Staffordshire University logo
STORE - Staffordshire Online Repository

Assessing interventions to increase compliance to patching treatment in children with amblyopia: A Systematic Review and Meta-analysis

DEAN, Sarah and POVEY, Rachel and Reeves, Jessica (2015) Assessing interventions to increase compliance to patching treatment in children with amblyopia: A Systematic Review and Meta-analysis. British Journal of Ophthalmology. ISSN 0007-1161

[img] Text
Dean S E 2015 British Journal Ophthalmology Accepted.docx - AUTHOR'S ACCEPTED Version (default)
Available under License Creative Commons Attribution (CC-BY).

Download (98kB)
[img]
Preview
Image
Figure 1. Flow diagram of systematic review based on PRISMA guidelines.tif - AUTHOR'S ACCEPTED Version (default)
Available under License Creative Commons Attribution (CC-BY).

Download (319kB) | Preview
[img]
Preview
Image
Figure 2. Forest Plot showing the effect size (r) and associated 95% confidence intervals.tif - AUTHOR'S ACCEPTED Version (default)
Available under License Creative Commons Attribution (CC-BY).

Download (108kB) | Preview
[img]
Preview
Text
Table 2.pdf - Supplemental Material
Available under License Creative Commons Attribution (CC-BY).

Download (69kB) | Preview

Abstract or description

Background/Aims
Amblyopia is the most common condition affecting visual acuity in childhood. Left untreated it will not resolve itself, leading to increased risk of blindness. Occluding the good eye with a patch is a highly effective treatment if carried out before age 7 but compliance is a major problem. This systematic review addresses the question: How effective are existing interventions at increasing compliance to patching treatment in amblyopic children?
Methods
Electronic searches were carried out in June 2014 and updated in April 2015 to identify studies reporting primary data on interventions to increase patching compliance. Data screening, extraction and quality ratings were performed independently by two researchers.
Results
Nine papers were included. Interventions including an educational element (5 studies) significantly increased patching compliance and had higher quality ratings than interventions that changed aspects of the patching regime (3 studies) or involved supervised occlusion (1 study). Meta-analysis was conducted on four studies and indicated that overall interventions involving an educational element have a significant small effect r = 0.249, p < .001.
Conclusions
Interventions to increase patching compliance should include educational elements. High quality research is needed to further assess the effectiveness of specific elements of educational interventions and additional behaviour change techniques.

Item Type: Article
Subjects: B500 Ophthalmics
C800 Psychology
Faculty: Previous Faculty of Health Sciences > Psychology, Sport and Exercise
Depositing User: Sarah DEAN
Date Deposited: 07 Dec 2015 11:20
Last Modified: 07 Jun 2017 12:59
URI: http://eprints.staffs.ac.uk/id/eprint/2200

Actions (login required)

View Item View Item

DisabledGo Staffordshire University is a recognised   Investor in People. Sustain Staffs
Legal | Freedom of Information | Site Map | Job Vacancies
Staffordshire University, College Road, Stoke-on-Trent, Staffordshire ST4 2DE t: +44 (0)1782 294000