Parents' reasons for nonadherence to referral to follow-up eye care for schoolchildren who failed school-based vision screening in Cross River State, Nigeria-A descriptive qualitative study

doi:10.1371/journal.pone.0259309

科研成果详情

题名	Parents' reasons for nonadherence to referral to follow-up eye care for schoolchildren who failed school-based vision screening in Cross River State, Nigeria-A descriptive qualitative study
作者	Lohfeld, Lynne 1,2; Graham, Christine 3; Ebri, Anne Effiom 4; Congdon, Nathan 1,5,6; Chan, Ving Fai 1,7
发表日期	2021-11-18
发表期刊	PLOS ONE 影响因子和分区
语种	英语
原始文献类型	Article
其他关键词	VISUAL IMPAIRMENT ; REFRACTIVE ERROR ; CHILDREN ; BARRIERS ; SERVICES ; EPIDEMIOLOGY
摘要	Background Uncorrected refractive error (URE) is a major cause of vision impairment in children worldwide. Cases are often detected through a school-based vision screening program and then treated in a follow-up appointment. This requires parents or guardians ('parents') to adhere to referrals for the eye exam and care plan. We aim to understand the reasons for parents' referral non-adherence in Cross River State, Nigeria, using qualitative methods. Methods Ten focus groups were held with parents who had not adhered to the referral for a follow-up eye examination. Participants were recruited with help from staff in schools hosting the vision screening programme. Interviews were conducted using a semi-structured interview guide, audio taped and transcribed verbatim. After identifying relevant quotes, the researchers labelled each one with a descriptive code/subcode label. Then they clustered the data into categories and overarching themes. Results Forty-four parents participated in 10 focus group discussions with 28 women and 16 men. Three themes and participated in the focus group discussions with 28 women (63%). Twelve themes were generated. The three megathemes were Modifiable Factors (with 4 themes), Contextual Factors (with 6 themes), and Recommendations (with 2 themes). Conclusion Participants identified modifiable barriers that make it difficult for parents to adhere to a referral for a follow-up eye exam. These include not believing their child has a vision problem or the screening test, and issues with the referral letter. They also described important contextual factors such as poverty, logistical problems, parental attitudes towards their children and beliefs about appropriate care. Many of these issues could be addressed by following their recommendation to educate the public on the importance of child eye care and correct parents' misconceptions. These themes will be used by the Nigerian government to enhance and scale up its child eye health programme.
资助项目	Northern Ireland Department for the Economy, Global Challenges Research Fund (NI DfE GCRF) [R3138CPH]
出版者	PUBLIC LIBRARY SCIENCE
出版地	SAN FRANCISCO
ISSN	1932-6203
卷号	16 期号:11 页码:e0259309.
DOI	10.1371/journal.pone.0259309
页数	16
WOS类目	Multidisciplinary Sciences
WOS研究方向	Science & Technology - Other Topics
WOS记录号	WOS:000755319200038
收录类别	SSCI ; SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	34793502
PMC记录号	PMC8601460
SCOPUSEID	2-s2.0-85119590885
通讯作者地址	[Lohfeld, Lynne]Centre for Public Health,School of Medicine,Dentistry and Biological Sciences,Queen’s University Belfast,United Kingdom
Scopus学科分类	Multidisciplinary
引用统计	被引频次：4[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/2914
专题	眼视光学院（生物医学工程学院）、附属眼视光医院_临床与流行病学研究中心
通讯作者	Lohfeld, Lynne
作者单位	1.Centre for Public Health,School of Medicine,Dentistry and Biological Sciences,Queen’s University Belfast,United Kingdom; 2.Clinical and Epidemiological Eye Research Center,Wenzhou Medical University,Wenzhou,China; 3.Nelson R. Mandela School of Medicine,KwaZulu Natal,South Africa; 4.Brien Holden Vision Institute Foundation (Africa) Trust,Durban,South Africa; 5.Zhongshan Ophthalmic Centre,Sun Yat-sen University,Guangzhou,China; 6.Orbis International,New York,United States; 7.College of Health Sciences,University KwaZulu Natal,Durban,South Africa
第一作者单位	温州医科大学
推荐引用方式 GB/T 7714	Lohfeld, Lynne,Graham, Christine,Ebri, Anne Effiom,et al. Parents' reasons for nonadherence to referral to follow-up eye care for schoolchildren who failed school-based vision screening in Cross River State, Nigeria-A descriptive qualitative study[J]. PLOS ONE,2021,16(11):e0259309..
APA	Lohfeld, Lynne, Graham, Christine, Ebri, Anne Effiom, Congdon, Nathan, & Chan, Ving Fai. (2021). Parents' reasons for nonadherence to referral to follow-up eye care for schoolchildren who failed school-based vision screening in Cross River State, Nigeria-A descriptive qualitative study. PLOS ONE, 16(11), e0259309..
MLA	Lohfeld, Lynne,et al."Parents' reasons for nonadherence to referral to follow-up eye care for schoolchildren who failed school-based vision screening in Cross River State, Nigeria-A descriptive qualitative study".PLOS ONE 16.11(2021):e0259309..