{"title":"THE PATIENT-PHYSICIAN RELATIONSHIP AND ROLE OF EMPATHIC COMMUNICATION IN CONTACT LENS PRACTICE","authors":"Daddi Fadel, R. Macedo-De-Araújo, Melissa Barnett","doi":"10.22374/jclrs.v8i1.58","DOIUrl":"https://doi.org/10.22374/jclrs.v8i1.58","url":null,"abstract":"Purpose: To assess the relationship between eye care practitioners and contact lens patients and todetermine how empathy is associated with patients’ overall satisfaction. \u0000Methods: Multilingual electronic surveys shared by email and on social media in patients’ and practitioners’ groups. Ratings were converted to a numerical scale. The scores were compared using Wilcoxon rank sum tests. \u0000Results: The survey had 804 responses: 68.4% were over 46 years old, and 58.1% were female. Only 770 reported the type of contact lens worn. Of all patients, 10.6% would not recommend their physician due to feeling excluded from decisions (55.3%), lack of personal interest (63.5%), no written recommendations (84%), and unmet expectations (77%). Scleral lens wearers were highly satisfied. Optometrists excelled in care, ratings, relationships, communication, symptom relief, and prevention. \u0000Discussion: The findings highlight the importance of empathy in eye care and its impact on patient experiences. Factors such as contact lens type, physician recommendation, and physician type can influence the level of empathy perceived by patients. Satisfaction varied based on contact lens type, with soft and scleral lens wearers reporting better experiences. Patients valued physicians who listened, explained treatments, showed empathy, and had patient-centered communication and open-ended questions. Optometrists were scored higher than ophthalmologists in several aspects. \u0000Conclusion: Patients, especially scleral lens patients, were generally satisfied with the services and care. Optometrists scored higher than ophthalmologists. Patients would not recommend their physicians mainly because of a lack of empathy.","PeriodicalId":234526,"journal":{"name":"Journal of Contact lens Research and Science","volume":" 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140211554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COMPARISON OF KNOWLEDGE, ATTITUDE, AND PRACTICES TOWARDS CL USAGE AMONGST MEDICAL AND NON-MEDICAL STUDENTS","authors":"Leong Suek Theng, Fakhruddin Barodawala, Vidyut Rajhans","doi":"10.22374/jclrs.v8i1.56","DOIUrl":"https://doi.org/10.22374/jclrs.v8i1.56","url":null,"abstract":"Background and Objective: Amidst the myopia epidemic, the number of contact lens (CL) users is steadily increasing, especially youngsters. Many CL practitioners presume optimum knowledge and good practice of CL usage by medical professionals. With rising complications and a significant dropout rate, there is a need to investigate the knowledge (K), attitudes (A), and practices (P) among CL users. This study aimed to assess the K, A, and P in CL users registered in various programs in a university. We hypothesized no difference between K, A, and P in CL users with medical (M) and non-medical (N) academic backgrounds. \u0000Methods and Materials: A pre-validated questionnaire, consisting of 19 questions on knowledge, 9 questions on attitude, and 30 questions on practice, was distributed among the university students admitted to various programs, excluding optometry, through an online survey tool. Inferences were drawn using a Chi-square test and Mann-Whitney U test to compare the M and N groups, with a predetermined significance of 0.05. Spearman’s correlation gave a relationship between the K, A, and P of CL users. \u0000Results: Out of 1041 (M=146 and N=895) valid responses, 476 (45.7%) respondents had prior experience or were CL users. The prevalence of CL users was a little higher in the N group (M=39.0%; N=46.8%) but statistically not significant (χ2=3.057, df=1, p<0.05). The knowledge about CL hygiene and complications was not significantly different between the two groups (U=10370, z=–1.645, p<0.05). However, there was a significant difference in the attitude towards CL wear and care (U=9268, z= –2.751, p>0.05) and practice of lens wear and care (U=8770, z=–3.318, p>0.05). For all the respondents, a weak correlation between knowledge and practice was observed (r=0.137, p<0.05), and a fair to strong correlation in medical respondents (r=0.465, p<0.05). For the non-medical student group, a statistically significant weak correlation was found between attitude and practice (r=0.110, p<0.05). \u0000Conclusion: Medical students exhibited a slightly better attitude and practice toward CL use than non-medical students. However, knowledge scores in both groups were similar. The results of this survey disrupted the presumption that CL users with medical backgrounds possess better K, A, and P toward CL usage. This study highlights the need to be proactive in educating young CL wearers, irrespective of their academic background, providing them with optimum knowledge and skill, and nurturing their right attitude towards CL usage, which will ultimately contribute to the optimization of eye health outcomes and prevention of complications associated with CL wear. This will help the CL industry overcome growth challenges, providing safe opportunities for vision correction to the increasingly prevalent myopic population at large.","PeriodicalId":234526,"journal":{"name":"Journal of Contact lens Research and Science","volume":"14 13‐14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139796098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COMPARISON OF KNOWLEDGE, ATTITUDE, AND PRACTICES TOWARDS CL USAGE AMONGST MEDICAL AND NON-MEDICAL STUDENTS","authors":"Leong Suek Theng, Fakhruddin Barodawala, Vidyut