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J.J. Walline, L.A. Jones, M.J. Prinstein, ACHIEVE Study Group; Factors Associated With Spectacle Satisfaction of Children . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5608.
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Purpose: To determine factors that may influence children’s satisfaction with spectacle wear. Methods: Subjects participating in the Adolescent and Child Health Initiative to Encourage Vision Empowerment (ACHIEVE) Study, a randomized clinical trial to examine the effects of contact lens wear on children’s self–perception, completed the Spectacle Survey at the baseline visit. The Spectacle Survey was developed for the ACHIEVE Study to determine children's satisfaction with wearing their glasses, and it is scored from 0 (low spectacle satisfaction) to 100 (high spectacle satisfaction). Parents provided the child’s demographic information, and subjects underwent cycloplegic autorefraction, habitual binocular logMAR visual acuity, and a–scan ultrasound to determine axial length of the eye. Simple linear regressions or one–way ANOVA were performed to determine associations. Results: We enrolled 484 children in the ACHIEVE Study. The average age was 10.4 years, 59% were female, 47% were white, subjects wore glasses for an average of 2.7 years, and the average refractive error was –2.38 D. The average (± SD) overall score for the Spectacle Survey was 60.4 ± 13.4. Race, gender, amount of myopia, time since the child received his or her first pair of glasses, habitual binocular visual acuity, and axial length were not significantly associated with spectacle satisfaction. Age was the only factor significantly associated with spectacle satisfaction (slope = –1.5; p = 0.01), but it only accounts for 1.2% of the variance in the Spectacle Survey overall score. Two additional questions are not included in the overall Spectacle Survey overall score, but they comprise the Other Correction scale, defining how much children would like to wear a different form of vision correction besides spectacles. This was significantly associated with spectacle satisfaction (slope = 0.28; p < 0.0001), and it explains 34% of the variance in the Spectacle Survey overall score. Conclusions: No demographic or ocular factors significantly explain children’s satisfaction with their spectacles. The primary explanatory factor of spectacle satisfaction was how much children would like to wear a vision correction other than spectacles (no correction or contact lenses).
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