Parental determinants of compliance with occlusion therapy for ambliopic children
Autor(a) principal: | |
---|---|
Data de Publicação: | 2008 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25758/set.84 |
Resumo: | Aims - Recent investigation studies apply to the fact that in spite of occlusive therapy about 1/3 of the amblyopic eyes don’t reach the visual acuity of 5/10. One of the reasons is the non-compliance with the treatment. The aim of this study is to evaluate the influence of psychosocial factors in the parental compliance of occlusive therapy in children with amblyopia and to determine the existence of significant differences between the Orthoptist’s recommendations, parental perception of these recommendations, and behaviour. Methods - To achieve the objective a Quantitative transversal study was delivered. Parents of amblyopic children (n=100) receiving occlusion therapy in a public hospital and a private clinic in Lisbon, participated in this study. Parents were asked to complete a questionnaire based on Roger’s Protection Motivation theory, also known as PMT. The parental variables analysed were severity, vulnerability, self-efficacy, behaviour intentions, perceived efficacy, and treatment barriers. Additionally, other variables were analysed such as parental perception of the occlusion prescription and parental behaviour. Results - The results show that 72% of the parents were complying with Orthoptist recommendations to patch their child against a percentage of 28% that didn’t comply. Perceived efficacy (p=0,011) and behaviour intention (p=0,015) were positively associated with compliance with therapy (!= 0,05). There is a positive mild correlation (kappa=0,536) between the Orthoptist’s recommendations and parental perception of these recommendations. There is a strong correlation (kappa=0,700) between the perception of hours of occlusion and the behaviour. Conclusions - It can be concluded that the perception of the benefits of recommended therapy provoked a coping response and the parental behaviour intention to comply with occlusive therapy. This means that the positive intention to go ahead with the treatment and the perceived efficacy in enhancing visual acuity may predict parental compliance. The compliance will be better if the parental perception of the adopted behaviour is associated with the better rehabilitation of their child, which was demonstrated in the current investigation. |
id |
RCAP_e2f483709319943e3318e70bac49da6b |
---|---|
oai_identifier_str |
oai:journals.ipl.pt:article/764 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Parental determinants of compliance with occlusion therapy for ambliopic childrenFactores determinantes na adesão parental ao tratamento oclusivo em crianças amblíopesAdesãoTerapia oclusivaIntenções de comportamentoEficácia da respostaAmbliopiaCriançaComplianceOcclusive therapyPerceived efficacyBehavior intentionAmblyopiaChildAims - Recent investigation studies apply to the fact that in spite of occlusive therapy about 1/3 of the amblyopic eyes don’t reach the visual acuity of 5/10. One of the reasons is the non-compliance with the treatment. The aim of this study is to evaluate the influence of psychosocial factors in the parental compliance of occlusive therapy in children with amblyopia and to determine the existence of significant differences between the Orthoptist’s recommendations, parental perception of these recommendations, and behaviour. Methods - To achieve the objective a Quantitative transversal study was delivered. Parents of amblyopic children (n=100) receiving occlusion therapy in a public hospital and a private clinic in Lisbon, participated in this study. Parents were asked to complete a questionnaire based on Roger’s Protection Motivation theory, also known as PMT. The parental variables analysed were severity, vulnerability, self-efficacy, behaviour intentions, perceived efficacy, and treatment barriers. Additionally, other variables were analysed such as parental perception of the occlusion prescription and parental behaviour. Results - The results show that 72% of the parents were complying with Orthoptist recommendations to patch their child against a percentage of 28% that didn’t comply. Perceived efficacy (p=0,011) and behaviour intention (p=0,015) were positively associated with compliance with therapy (!