了解尼日利亚卡拉巴尔学童佩戴眼镜依从性的障碍:一项定性研究

Anne Effiom Ebri , Pirindha Govender , Kovin Naidoo , Frank Albert , Kajal Shah , Ving Fai Chan
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引用次数: 0

摘要

尽管可以免费获得眼镜,但非洲许多学童并不经常佩戴眼镜。本研究探讨了影响尼日利亚学童配戴眼镜依从性的因素,旨在为有针对性的眼健康教育策略和未来的干预措施提供信息。设计一项采用焦点小组讨论的定性研究,共有42名参与者,其中包括34名学童。方法从2017年9月至2018年6月评估眼镜依从性的集群随机对照试验中选择焦点小组讨论(FGD)的参与者。在参与这项研究的4241名10至18岁的学生中,308人戴了眼镜。2018年2月初,在试验的第三个月,有目的地确定了40名学生并邀请他们参加FGD。共有34名学生被分成四组,分别来自四所学校。此外,第五组被选中的成年人在一个大厅里接受采访。调查结果显示,社会文化误解、耻辱感、环境因素和自我认知问题等因素影响了儿童戴眼镜的决定。根据健康信念模型,低感知风险、高使用障碍和有限的行动线索阻碍了持续佩戴。虽然视力和学习成绩的提高激励了一些孩子,但这些好处被同伴压力和缺乏支持所抵消。结论通过框架选择和框架美学等以儿童为中心的方法提高自我效能感,通过有针对性地促进同伴接受。学校和以社区为基础的眼保健倡议应提高依从性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding barriers to spectacle wear compliance among schoolchildren in Calabar Nigeria: A qualitative study

Purpose

Despite the availability of free spectacles, many schoolchildren in Africa do not wear them regularly. This study explores the factors affecting compliance with spectacle wear among schoolchildren in Nigeria, aiming to inform targeted eye health education strategies and future interventions.

Design

A qualitative study using Focus group discussion with 42 participants including 34 schoolchildren.

Methods

Participants for the focus group discussions (FGD) were selected from a cluster-randomized controlled trial that assessed spectacle compliance between September 2017 and June 2018. Out of 4241 schoolchildren aged 10 to 18 recruited for the study, 308 received spectacles. In early February 2018, during the third month of the trial, 40 students were purposively identified and invited to participate in the FGD. A total of 34 students were interviewed in four groups across four schools. Additionally, a fifth group of selected adults was interviewed in a hall. The interviews took place in mid-February 2018 and each session lasted between 45 and 85 min.

Results

The findings reveal a mix of sociocultural misconceptions, stigma, environmental factors and self-perception issues influence children's decision to wear spectacles. According to the Health Belief Model, low perceived risk, high barriers to use, and limited cues to action hinder consistent wear. While improved vision and academic performance motivate some children, these benefits are outweighed by peer pressure and a lack of support.

Conclusion

Enhancing self-efficacy through child-centred approaches, such as frame choice and improving frame aesthetics, promoting peer acceptance through targeted. School and community-based eye health initiatives should improve compliance.
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