D055118 | Medication Adherence |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
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| Control | Behavioral | Parents in the control group will not receive eye health education informationfrom doctors and nurses. |
|
Assessing changes in parents' anxiety before and after the intervention.
| Baseline, 6 month |
| Strengths and Difficulties Questionnaire | Assessing changes in parent-child relationships before and after the intervention. | Baseline, 6 month. |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D001523 | Mental Disorders |