= 0,05). There is a positive mild correlation (kappa=0,536) between the Orthoptist’s recommendations and parental perception of these recommendations. There is a strong correlation (kappa=0,700) between the perception of hours of occlusion and the behaviour. Conclusions - It can be concluded that the perception of the benefits of recommended therapy provoked a coping response and the parental behaviour intention to comply with occlusive therapy. This means that the positive intention to go ahead with the treatment and the perceived efficacy in enhancing visual acuity may predict parental compliance. The compliance will be better if the parental perception of the adopted behaviour is associated with the better rehabilitation of their child, which was demonstrated in the current investigation.Introdução - Estudos de investigação recentes apontam para o facto de que cerca de 1/3 dos olhos amblíopes não chegam à acuidade visual de 5/10 apesar da terapia oclusiva. Uma das razões apontadas é a não adesão ao tratamento. O objectivo do presente estudo é contribuir para a determinação do grau de influência dos factores psicossociais na adesão à terapia oclusiva por parte dos pais de crianças amblíopes e avaliar se existem diferenças significativas entre as recomendações do Ortoptista, a percepção parental dessas mesmas recomendações e o comportamento descrito. Metodologia - Foi efectuado um estudo quantitativo transversal, no qual participaram pais de crianças amblíopes (n=100), a realizar tratamento oclusivo num hospital público e numa clínica privada em Lisboa. Os pais responderam a um questionário baseado na Teoria da Motivação e Protecção (TMP) de Rogers, no qual foram analisadas variáveis parentais como a gravidade, vulnerabilidade, auto-eficácia, intenções de comportamento, eficácia da resposta e barreiras ao tratamento. Adicionalmente, foram analisadas as variáveis percepção parental do número de horas de oclusão e comportamento parental descrito. Resultados - Os resultados apontam para uma percentagem de 72% de adesão parental ao tratamento oclusivo e uma percentagem de 28% de não adesão. As variáveis intenções de comportamento (p=0,015) e eficácia da resposta (p=0,011) demonstraram ser significativas na predição da adesão parental ao tratamento oclusivo em crianças amblíopes (!= 0,05). Foi detectada uma correlação positiva moderada (kappa=0,536) entre o número de horas de oclusão recomendado pelo Ortoptista e a percepção parental dessas mesmas recomendações e uma correlação positiva forte (kappa=0,700) entre o número de horas de oclusão percepcionadas e o comportamento descrito. Conclusões - A prévia noção por parte dos pais de que o tratamento é uma mais-valia com consequências benéficas, provoca o desenvolvimento de uma resposta adaptativa de coping, neste caso de adesão ao tratamento oclusivo. A intenção positiva dos pais para realizar o tratamento e a prévia noção da sua eficácia na melhoria da acuidade visual da criança são preditivas da adesão por parte destes. Nesse sentido a probabilidade da adesão ao tratamento será maior se os pais associarem a adopção do comportamento recomendado à melhoria do estado de saúde das crianças, o que de facto foi demonstrado por esta investigação.Escola Superior de Tecnologia da Saúde de Lisboa (Instituto Politécnico de Lisboa)2008-11-15info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.25758/set.84https://doi.org/10.25758/set.84Saúde e Tecnologia; No. 02 (2008): Novembro 2008; 16-20Saúde & Tecnologia; N.º 02 (2008): Novembro 2008; 16-201646-9704reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://journals.ipl.pt/stecnologia/article/view/764https://journals.ipl.pt/stecnologia/article/view/764/653Direitos de Autor (c) 2023 Saúde & Tecnologiainfo:eu-repo/semantics/openAccessCosta, CarlaCunha, AnaEstrada, InêsMatos, JoanaVitorino, DanielaReich D'Almeida, IsabelAndrade, GraçaCarolino, Elisabete2023-05-12T08:30:27Zoai:journals.ipl.pt:article/764Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:46:05.803152Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Parental determinants of compliance with occlusion therapy for ambliopic children Factores determinantes na adesão parental ao tratamento oclusivo em crianças amblíopes |
title |
Parental determinants of compliance with occlusion therapy for ambliopic children |
spellingShingle |
Parental determinants of compliance with occlusion therapy for ambliopic children Costa, Carla Adesão Terapia oclusiva Intenções de comportamento Eficácia da resposta Ambliopia Criança Compliance Occlusive therapy Perceived efficacy Behavior intention Amblyopia Child |
title_short |
Parental determinants of compliance with occlusion therapy for ambliopic children |
