Document Detail


Predictors of adherence to occlusion therapy 3 months after cataract extraction in the Infant Aphakia Treatment Study.
MedLine Citation:
PMID:  22525171     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Little information is available on factors that predict adherence to patching in infants. We evaluated data from the Infant Aphakia Treatment Study, a randomized clinical trial of treatment for infants with unilateral congenital cataracts, to investigate factors associated with successful adherence to patching protocols.
METHODS: In the Infant Aphakia Treatment Study, patching was prescribed 1 hour daily per month of age until 8 months of age and 50% of waking hours thereafter. A centrally located staff member inquired about the patient's adherence to patching in a phone interview with the primary caregiver. Analyses used χ(2) tests of independence and logistic regression to identify predictors of reported adherence and of achieving adherence rates of at least 75% ("good") and 90% ("excellent").
RESULTS: A total of 104 caregivers provided data on patching 3 months after surgery, at which time 60% reported patching at least 75% of the prescribed time. Reported adherence was not associated with the type of treatment (P = 0.73) but was better in children with private insurance (P = 0.01) and for children with mothers reporting lower levels of parenting stress (P = 0.03).
CONCLUSIONS: Most caregivers reported being able to adhere to prescribed patching shortly after extraction of a unilateral congenital cataract. The type of correction (intraocular lens vs contact lens) was not associated with the amount of patching achieved, whereas family socioeconomic status and maternal stress appeared to play a role.
Authors:
Carolyn D Drews-Botsch; E Eugenie Hartmann; Marianne Celano;
Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus     Volume:  16     ISSN:  1528-3933     ISO Abbreviation:  J AAPOS     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-24     Completed Date:  2012-06-29     Revised Date:  2013-06-25    
Medline Journal Info:
Nlm Unique ID:  9710011     Medline TA:  J AAPOS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  150-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA. Cdrews@sph.emory.edu
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MeSH Terms
Descriptor/Qualifier:
Amblyopia / etiology,  prevention & control*
Aphakia, Postcataract / etiology,  therapy*
Caregivers
Cataract / congenital
Cataract Extraction*
Contact Lenses*
Female
Humans
Infant
Lens Implantation, Intraocular*
Male
Patient Compliance / statistics & numerical data*
Questionnaires
Sensory Deprivation*
Visual Acuity / physiology
Grant Support
ID/Acronym/Agency:
U10 EY013272-09/EY/NEI NIH HHS; U10 EY013287-09/EY/NEI NIH HHS
Investigator
Investigator/Affiliation:
Scott R Lambert / ; Lindreth DuBois / ; Michael Lynn / ; Betsy Bridgman / ; Marianne Celano / ; Julia Cleveland / ; George Cotsonis / ; Carey Drews-Botsch / ; Nana Freret / ; Lu Lu / ; Azhar Nizam / ; Seegar Swanson / ; Thandeka Tutu-Gxashe / ; E Eugenie Hartmann / ; Clara Edwards / ; Claudio Busettini / ; Samuel Hayley / ; Scott R Lambert / ; Edward G Buckley / ; David A Plager / ; M Edward Wilson / ; Michael Lynn / ; Lindreth DuBois / ; Carolyn Drews-Botsch / ; E Eugenie Hartmann / ; Donald F Everett / ; Buddy Russell / ; Michael Ward / ; M Edward Wilson / ; Margaret Bozic / ; Deborah K VanderVeen / ; Theresa A Mansfield / ; Kathryn Bisceglia Miller / ; Stephen P Christiansen / ; Erick D Bothun / ; Ann Holleschau / ; Jason Jedlicka / ; Patricia Winters / ; Elias I Traboulsi / ; Susan Crowe / ; Heather Hasley Cimino / ; Kimberly G Yen / ; Maria Castanes / ; Alma Sanchez / ; Shirley York / ; David T Wheeler / ; Ann U Stout / ; Paula Rauch / ; Kimberly Beaudet / ; Pam Berg / ; Scott R Lambert / ; Amy K Hutchinson / ; Lindreth DuBois / ; Rachel Robb / ; Marla J Shainberg / ; Edward G Buckley / ; Sharon F Freedman / ; Lois Duncan / ; B W Phillips / ; John T Petrowski / ; David Morrison / ; Sandy Owings / ; Ron Biernacki / ; Christine Franklin / ; David A Plager / ; Daniel E Neely / ; Michele Whitaker / ; Donna Bates / ; Dana Donaldson / ; Stacey Kruger / ; Charlotte Tibi / ; Susan Vega / ; David R Weakley / ; David R Stager / ; Joost Felius / ; Clare Dias / ; Debra L Sager / ; Todd Brantley / ; Robert Hardy / ; Eileen Birch / ; Ken Cheng / ; Richard Hertle / ; Craig Kollman / ; Marshalyn Yeargin-Allsopp / ; Cyd McDowell / ; Donald F Everett / ; Allen Beck /
Comments/Corrections

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