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Irene Adams, Tina K. Green, Dawn H. Messer, J. Daniel Twelker, Joseph M. Miller, Erin M. Harvey; Use Of A Modified Version Of The Pediatric Refractive Error Profile (PREP) To Identify Factors Associated With Eyeglass Wearing Compliance. Invest. Ophthalmol. Vis. Sci. 2011;52(14):2827.
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To conduct a pilot study to determine if a modified version of the Pediatric Refractive Error Profile (PREP, Walline et al., 2007), a pediatric quality-of-life survey for subjects with refractive error, is useful for identifying factors associated with eyeglass wearing compliance.
Subjects were 6-12th grade students who (1) attended one of two schools at which the majority of students were members of a Native American Tribe (Tohono O’odham) with a high prevalence of astigmatism, (2) completed a cycloplegic eye examination at which eyeglasses were prescribed (prescribing criteria: astigmatism >/= 1.00 D, myopia >/= 1.00 D on any meridian, hyperopia >/= 2.50 D on any meridian, anisometropia >/= 1.50 D spherical equivalent), and (3) reported current or previous eyeglass wear. Subjects completed a modified version of the PREP. An overall score and scores on 8 subscales (overall vision, near vision, far vision, symptoms, appearance, activities, academics, family/peer perceptions) were calculated. Mean scores were compared for subjects who were "compliant" vs. "non-compliant". Compliance categorization was based on whether or not subjects arrived at two un-announced study sessions (eye exam session and eyeglass dispensing session, both held at their school) wearing eyeglasses (compliant, n=11) or not wearing glasses (non-compliant, n=12). Seven students wore glasses to only one of the sessions and were excluded from analyses.
Mean scores are shown in the table below (scores ranged from 0 to 3, higher scores associated with greater satisfaction with glasses). Compliant subjects scored significantly better on overall vision (p < 0.04). Differences in symptoms, academics, and overall PREP score neared significance (p < 0.10).
The modified PREP may be useful for identifying factors associated with eyeglass wearing compliance. Further research on validation of the modified PREP for this purpose is underway.
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