Findings from Optometrists' Practices in Advising about Lifestyle Study.
Findings from Optometrists' Practices in Advising about Lifestyle Study.
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DOI：
10.1097/opx.0000000000001555
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发表时间：
2020-08
影响因子：
1.4
通讯作者：
Millen, Amy E.
中科院分区：
文献类型：
--
作者：
Sahli, Michelle W.;Ochs-Balcom, Heather M.;Moeller, Suzen M.;Brady, William E.;Tolford, Timothy W.;Millen, Amy E.
生活方式影响眼睛健康和其他慢性疾病。所有医疗保健提供者，而不仅仅是初级保健医生，都应该有必要的信息和培训，就生活方式向患者提供建议和转诊，以便利用机会提供此类建议。验光师向患者提供生活方式建议的程度在很大程度上是未知的。验光师的生活方式建议实践（OPAL）研究旨在检查验光师提供的生活方式建议，这些建议提供给谁，以及不提供这些建议的原因。我们开发并管理了一个邮件调查140验光师在西纽约。5份调查报告因死亡、退休和搬迁而退回。在剩余的135名合格参与者中，联系的46名验光师对我们的调查做出了回应;但只有42名（31%）提供了签署的同意书。其中，超过93%的人报告提供有关吸烟、膳食补充剂和饮食的建议，超过59%的人报告提供有关体育活动和饮酒的建议。83%的人只向那些有不健康行为或某些情况的人提供建议。大多数建议包括提及生活方式因素对眼睛或整体健康的影响。不提供建议的原因包括缺乏知识或培训，或认为建议不会改变行为。验光师报告说，他们主要向那些有不健康生活方式行为或预先存在健康状况的人提供建议。未来的研究应该解决低应答率问题，除了验光师之外，还应该包括非医生的医疗保健提供者，并且还应该检查患者对所提供建议的看法和理解，以更好地了解这些建议是否如提供者所设想的那样被接受。
Lifestyle influences eye health and other chronic diseases. All healthcare providers, not just primary care physicians, should have the necessary information and training to advise and refer patients on lifestyle in order to take advantage of opportunities to provide such advice. The extent to which optometrists offer lifestyle advice to their patients is largely unknown. The Optometrists’ Practices in Advising about Lifestyle (OPAL) Study aimed to examine lifestyle advice that optometrists offer, to whom such advice is offered, and reasons for not offering this advice. We developed and administered a mail-in survey to 140 optometrists in Western New York. Five surveys were returned due to death, retirement and relocation. Of the 135 remaining eligible participants, forty-six of the optometrists contacted responded to our survey; however only 42 (31%) provided signed consent forms. Of these, more than 93% report offering advice on smoking, dietary supplements and diet, and >59% on physical activity and alcohol use. Eighty-three percent offer advice only to those with unhealthy behaviors or certain conditions. Most advice consisted of mentioning the lifestyle factor’s influence on eye or overall health. Reasons for not offering advice included lack of knowledge or training or the belief that advice would not change behaviors. Optometrists reported offering advice primarily to those with unhealthy lifestyle behaviors or pre-existing health conditions. Future studies should address low response rates, include non-physician healthcare providers in addition to optometrists, and should also examine patients’ perceptions and understanding of the advice offered to better understand whether this advice is received as the provider envisioned.