BACKGROUND Primary objective of this review was to measure compliance with spectacle use in children with refractive errors. Secondary objective was to understand the reasons for non-compliance. METHODS The databases searched were Ovid, EMBASE, CINAHL and Pubmed. All studies up to March, 2018 were included. The search terms were- ((((((Compliance [Title/Abstract]) OR Adherence [Title/Abstract]) OR Compliant [Title/Abstract]) OR Adherent [Title/Abstract])) AND (((Spectacle [Title/Abstract]) OR Spectacles [Title/Abstract]) OR Eye Glasses [Title/Abstract])) AND ((((Child [Title/Abstract]) OR Children [Title/Abstract]) OR Adolescent [Title/Abstract]) OR Adolescents [Title/Abstract]). Two researchers independently searched the databases and initial screening obtained 33 articles. The PRISMA guidelines were followed for conducting and writing the systematic review. Two reviewers assessed data quality independently using the Quality Assessment tool for systematic reviews of observational studies (QATSO). Poor quality studies were those, which had a score of less than 33% on the QATSO tool. Sensitivity analysis was done to determine if poor quality studies effected compliance. Galbraith plot was used to investigate statistical heterogeneity amongst studies. A random effects model was used to pool compliance. RESULTS Twenty-three studies were included in the review, of which 20 were included in the quantitative analysis. All the studies were cross sectional. The overall compliance with spectacle use was 40.14% (95% CI- 32.78-47.50). The compliance varied from 9.84% (95% CI = 2.36-17.31) to 78.57% (95% CI = 68.96-88.18). The compliance derived in sensitivity analysis was 40.09%. Reasons for non-compliance were broken/lost spectacles, forgetfulness, and parental disapproval. CONCLUSION Appropriate remedial measures such as health education and strengthening vision care services will be required to address poor compliance with spectacle use among children.

中文翻译：

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屈光不正儿童眼镜使用的依从性-系统评价和荟萃分析。

背景技术该评价的主要目的是测量屈光不正儿童对眼镜使用的依从性。次要目标是了解违规原因。方法搜索的数据库为Ovid，EMBASE，CINAHL和Pubmed。包括截至2018年3月的所有研究。搜索词是-（（（（（（（Compliance [Title / Abstract]]或Adherence [Title / Abstract]]或Compliant [Title / Abstract]）或Adherent [Title / Abstract]）））AND（（（（Spectacle [Title /摘要]）眼镜[标题/摘要]）或眼镜[标题/摘要]））和（（（（（儿童[标题/摘要]）或儿童[标题/摘要]）或青少年[标题/摘要]）或青少年[标题/摘要]。两名研究人员独立搜索数据库，初步筛选获得33篇文章。进行和撰写系统评价时要遵循PRISMA指南。两名审阅者使用质量评估工具对观察研究进行系统评估（QATSO），独立评估了数据质量。质量研究不佳的是那些在QATSO工具上得分不到33％的研究。进行敏感性分析以确定质量差的研究是否影响依从性。Galbraith图用于研究研究之间的统计异质性。随机效应模型用于合并依从性。结果本评价共纳入23项研究，其中20项纳入定量分析。所有研究均为横断面。眼镜使用的总体依从性为40.14％（95％CI- 32.78-47.50）。依从度从9.84％（95％CI = 2.36-17.31）到78.57％（95％CI = 68.96-88.18）。敏感性分析得出的依从率为40.09％。违规的原因包括眼镜破损，遗忘和父母不赞成。结论将需要采取适当的补救措施，例如健康教育和加强视力保健服务，以解决儿童对眼镜使用的依从性较差的问题。