Rajhans","doi":"10.22374/jclrs.v8i1.56","DOIUrl":"https://doi.org/10.22374/jclrs.v8i1.56","url":null,"abstract":"Background and Objective: Amidst the myopia epidemic, the number of contact lens (CL) users is steadily increasing, especially youngsters. Many CL practitioners presume optimum knowledge and good practice of CL usage by medical professionals. With rising complications and a significant dropout rate, there is a need to investigate the knowledge (K), attitudes (A), and practices (P) among CL users. This study aimed to assess the K, A, and P in CL users registered in various programs in a university. We hypothesized no difference between K, A, and P in CL users with medical (M) and non-medical (N) academic backgrounds. \u0000Methods and Materials: A pre-validated questionnaire, consisting of 19 questions on knowledge, 9 questions on attitude, and 30 questions on practice, was distributed among the university students admitted to various programs, excluding optometry, through an online survey tool. Inferences were drawn using a Chi-square test and Mann-Whitney U test to compare the M and N groups, with a predetermined significance of 0.05. Spearman’s correlation gave a relationship between the K, A, and P of CL users. \u0000Results: Out of 1041 (M=146 and N=895) valid responses, 476 (45.7%) respondents had prior experience or were CL users. The prevalence of CL users was a little higher in the N group (M=39.0%; N=46.8%) but statistically not significant (χ2=3.057, df=1, p<0.05). The knowledge about CL hygiene and complications was not significantly different between the two groups (U=10370, z=–1.645, p<0.05). However, there was a significant difference in the attitude towards CL wear and care (U=9268, z= –2.751, p>0.05) and practice of lens wear and care (U=8770, z=–3.318, p>0.05). For all the respondents, a weak correlation between knowledge and practice was observed (r=0.137, p<0.05), and a fair to strong correlation in medical respondents (r=0.465, p<0.05). For the non-medical student group, a statistically significant weak correlation was found between attitude and practice (r=0.110, p<0.05). \u0000Conclusion: Medical students exhibited a slightly better attitude and practice toward CL use than non-medical students. However, knowledge scores in both groups were similar. The results of this survey disrupted the presumption that CL users with medical backgrounds possess better K, A, and P toward CL usage. This study highlights the need to be proactive in educating young CL wearers, irrespective of their academic background, providing them with optimum knowledge and skill, and nurturing their right attitude towards CL usage, which will ultimately contribute to the optimization of eye health outcomes and prevention of complications associated with CL wear. This will help the CL industry overcome growth challenges, providing safe opportunities for vision correction to the increasingly prevalent myopic population at large.","PeriodicalId":234526,"journal":{"name":"Journal of Contact lens Research and Science","volume":"241 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139855735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wear Experience with a Daily Disposable Soft Contact Lens for Astigmatism in Current Wearers of a Reusable Soft Toric Contact Lens","authors":"J. Fogt, Nidhi Satiani, Kimberly Patton","doi":"10.22374/jclrs.v7i1.54","DOIUrl":"https://doi.org/10.22374/jclrs.v7i1.54","url":null,"abstract":"Objective: This study aimed to evaluate the wear experience of satisfied wearers of a particular reusabletoric soft contact lens when refit into a water surface technology daily disposable toric soft contact lens. Methods: Thirty participants completed the study over three visits. At the first visit, subjects were refitted with their habitual reusable toric soft contact lens (comfilcon A) to maximize fit and vision. Subjects returned after one week and were then refit into the study daily disposable soft contact lenses (verofilcon A) and completed surveys of their initial impressions of comfort, vision, and satisfaction. Participants wore the study lenses for two weeks and then returned for their final visit to complete a vision and ocular health check. At the final visit, subjects also completed surveys to rate their overall and end-of-day comfort, quality of vision, stability of vision, and dryness using a visual analog scale (VAS). Participants also answered questions about their wear experience with the lenses. All data and surveys’ overall median and interquartile range (IQR) were calculated. Results: Initial impressions of the study lenses revealed a median (IQR) score of 85 (28) for vision, 91 (25) for comfort, and 87 (21) for satisfaction. Overall VAS scores after two weeks of wear found median scores of 93 (16) for quality of vision, 88 (28) for stability of vision, and 91 (20) for comfort. End-of-day median scores were 82(27) for quality of vision, 90 (35) for stability of vision, and 80 (38) for comfort. Overall dryness scores were 20(45), and end-of-day dryness was 39 (46). Median(IQR) binocular logMAR visual acuity with the study lenses was -0.16(0.1). The median rotation of the lenses was 0(4.3) degrees. Conclusion: Participants wearing the daily disposable study lenses for astigmatism gave high scores in vision and comfort at the initial fitting and after two weeks of lens wear. Results showed that satisfied wearers of comfilcon A reusable toric soft contact lenses can be successfully refitted with verofilcon A daily disposable contact lenses.","PeriodicalId":234526,"journal":{"name":"Journal of Contact lens Research and Science","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139213125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}