RT Journal Article
SR Electronic
T1 Psychological causes of non-compliance with electronically monitored occlusion therapy for amblyopia
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 1499
OP 1503
DO 10.1136/bjo.2008.149815
VO 93
IS 11
A1 Loudon, S E
A1 Passchier, J
A1 Chaker, L
A1 de Vos, S
A1 Fronius, M
A1 Harrad, R A
A1 Looman, C W N
A1 Simonsz, B
A1 Simonsz, H J
YR 2009
UL http://bjo.bmj.com/content/93/11/1499.abstract
AB Aim: To analyse psychological causes for low compliance with occlusion therapy for amblyopia.Method: In a randomised trial, the effect of an educational programme on electronically measured compliance had been assessed. 149 families who participated in this trial completed a questionnaire based on the Protection Motivation Theory after 8 months of treatment. Families with compliance less than 20% of prescribed occlusion hours were interviewed to better understand their cause for non-compliance.Results: Poor compliance was most strongly associated with a high degree of distress (p<0.001), followed by low perception of vulnerability (p = 0.014), increased stigma (p = 0.017) and logistical problems with treatment (p = 0.044). Of 44 families with electronically measured compliance less than 20%, 28 could be interviewed. The interviews confirmed that lack of knowledge, distress and logistical problems resulted in non-compliance.Conclusion: Poor parental knowledge, distress and difficulties implementing treatment seemed to be associated with non-compliance. For the same domains, the scores were more favourable for families who had received the educational programme than for those who had not.