title_full |
Parental determinants of compliance with occlusion therapy for ambliopic children |
title_fullStr |
Parental determinants of compliance with occlusion therapy for ambliopic children |
title_full_unstemmed |
Parental determinants of compliance with occlusion therapy for ambliopic children |
title_sort |
Parental determinants of compliance with occlusion therapy for ambliopic children |
author |
Costa, Carla |
author_facet |
Costa, Carla Cunha, Ana Estrada, Inês Matos, Joana Vitorino, Daniela Reich D'Almeida, Isabel Andrade, Graça Carolino, Elisabete |
author_role |
author |
author2 |
Cunha, Ana Estrada, Inês Matos, Joana Vitorino, Daniela Reich D'Almeida, Isabel Andrade, Graça Carolino, Elisabete |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Costa, Carla Cunha, Ana Estrada, Inês Matos, Joana Vitorino, Daniela Reich D'Almeida, Isabel Andrade, Graça Carolino, Elisabete |
dc.subject.por.fl_str_mv |
Adesão Terapia oclusiva Intenções de comportamento Eficácia da resposta Ambliopia Criança Compliance Occlusive therapy Perceived efficacy Behavior intention Amblyopia Child |
topic |
Adesão Terapia oclusiva Intenções de comportamento Eficácia da resposta Ambliopia Criança Compliance Occlusive therapy Perceived efficacy Behavior intention Amblyopia Child |
description |
Aims - Recent investigation studies apply to the fact that in spite of occlusive therapy about 1/3 of the amblyopic eyes don’t reach the visual acuity of 5/10. One of the reasons is the non-compliance with the treatment. The aim of this study is to evaluate the influence of psychosocial factors in the parental compliance of occlusive therapy in children with amblyopia and to determine the existence of significant differences between the Orthoptist’s recommendations, parental perception of these recommendations, and behaviour. Methods - To achieve the objective a Quantitative transversal study was delivered. Parents of amblyopic children (n=100) receiving occlusion therapy in a public hospital and a private clinic in Lisbon, participated in this study. Parents were asked to complete a questionnaire based on Roger’s Protection Motivation theory, also known as PMT. The parental variables analysed were severity, vulnerability, self-efficacy, behaviour intentions, perceived efficacy, and treatment barriers. Additionally, other variables were analysed such as parental perception of the occlusion prescription and parental behaviour. Results - The results show that 72% of the parents were complying with Orthoptist recommendations to patch their child against a percentage of 28% that didn’t comply. Perceived efficacy (p=0,011) and behaviour intention (p=0,015) were positively associated with compliance with therapy (!= 0,05). There is a positive mild correlation (kappa=0,536) between the Orthoptist’s recommendations and parental perception of these recommendations. There is a strong correlation (kappa=0,700) between the perception of hours of occlusion and the behaviour. Conclusions - It can be concluded that the perception of the benefits of recommended therapy provoked a coping response and the parental behaviour intention to comply with occlusive therapy. This means that the positive intention to go ahead with the treatment and the perceived efficacy in enhancing visual acuity may predict parental compliance. The compliance will be better if the parental perception of the adopted behaviour is associated with the better rehabilitation of their child, which was demonstrated in the current investigation. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-11-15 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25758/set.84 https://doi.org/10.25758/set.84 |
url |
https://doi.org/10.25758/set.84 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://journals.ipl.pt/stecnologia/article/view/764 https://journals.ipl.pt/stecnologia/article/view/764/653 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2023 Saúde & Tecnologia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2023 Saúde & Tecnologia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Escola Superior de Tecnologia da Saúde de Lisboa (Instituto Politécnico de Lisboa) |
publisher.none.fl_str_mv |
Escola Superior de Tecnologia da Saúde de Lisboa (Instituto Politécnico de Lisboa) |
dc.source.none.fl_str_mv |
Saúde e Tecnologia; No. 02 (2008): Novembro 2008; 16-20 Saúde & Tecnologia; N.º 02 (2008): Novembro 2008; 16-20 1646-9704 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799131544388894720 |