Journal article
Impact of patching and atropine treatment on the child and family in the amblyopia treatment study
Archives of ophthalmology (1960), v 121(11), pp 1625-1632
01 Nov 2003
PMID: 14609923
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVETo assess the psychosocial impact on the child and family of patching and atropine as treatments for moderate amblyopia in children younger than 7 years.METHODSIn a randomized, controlled clinical trial, 419 children younger than 7 years with amblyopic eye visual acuity in the range of 20/40 to 20/100 were assigned to receive treatment with either patching or atropine at 47 clinical sites. After 5 weeks of treatment, a parental quality-of-life questionnaire was completed for 364 (87%) of the 419 patients. Main Outcome Measure Overall and subscale scores on the Amblyopia Treatment Index.RESULTSHigh internal validity and reliability were demonstrated for the Amblyopia Treatment Index questionnaire. The overall Amblyopia Treatment Index scores and the 3 subscale scores were consistently higher (worse) in the patching group compared with the atropine-treated group (overall mean, 2.52 vs 2.02, P<.001; adverse effects of treatment: mean, 2.35 vs 2.11, P =.002; difficulty with compliance: mean, 2.46 vs 1.99, P<.001; and social stigma: mean, 3.09 vs 1.84, P<.001, respectively).CONCLUSIONAlthough the Amblyopia Treatment Index questionnaire results indicated that both atropine and patching treatments were well tolerated by the child and family, atropine received more favorable scores overall and on all 3 questionnaire subscales.
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Details
- Title
- Impact of patching and atropine treatment on the child and family in the amblyopia treatment study
- Creators
- Jonathan M Holmes - New England College of OptometryRoy W Beck - New England College of OptometryRaymond T Kraker - New England College of OptometryStephen R Cole - New England College of OptometryMichael X Repka - New England College of OptometryEileen E Birch - SUNY College of OptometryJoost Felius - New England College of OptometryStephen P Christiansen - New England College of OptometryDavid K Coats - New England College of OptometryMarjean T Kulp - New England College of OptometryPediat Eye Dis Investigator GrpMitchell Scheiman - Pennsylvania College of Optometry (PCO)
- Publication Details
- Archives of ophthalmology (1960), v 121(11), pp 1625-1632
- Publisher
- American Medical Association
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pennsylvania College of Optometry (PCO)
- Web of Science ID
- WOS:000186467900017
- Scopus ID
- 2-s2.0-0242443388
- Other Identifier
- 991021900191104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Ophthalmology