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Parent, Teacher, and Student Perspectives on How Corrective Lenses Improve Child Wellbeing and School Function

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Abstract

Objectives Up to 20 % of school-age children have a vision problem identifiable by screening, over 80 % of which can be corrected with glasses. While vision problems are associated with poor school performance, few studies describe whether and how corrective lenses affect academic achievement and health. Further, there are virtually no studies exploring how children with correctable visual deficits, their parents, and teachers perceive the connection between vision care and school function. Methods We conducted a qualitative evaluation of Vision to Learn (VTL), a school-based program providing free corrective lenses to low-income students in Los Angeles. Nine focus groups with students, parents, and teachers from three schools served by VTL explored the relationships between poor vision, receipt of corrective lenses, and school performance and health. Results Twenty parents, 25 teachers, and 21 students from three elementary schools participated. Participants described how uncorrected visual deficits reduced students’ focus, perseverance, and class participation, affecting academic functioning and psychosocial stress; how receiving corrective lenses improved classroom attention, task persistence, and willingness to practice academic skills; and how serving students in school rather than in clinics increased both access to and use of corrective lenses. Conclusions for Practice Corrective lenses may positively impact families, teachers, and students coping with visual deficits by improving school function and psychosocial wellbeing. Practices that increase ownership and use of glasses, such as serving students in school, may significantly improve both child health and academic performance.

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References

  1. Basch, C. E. (2011). Vision and the achievement gap among urban minority youth. Journal of School Health, 81(10), 599–605.

    Article  PubMed  Google Scholar 

  2. CDC. (2010). Building a basis for action: Enhancing public health surveillance of visual impairment and eye health in the United States. Atlanta: Centers for Disease Control and Prevention.

    Google Scholar 

  3. Egerter, B., Sadegh-Nobarl, T., Grossman-Kahn, R., & Dekker, M. (2009). Issue brief 8: Education and health. In Robert Wood Johnson Foundation Commission to Build a Healthier America (pp. 1–15). http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2011/rwjf70447.

  4. Ethan, D., & Basch, C. E. (2008). Promoting healthy vision in students: Progress and challenges in policy, programs, and research. Journal of School Health, 78(8), 411–416.

    Article  PubMed  Google Scholar 

  5. Ethan, D., Basch, C. E., Platt, R., Bogen, E., & Zybert, P. (2010). Implementing and evaluating a school-based program to improve childhood vision. Journal of School Health, 80(7), 340–345. doi:10.1111/j.1746-1561.2010.00511.x.

    Article  PubMed  Google Scholar 

  6. Freudenberg, N., & Ruglis, J. (2007). Reframing school dropout as a public health issue. Preventing Chronic Disease, 4(4), A107.

    PubMed  PubMed Central  Google Scholar 

  7. Fulk, G. W., & Goss, D. A. (2001). Relationship between refractive status and teacher evaluations of school achievement. Journal of Optometric Vision Development, 32(2), 80–82.

    Google Scholar 

  8. Glaser, B. G., & Strauss, A. L. (2009). The discovery of grounded theory: Strategies for qualitative research. Piscataway: Transaction Books.

    Google Scholar 

  9. Goldstand, S., Koslowe, K. C., & Parush, S. (2005). Vision, visual-information processing, and academic performance among seventh-grade schoolchildren: A more significant relationship than we thought? The American Journal of Occupational Therapy, 59(4), 377–389. doi:10.5014/ajot.59.4.377.

    Article  PubMed  Google Scholar 

  10. Hagan, J. F., Shaw, J. S., & Duncan, P. M. (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents. Elk Grove Village, IL: American Academy of Pediatrics.

    Google Scholar 

  11. Johnson, R., Nottingham, D., Strutton, R., & Zaba, J. (1996). The vision screening of academically and behaviorally at-risk pupils. Journal of Behavioral Optometry, 7, 39–42.

    Google Scholar 

  12. Kemper, A. R., Cohn, L. M., & Dombkowski, K. J. (2004). Patterns of vision care among medicaid-enrolled children. Pediatrics, 113(3), e190–e196.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Kimel, L. S. (2006). Lack of follow-up exams after failed school vision screenings: an investigation of contributing factors. The Journal of School Nursing, 22(3), 156–162.

    Article  PubMed  Google Scholar 

  14. Kleinstein, R. N., Jones, L. A., Hullett, S., et al. (2003). Refractive error and ethnicity in children. Archives of Ophthalmology, 121(8), 1141–1147. doi:10.1001/archopht.121.8.1141.

    Article  PubMed  Google Scholar 

  15. Kodjebacheva, G., Brown, E. R., Estrada, L., Yu, F., & Coleman, A. L. (2011). Uncorrected refractive error among first-grade students of different racial/ethnic groups in Southern California: Results a year after school-mandated vision screening. Journal of Public Health Management and Practice, 17(6), 499–505.

    Article  PubMed  Google Scholar 

  16. Kodjebacheva, G. D., Maliski, S., & Coleman, A. L. (2014). Use of eyeglasses among children in elementary school: Perceptions, behaviors, and interventions discussed by parents, school nurses, and teachers during focus groups. American Journal of Health Promotion, 29(5), 324–331.

    Article  PubMed  Google Scholar 

  17. Krumholtz, I. (2000). Results from a pediatric vision screening and its ability to predict academic performance. Optometry (St. Louis, Mo.), 71(7), 426–430.

