Predictors of adequate correction following vision screening failure

Ruth E. Manny, Loraine T. Sinnott, Lisa A. Jones-Jordan, Dawn Messer, John D Twelker, Susan A. Cotter, Robert N. Kleinstein, Mabel Crescioni

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose. To determine whether compliance with referral 1 year after vision screening failure was associated with care model, demographic, or ocular factors. Methods. Data were analyzed from 798 children in the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error Study with habitual logMAR visual acuity (VA) 0.26 (20/40 + 2 or worse) in either eye due to uncorrected or undercorrected refractive error and who returned the following year. The parents of 492 children failing in TX and CA were sent letters indicating the need for a complete vision examination (screening model), while 306 children seen primarily in AZ and AL received a free complete examination and eyeglasses if needed (complete care model). Presenting to follow-up with adequate correction (logMAR <0.26) in each eye was considered compliant. Logistic regression models for compliance were fit to assess whether care model, ethnicity, sex, age, uncorrected logMAR in the better eye, or parental income, education, or myopia were predictors. Results. Overall compliance was 28%. Age [p = 0.01, odds ratio (OR) = 1.12] and uncorrected logMAR (p < 0.001, OR = 1.13) were associated with compliance but care model, ethnicity, and sex were not. Among the 447 children for whom data on parental factors were available, 27% were compliant. In this model, age, ethnicity, sex, parental income, parental education, and parental myopia were not associated with compliance, but uncorrected logMAR (p = 0.005; OR = 1.13) was predictive. An interaction between unaided VA and care model predicted improved compliance with poorer unaided VA in the complete care model. Conclusions. Expensive complete care screening programs may not improve compliance over typical notification and referral screening protocols in school-aged children, unless unaided VA is worse than the common 20/40 referral criteria. Unaided VA had less impact on predicted compliance in the screening-only protocol.

Original languageEnglish (US)
Pages (from-to)892-900
Number of pages9
JournalOptometry and Vision Science
Volume89
Issue number6
DOIs
StatePublished - Jun 2012

Fingerprint

Vision Screening
Compliance
Visual Acuity
Refractive Errors
Referral and Consultation
Odds Ratio
Myopia
Logistic Models
Education
Parents
Demography

Keywords

  • compliance
  • optical correction
  • refractive error
  • school children
  • vision screening

ASJC Scopus subject areas

  • Ophthalmology
  • Optometry
  • Medicine(all)

Cite this

Manny, R. E., Sinnott, L. T., Jones-Jordan, L. A., Messer, D., Twelker, J. D., Cotter, S. A., ... Crescioni, M. (2012). Predictors of adequate correction following vision screening failure. Optometry and Vision Science, 89(6), 892-900. https://doi.org/10.1097/OPX.0b013e318255da73

Predictors of adequate correction following vision screening failure. / Manny, Ruth E.; Sinnott, Loraine T.; Jones-Jordan, Lisa A.; Messer, Dawn; Twelker, John D; Cotter, Susan A.; Kleinstein, Robert N.; Crescioni, Mabel.

In: Optometry and Vision Science, Vol. 89, No. 6, 06.2012, p. 892-900.

Research output: Contribution to journalArticle

Manny, RE, Sinnott, LT, Jones-Jordan, LA, Messer, D, Twelker, JD, Cotter, SA, Kleinstein, RN & Crescioni, M 2012, 'Predictors of adequate correction following vision screening failure', Optometry and Vision Science, vol. 89, no. 6, pp. 892-900. https://doi.org/10.1097/OPX.0b013e318255da73
Manny, Ruth E. ; Sinnott, Loraine T. ; Jones-Jordan, Lisa A. ; Messer, Dawn ; Twelker, John D ; Cotter, Susan A. ; Kleinstein, Robert N. ; Crescioni, Mabel. / Predictors of adequate correction following vision screening failure. In: Optometry and Vision Science. 2012 ; Vol. 89, No. 6. pp. 892-900.
@article{66a1d3d762aa442fb949cbeb3ef67674,
title = "Predictors of adequate correction following vision screening failure",
abstract = "Purpose. To determine whether compliance with referral 1 year after vision screening failure was associated with care model, demographic, or ocular factors. Methods. Data were analyzed from 798 children in the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error Study with habitual logMAR visual acuity (VA) 0.26 (20/40 + 2 or worse) in either eye due to uncorrected or undercorrected refractive error and who returned the following year. The parents of 492 children failing in TX and CA were sent letters indicating the need for a complete vision examination (screening model), while 306 children seen primarily in AZ and AL received a free complete examination and eyeglasses if needed (complete care model). Presenting to follow-up with adequate correction (logMAR <0.26) in each eye was considered compliant. Logistic regression models for compliance were fit to assess whether care model, ethnicity, sex, age, uncorrected logMAR in the better eye, or parental income, education, or myopia were predictors. Results. Overall compliance was 28{\%}. Age [p = 0.01, odds ratio (OR) = 1.12] and uncorrected logMAR (p < 0.001, OR = 1.13) were associated with compliance but care model, ethnicity, and sex were not. Among the 447 children for whom data on parental factors were available, 27{\%} were compliant. In this model, age, ethnicity, sex, parental income, parental education, and parental myopia were not associated with compliance, but uncorrected logMAR (p = 0.005; OR = 1.13) was predictive. An interaction between unaided VA and care model predicted improved compliance with poorer unaided VA in the complete care model. Conclusions. Expensive complete care screening programs may not improve compliance over typical notification and referral screening protocols in school-aged children, unless unaided VA is worse than the common 20/40 referral criteria. Unaided VA had less impact on predicted compliance in the screening-only protocol.",
keywords = "compliance, optical correction, refractive error, school children, vision screening",
author = "Manny, {Ruth E.} and Sinnott, {Loraine T.} and Jones-Jordan, {Lisa A.} and Dawn Messer and Twelker, {John D} and Cotter, {Susan A.} and Kleinstein, {Robert N.} and Mabel Crescioni",
year = "2012",
month = "6",
doi = "10.1097/OPX.0b013e318255da73",
language = "English (US)",
volume = "89",
pages = "892--900",
journal = "Optometry and Vision Science",
issn = "1040-5488",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Predictors of adequate correction following vision screening failure

