Why is compliance with occlusion therapy for amblyopia so hard? A qualitative study

Archives of Disease in Childhood
M Dixon-WoodsIrene Gottlob

Abstract

To explore parents' perceptions and experiences of occlusion (patching) therapy for treatment of amblyopia in children. Qualitative study involving semistructured interviews with 25 families of a child with amblyopia being treated at a specialist clinic. Interviews were tape recorded and transcribed verbatim. Data analysis was based on the constant comparative method, assisted by qualitative analysis software. Parents of children prescribed patching treatment found themselves obliged to manage the treatment. This involved dilemmas and tensions, with many parents describing children's distress, particularly in the early stages of patching treatment. Parents were highly sensitive to the credibility of the treatment, but were sometimes confused by information given in the clinic or did not see clinic staff as authoritative. There was evidence that parents were likely to abandon or modify treatment if no improvement could be detected or if the child continued to suffer socially or educationally. Parents described a range of strategies for facilitating patching, including explanation; normalisation; rewards; customising the patch; establishing a routine; and enlisting the help of others. Whatever their practices in relation to patch...Continue Reading

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Mar 23, 2011·International Ophthalmology·Evgenia Kanonidou
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