Assessing the accuracy and feasibility of a refractive error screening program conducted by school teachers in pre-primary and primary schools in Thailand.
Assessing the accuracy and feasibility of a refractive error screening program conducted by school teachers in pre-primary and primary schools in Thailand.
复制标题
DOI：
10.1371/journal.pone.0096684
复制
发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Jenchitr W
中科院分区：
文献类型：
--
作者：
Teerawattananon K;Myint CY;Wongkittirux K;Teerawattananon Y;Chinkulkitnivat B;Orprayoon S;Kusakul S;Tengtrisorn S;Jenchitr W
作为泰国儿童屈光不正筛查系统开发的一部分，本研究描述了建立一个由教师进行的计划的准确性和可行性。评估教师筛选的准确性和可行性。一个横断面的描述性和分析性研究进行了17所学校在四个省代表四个地理区域在泰国。采用两阶段整群抽样方法，比较受过培训的教师和卫生专业人员在合格学生中的屈光不正检出率。为教师和家长举办了一系列焦点小组讨论，以了解他们对在学校进行屈光不正检查的态度以及潜在的成功因素和障碍。在学前儿童中，教师对轻度视力损害的屈光不正筛查的检出率相对较低（21%），但中度视力损害的检出率较高（44%）。小学生两种程度视力障碍的检出率都很高（轻度视力障碍为52%，中度视力障碍为74%）。焦点小组讨论显示，教师和家长都将受益于进一步的教育有关屈光不正，绝大多数教师愿意进行校本筛查计划。由于资源有限，泰国目前没有由保健专业人员对学前和小学儿童进行屈光不正筛查。然而，有证据表明，该国教师在学校开展的屈光不正筛查计划是合理可行的，因为在非常年轻的一代中检测和治疗屈光不正非常重要，并且可以以相对较低的成本实施和开展筛查计划。
As part of the development of a system for the screening of refractive error in Thai children, this study describes the accuracy and feasibility of establishing a program conducted by teachers. To assess the accuracy and feasibility of screening by teachers. A cross-sectional descriptive and analytical study was conducted in 17 schools in four provinces representing four geographic regions in Thailand. A two-staged cluster sampling was employed to compare the detection rate of refractive error among eligible students between trained teachers and health professionals. Serial focus group discussions were held for teachers and parents in order to understand their attitude towards refractive error screening at schools and the potential success factors and barriers. The detection rate of refractive error screening by teachers among pre-primary school children is relatively low (21%) for mild visual impairment but higher for moderate visual impairment (44%). The detection rate for primary school children is high for both levels of visual impairment (52% for mild and 74% for moderate). The focus group discussions reveal that both teachers and parents would benefit from further education regarding refractive errors and that the vast majority of teachers are willing to conduct a school-based screening program. Refractive error screening by health professionals in pre-primary and primary school children is not currently implemented in Thailand due to resource limitations. However, evidence suggests that a refractive error screening program conducted in schools by teachers in the country is reasonable and feasible because the detection and treatment of refractive error in very young generations is important and the screening program can be implemented and conducted with relatively low costs.
登录
查看更多内容
影响因子：
4.4
作者：
Tong, L;Saw, SM;Tan, D
通讯作者：
Tan, D
影响因子：
--
作者：
Sharma, Abhishek;Li, Liping;Congdon, Nathan
通讯作者：
Congdon, Nathan
影响因子：
4.4
作者：
Fan, DSP;Lam, DSC;Chew, SJ
通讯作者：
Chew, SJ
DOI：
10.2471/blt.08.055673
发表时间：
2009-06-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Smith, TST;Frick, KD;Naidoo, KS
通讯作者：
Naidoo, KS
影响因子：
4.4
作者：
He, MG;Zeng, JW;Ellwein, LB
通讯作者：
Ellwein, LB