AU - Manny, Ruth E.

AU - Sinnott, Loraine T.

AU - Jones-Jordan, Lisa A.

AU - Messer, Dawn

AU - Twelker, John D

AU - Cotter, Susan A.

AU - Kleinstein, Robert N.

AU - Crescioni, Mabel

PY - 2012/6

Y1 - 2012/6

N2 - Purpose. To determine whether compliance with referral 1 year after vision screening failure was associated with care model, demographic, or ocular factors. Methods. Data were analyzed from 798 children in the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error Study with habitual logMAR visual acuity (VA) 0.26 (20/40 + 2 or worse) in either eye due to uncorrected or undercorrected refractive error and who returned the following year. The parents of 492 children failing in TX and CA were sent letters indicating the need for a complete vision examination (screening model), while 306 children seen primarily in AZ and AL received a free complete examination and eyeglasses if needed (complete care model). Presenting to follow-up with adequate correction (logMAR <0.26) in each eye was considered compliant. Logistic regression models for compliance were fit to assess whether care model, ethnicity, sex, age, uncorrected logMAR in the better eye, or parental income, education, or myopia were predictors. Results. Overall compliance was 28%. Age [p = 0.01, odds ratio (OR) = 1.12] and uncorrected logMAR (p < 0.001, OR = 1.13) were associated with compliance but care model, ethnicity, and sex were not. Among the 447 children for whom data on parental factors were available, 27% were compliant. In this model, age, ethnicity, sex, parental income, parental education, and parental myopia were not associated with compliance, but uncorrected logMAR (p = 0.005; OR = 1.13) was predictive. An interaction between unaided VA and care model predicted improved compliance with poorer unaided VA in the complete care model. Conclusions. Expensive complete care screening programs may not improve compliance over typical notification and referral screening protocols in school-aged children, unless unaided VA is worse than the common 20/40 referral criteria. Unaided VA had less impact on predicted compliance in the screening-only protocol.

AB - Purpose. To determine whether compliance with referral 1 year after vision screening failure was associated with care model, demographic, or ocular factors. Methods. Data were analyzed from 798 children in the Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error Study with habitual logMAR visual acuity (VA) 0.26 (20/40 + 2 or worse) in either eye due to uncorrected or undercorrected refractive error and who returned the following year. The parents of 492 children failing in TX and CA were sent letters indicating the need for a complete vision examination (screening model), while 306 children seen primarily in AZ and AL received a free complete examination and eyeglasses if needed (complete care model). Presenting to follow-up with adequate correction (logMAR <0.26) in each eye was considered compliant. Logistic regression models for compliance were fit to assess whether care model, ethnicity, sex, age, uncorrected logMAR in the better eye, or parental income, education, or myopia were predictors. Results. Overall compliance was 28%. Age [p = 0.01, odds ratio (OR) = 1.12] and uncorrected logMAR (p < 0.001, OR = 1.13) were associated with compliance but care model, ethnicity, and sex were not. Among the 447 children for whom data on parental factors were available, 27% were compliant. In this model, age, ethnicity, sex, parental income, parental education, and parental myopia were not associated with compliance, but uncorrected logMAR (p = 0.005; OR = 1.13) was predictive. An interaction between unaided VA and care model predicted improved compliance with poorer unaided VA in the complete care model. Conclusions. Expensive complete care screening programs may not improve compliance over typical notification and referral screening protocols in school-aged children, unless unaided VA is worse than the common 20/40 referral criteria. Unaided VA had less impact on predicted compliance in the screening-only protocol.

KW - compliance

KW - optical correction

KW - refractive error

KW - school children

KW - vision screening

UR - http://www.scopus.com/inward/record.url?scp=84861807572&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84861807572&partnerID=8YFLogxK

U2 - 10.1097/OPX.0b013e318255da73

DO - 10.1097/OPX.0b013e318255da73

M3 - Article

VL - 89

SP - 892

EP - 900

JO - Optometry and Vision Science

JF - Optometry and Vision Science

SN - 1040-5488

IS - 6

ER -