    CAS  Google Scholar 

  18. Kulp, M. T., & Schmidt, P. P. (1996). Visual predictors of reading performance in kindergarten and first grade children. Optometry and Vision Science, 73(4), 255–262.

    Article  CAS  PubMed  Google Scholar 

  19. Lyons, S. A., Johnson, C., & Majzoub, K. (2011). School based vision centers: Striving to optimize learning. Work: A Journal of Prevention, Assessment and Rehabilitation, 39(1), 15–19.

    Google Scholar 

  20. Maples, W. (2003). Visual factors that significantly impact academic performance. Optometry (St. Louis), 74(1), 35–49.

    CAS  Google Scholar 

  21. Marsh-Tootle, W. L., Wall, T. C., Tootle, J. S., Person, S. D., & Kristofco, R. E. (2008). Quantitative pediatric vision screening in primary care settings in Alabama. Optometry and Vision Science: Official Publication of the American Academy of Optometry, 85(9), 849.

    Article  Google Scholar 

  22. Marshall, E. C., Meetz, R. E., & Harmon, L. E. L. (2010). Through our children’s eyes—The public health impact of the vision screening requirements for Indiana school children. Optometry—Journal of the American Optometric Association, 81(2), 71–82. doi:10.1016/j.optm.2009.04.099.

    Article  Google Scholar 

  23. Mathers, M., Keyes, M., & Wright, M. (2010). A review of the evidence on the effectiveness of children’s vision screening. Child: Care, Health and Development, 36(6), 756–780. doi:10.1111/j.1365-2214.2010.01109.x.

    CAS  Google Scholar 

  24. Messer, D. H., Mitchell, G. L., Twelker, J. D., Crescioni, M., & Group, T. C. S. (2012). Spectacle wear in children given spectacles through a school-based program. Optometry and Vision Science, 89(1), 19–26. doi:10.1097/OPX.1090b1013e3182357f3182358c.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Powell, C., Wedner, S., & Hatt, S. (2004). Vision screening for correctable visual acuity deficits in school-age children and adolescents. Cochrane Database System Review. doi:10.1002/14651858.CD005023.pub2.

  26. Preslan, M. W., & Novak, A. (1998). Baltimore vision screening project: Phase 2. Ophthalmology, 105(1), 150–153. doi:10.1016/S0161-6420(98)91813-9.

    Article  CAS  PubMed  Google Scholar 

  27. Roch-Levecq, A.-C., Brody, B. L., Thomas, R. G., & Brown, S. I. (2008). Ametropia, preschoolers’ cognitive abilities, and effects of spectacle correction. Archives of Ophthalmology, 126(2), 252.

    Article  PubMed  Google Scholar 

  28. Sharma, A., Congdon, N., Patel, M., & Gilbert, C. (2012). School-based approaches to the correction of refractive error in children. Survey of Ophthalmology, 57(3), 272–283.

    Article  PubMed  Google Scholar 

  29. Shin, H. S., Park, S. C., & Park, C. M. (2009). Relationship between accommodative and vergence dysfunctions and academic achievement for primary school children. Ophthalmic and Physiological Optics, 29(6), 615–624. doi:10.1111/j.1475-1313.2009.00684.x.

    Article  PubMed  Google Scholar 

  30. Topitzes, J., Godes, O., Mersky, J. P., Ceglarek, S., & Reynolds, A. J. (2009). Educational success and adult health: findings from the Chicago longitudinal study. Prevention Science, 10(2), 175–195. doi:10.1007/s11121-009-0121-5.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Vaughn, W., Maples, W. C., & Hoenes, R. (2006). The association between vision quality of life and academics as measured by the College of Optometrists in Vision Development Quality of Life questionnaire. Optometry—Journal of the American Optometric Association, 77(3), 116–123.

    Article  Google Scholar 

  32. Vitale, S., Cotch, M., & Sperduto, R. D. (2006). Prevalence of visual impairment in the United States. JAMA, 295(18), 2158–2163. doi:10.1001/jama.295.18.2158.

    Article  CAS  PubMed  Google Scholar 

  33. Winkleby, J., & Frank, F. (1992). Socioeconomic status and health: How education, income and occupation contribute to risk factors for cardiovascular disease. American Journal of Public Health, 82, 816–820. doi:10.2105/AJPH.82.6.816.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Yawn, B. P., Lydick, E. G., Epstein, R., & Jacobsen, S. J. (1996). Is school vision screening effective? Journal of School Health, 66(5), 171–175. doi:10.1111/j.1746-1561.1996.tb06269.x.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We would like to thank the students, parents, and teachers for their enthusiastic participation in this study. This study was supported by a grant from Vision To Learn and the UCLA Children’s Discovery and Innovation Institute, and NIH/National Center for Advancing Translational Science (UL1TR000124). The content is solely the responsibility of the authors and does not necessarily represent the official views of the funders.

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Correspondence to Rebecca N. Dudovitz.

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Human Subjects Approval Statement

This study was approved by institutional review boards at both the University of California Los Angeles and the Los Angeles Unified School District.

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Dudovitz, R.N., Izadpanah, N., Chung, P.J. et al. Parent, Teacher, and Student Perspectives on How Corrective Lenses Improve Child Wellbeing and School Function. Matern Child Health J 20, 974–983 (2016). https://doi.org/10.1007/s10995-015-1882-z

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