Preschool Vision Screening by Parental Risk Factor Questionnaire

通过家长危险因素问卷进行学前视力筛查

基本信息

批准号：
8706880
负责人：
RUTH E MANNY
金额：
$ 20.04万
依托单位：
UNIVERSITY OF HOUSTON
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-01 至 2016-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8706880
关键词：
1 year old 3 year old Academy Adult Advisory Committees Age Amblyopia American Asthenopia Betula Genus Binocular Vision Birth Caring Categories Child Childhood Clinical Trials Design Development Diplopia Early Diagnosis Early identification Early treatment Eye Eye diseases Family Fern Tests Future Goals Guidelines Health Healthcare Healthcare Systems Healthy People 2020 Human Resources Infant Interview Literature Measurement Methods Motor National Eye Institute Nursery Schools Ophthalmic examination and evaluation Parents Pediatrics Physicians Preschool Child Preventive Questionnaires Recommendation Reflex action Refractive Errors Reporting Research Resources Review Literature Risk Risk Factors Sampling Sampling Studies Schedule Services Speed Strabismus Technology Testing Time Training Triage United States Dept. of Health and Human Services Vision Vision Disorders Vision Screening Visual Acuity Visual system structure age group care seeking cost disability falls improved novel strategies pediatrician population based public health relevance screening success tool

项目摘要

DESCRIPTION (provided by applicant): Vision disorders such as significant refractive errors, amblyopia, and strabismus impact the developing visual system of 2 to 5% of preschool children. The long-term sequelae of these conditions that degrade visual acuity (VA) and/or binocular vision can be minimized by early detection and treatment. While early detection through a comprehensive eye examination of every infant is the ideal, the vast majority of infants and young children are without significant vision problems. Directing the limited health care resources towards those with problems or who are at risk for developing future vision problems through vision screening is a more reasoned and attainable approach. Currently, the primary responsibility for screening preschoolers for vision anomalies falls to pediatricians and family practitioners who rely on the direct measurement of one or more aspects of vision. Screening guidelines suggest inspection of eye health and red reflex at birth and 6 months to 1 year of age with VA and alignment added to the screening at age 3 to 3.5 years. Despite its common use, the efficacy of the red reflex test in screening has not been evaluated and concern over high false positive rates when used by non-ophthalmologist or in infants < 8 months suggest significant limitations. The lack of evidence to support routine vision screening in children less than 3 is reflected in the 2011 recommendations of the US Preventive Services Task Force (USPSTF) that excludes children less than 3 previously included in the 2004 recommendations. The long-term objective of this research is to provide sufficient evidence to restructure the current vision screening recommendations for children less than 3 years. The first step towards this goal and the aim of this application is to develop and validate a risk factors screening questionnaire that can be easily completed by a parent. The questionnaire will triage children into one of 3 categories that will direct the parent to: 1) schedule an eye examination as soon as possible, 2) schedule additional screening by trained personnel using existing/evolving technologies or 3) defer examination at age 3 to 5 years. A parent completed questionnaire will ease the time burden vision screening currently places on pediatricians and family practitioners and will reduce one of the often cited barriers to implementing vision screening by busy physicians. This targeted and tiered approach to vision screening will improve the efficiency and accuracy of our current, often cursory and fragmented, screening efforts. Early identification of those in need of additional assessment and/or care, through a low or no cost, widely accessible, valid and reliable questionnaire, will more effectively utilize the limited manpower and financial resources of the strained health care system.

描述（由申请人提供）：严重屈光不正、弱视和斜视等视力障碍影响 2% 至 5% 的学龄前儿童视觉系统的发育。通过早期发现和治疗，可以最大限度地减少这些导致视力 (VA) 和/或双眼视力下降的疾病的长期后遗症。虽然通过对每个婴儿进行全面眼部检查进行早期发现是理想的选择，但绝大多数婴幼儿都没有明显的视力问题。通过视力筛查将有限的医疗保健资源用于那些有视力问题或未来有可能出现视力问题的人是一种更合理、更可行的方法。目前，筛查学龄前儿童视力异常的主要责任落在儿科医生和家庭医生身上，他们依靠直接测量视力的一个或多个方面。筛查指南建议在出生时和 6 个月至 1 岁时检查眼睛健康状况和红反射，并在 3 至 3.5 岁时将 VA 和排列添加到筛查中。尽管红反射测试很常见，但其在筛查中的功效尚未得到评估，而且非眼科医生或 8 个月以下婴儿使用时对高假阳性率的担忧表明存在很大的局限性。美国预防服务工作组 (USPSTF) 2011 年的建议反映了缺乏证据支持对 3 岁以下儿童进行常规视力筛查，该建议排除了 2004 年建议中之前包含的 3 岁以下儿童。这项研究的长期目标是提供足够的证据来重组当前针对 3 岁以下儿童的视力筛查建议。实现这一目标和本应用程序的目的的第一步是开发和验证可由家长轻松完成的风险因素筛查问卷。调查问卷将儿童分为 3 类之一，指导家长：1) 尽快安排眼科检查，2) 安排经过培训的人员使用现有/不断发展的技术进行额外筛查，或 3) 将 3 岁时的检查推迟到5年。家长填写的问卷将减轻目前视力筛查给儿科医生和家庭医生带来的时间负担，并将减少忙碌的医生实施视力筛查时经常提到的障碍之一。这种有针对性的分层视力筛查方法将提高我们当前粗略且分散的筛查工作的效率和准确性。通过低成本或免费、广泛使用、有效和可靠的调查问卷，及早识别那些需要额外评估和/或护理的人，将更有效地利用紧张的卫生保健系统有限的人力和财政资源。

项目成果

期刊论文数量（1）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Excess Transforming Growth Factor-α Changed the Cell Properties of Corneal Epithelium and Stroma.

过量的转化生长因子-α 改变了角膜上皮和基质的细胞特性。

DOI：
10.1167/iovs.61.8.20
发表时间：
2020
期刊：
Investigative ophthalmology & visual science
影响因子：
4.4
作者：
Zhang,Lingling;Yuan,Yong;Yeh,Lung-Kun;Dong,Fei;Zhang,Jianhua;Okada,Yuka;Kao,WinstonWY;Liu,Chia-Yang;Zhang,Yujin
通讯作者：
Zhang,Yujin