Children with Additional Support Needs Risk Missing Out on Effective Vision Screening: Audit and Survey Considering Attendance Rates and Parent Reported Barriers to Service Access, including Recommendations for Improvement.

Q3 Medicine
British and Irish Orthoptic Journal Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI:10.22599/bioj.451
Cirta Tooth, Julius Rogowski
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引用次数: 0

Abstract

Objective: Vision screening programs in children aged 4-5 years aim to address visual issues before they start school, supporting children's educational, developmental, emotional, and social well-being. This study evaluates attendance rates and barriers to attendance for children requiring follow-up in an urban hospital eye service after their initial screening visit.

Methods and analysis: Retrospective data on attendance, visual acuity, refractive errors, and presence of additional support needs (ASN) were collected from the National Database for preschool screening and the hospital electronic record system. Caregivers of children with missed appointments were invited for a telephone survey.

Results: First-time hospital attendance rate was 61%. Children with ASN were 1.8× more likely to miss two hospital appointments and had more incomplete tests compared to children without ASN. In children receiving a spectacle prescription, vision improved by 0.07 LogMAR in the better eye and 0.16 LogMAR in the worse eye. Barriers for attendance included being unaware of the appointment, ASN, hospital environment, scheduling and transport issues. Parents recommended information with the appointment letter in an accessible language for the child and caregiver, an appointment reminder text message and options for vision tests in the community or at school.

Conclusion: Whilst the initial uptake of vision screening is high, there is a significant proportion of children with incomplete screening tests or missed follow-up appointments. Greater attention should be placed on improving accessibility of the service for children with ASN, as they may be at greater risk of missing out on appropriate eye care.

有额外支持需求的儿童有可能错过有效的视力筛查:考虑出勤率和家长报告的服务获取障碍的审计和调查,包括改进建议。
目的:4-5岁儿童的视力筛查项目旨在在他们开始上学之前解决视力问题,支持儿童的教育,发展,情感和社会福祉。本研究评估了在城市医院眼科服务进行首次筛查后需要随访的儿童的出勤率和出勤率障碍。方法和分析:从国家学前筛查数据库和医院电子记录系统中收集出勤、视力、屈光不正和存在额外支持需求(ASN)的回顾性数据。失约儿童的看护人被邀请进行电话调查。结果:首次住院率为61%。与没有ASN的儿童相比,有ASN的儿童错过两次医院预约的可能性高1.8倍,并且有更多不完整的检查。在接受眼镜处方的儿童中,较好眼的视力提高了0.07 LogMAR,较差眼的视力提高了0.16 LogMAR。就诊的障碍包括不知道预约、ASN、医院环境、日程安排和交通问题。家长们推荐的信息包括:用儿童和看护人可以理解的语言写的预约信、预约提醒短信以及在社区或学校进行视力测试的选项。结论:虽然最初接受视力筛查的儿童比例很高,但筛查试验不完整或错过随访预约的儿童比例很高。应更加重视改善ASN儿童的服务可及性,因为他们可能有更大的风险错过适当的眼科护理。
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
British and Irish Orthoptic Journal
British and Irish Orthoptic Journal Health Professions-Optometry
CiteScore
1.50
自引率
0.00%
发文量
13
审稿时长
18 weeks
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