Electronic monitoring of treatment compliance in patching for amblyopia.
Electronic monitoring of treatment compliance in patching for amblyopia.
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DOI：
10.1076/stra.7.2.113.645
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发表时间：
1999-06-01
期刊：
影响因子：
0.9
通讯作者：
Dijkstra, B G
中科院分区：
文献类型：
--
作者：
Simonsz, H J;Polling, J R;Dijkstra, B G
我们开发了一个硬币大小的遮挡剂量监测仪（ODM），以客观地衡量在弱视治疗过程中配戴眼罩的依从性。它通过两个热敏电阻每隔2-5分钟测量ODM前后的温差。数据存储在EEPROM存储器中，并在记录一周后通过将其连接到PC读取。ODM尺寸为35 x23 x4 mm，重量为6 g。ODM的背面用双面透明胶带粘在弱视贴片的正面。当具有ODM的贴片在眼睛上时，ODM后部的温度高于前部。在一项大型弱视队列研究中，正在对儿童的依从性进行研究。父母在每三个月的家访中被告知将ODM放在贴片上。一周后，ODM被收集并宣读。虽然父母知道正在进行录音，但在许多情况下，他们的依从性很一般。孩子们很少打补丁，只有5分钟，在录音的最后几天，晚上等很长一段时间，日记详细补丁时间是不可靠的。
We developed a coinsized occlusion dose monitor (ODM) to measure compliance with patch-wearing during the treatment of amblyopia objectively. It measures the temperature difference between the front and back of the ODM every 2-5 minutes by means of two thermistors. The data is stored in EEPROM memory and read out after recording for a week by connecting it to a PC. The ODM measures 35x23x4 mm and weighs 6 g. The back of the ODM is glued to the front of the amblyopia patch with double-sided Scotch tape. When the patch with the ODM is on the eye, the temperature at the back of the ODM is higher than at the front. Compliance is being studied in children taking part in a large amblyopia cohort study. The parents were instructed during home visits every three months to put the ODM on the patch. After a week, the ODM was collected and read out. Although the parents knew that a recording was being made, compliance was mediocre in many cases. Children were patched infrequently, for 5 minutes only, for long periods on the last days of the recording, at night, etc. Diaries detailing patch time were unreliable.