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J.A. Dunbar, T. Johnson, S.P. Donahue; Parental Education Effects Compliance Following Pediatric Vision Screening in Low and High Income Children . Invest. Ophthalmol. Vis. Sci. 2003;44(13):4845.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To study the effect of a telephone education coordinator on compliance with follow-up after pediatric vision screening in low and high-income families. Methods: A statewide preschool photo-screening program targeting children aged 12-48 months was instituted in 1997. Referral for follow-up was communicated by mail until May 18, 1999, after which a coordinator telephoned parents, educating them regarding the risks of strabismus and amblyopia and the importance of follow-up. Demographic data were obtained from Department of Health and US Census data. Compliance results from before and after the coordinator were grouped into quartiles by county median family income ((Q1), (Q2), (Q3), (Q4), from lowest to highest). Results: 14,578 children received vision screening before the coordinator, and 61,037 after. 623 of 970 (64%) referred children were compliant with follow-up care before and 2,145 of 2,671 (80%) after. While families from low-income counties were least compliant before the coordinator (Q1=54%, Q2=61%, Q3=70%, Q4=63%), all quartiles were similar after (Q1=79%, Q2=81%, Q3=80%, Q4=81%). Conclusions: Lack of parental education may be the most important barrier to compliance in both low and high-income families. With education, families from low-income counties showed the largest gains, and achieved similar compliance as those from high-income counties.
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