Abstract | 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.
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Authors | Carolyn D Drews-Botsch, E Eugenie Hartmann, Marianne Celano, Infant Aphakia Treatment Study Group |
Journal | Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
(J AAPOS)
Vol. 16
Issue 2
Pg. 150-5
(Apr 2012)
ISSN: 1528-3933 [Electronic] United States |
PMID | 22525171
(Publication Type: Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial)
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Copyright | Copyright © 2012 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved. |
Topics |
- 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)
- Sensory Deprivation
- Surveys and Questionnaires
- Visual Acuity
(physiology)
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