Significance

This study set out to illustrate the trajectories of myopia control in time sequence and explore orthokeratology compliance for parents with myopic children in the first fitting within one year. Profiling these results is crucial to improving myopia control and orthokeratology care.

Purpose

To obtain a better understanding of myopia control and orthokeratology care that could promote compliance with orthokeratology (ortho-K) lenses for parents with myopic children.

Methods

We conducted semi-structured qualitative interviews and pre-interview questionnaire surveys of the parent who is mainly responsible for complying to ortho-K lens care for their myopic children aged 7–12 years, including 16 mothers and 4 fathers. A framework analytical approach that involved gaining familiarity with the data to identify a thematic framework was used for data analysis. It was written in line with the COREQ (Consolidated Criteria for Reporting Qualitative Research) checklist.

Results

Five themes and twelve subthemes depicted the parents’ trajectory during myopia diagnosis, treatment, and compliance with ortho- K for their children in the first fitting within one year. Myopia control and the convenience of outdoor activities were important reasons for parents to actively ask for ortho-K lenses for their children. Parents have non-compliance behaviors after the children wore the lenses for three months, including not scheduling follow-up visits, simplifying cleaning procedures, not replacing accessories. The degree of parents’ non-compliance differed based on the uncomfortable feelings of their child’s eyes. In general, clear, unaided vision (visual acuity > 0.9) during the day was an indicator of ortho-K’s effectiveness, according to parents.

Conclusions

Although parents play a passive role when a child is diagnosed with myopia, they take on a proactive role when deciding on ortho-K treatment. Myopia treatment for children is a long-term process. Understanding the course of treatment and non-compliance helps eye care professionals provide parents with the necessary assistance and resources, and enables myopia treatment to yield maximum effects.

中文翻译：

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近视儿童父母近视控制和角膜塑形术依从性的轨迹

意义

本研究旨在按时间顺序说明近视控制的轨迹，并探讨近视儿童父母一年内第一次验配角膜塑形术的依从性。分析这些结果对于改善近视控制和角膜塑形术护理至关重要。

目的

更好地了解近视控制和角膜塑形术护理，以促进近视儿童父母对角膜塑形术 (ortho-K) 镜片的依从性。

方法

我们对 7-12 岁近视儿童主要负责配合 K 镜护理的父母进行了半结构化的定性访谈和访谈前问卷调查，包括 16 位母亲和 4 位父亲。一种涉及熟悉数据以确定主题框架的框架分析方法被用于数据分析。它是根据 COREQ（定性研究报告综合标准）清单编写的。

结果

五个主题和十二个子主题描述了父母在近视诊断、治疗和一年内第一次验配时为孩子进行矫正的轨迹。近视控制和户外活动的便利性是父母积极为孩子购买ortho-K镜片的重要原因。孩子配戴镜片三个月后，家长有不合规行为，包括不安排随访、简化清洁程序、不更换配件等。父母不遵守的程度根据孩子眼睛的不舒服感觉而有所不同。据父母称，一般而言，白天清晰、独立的视力（视力 > 0.9）是 ortho-K 有效性的指标。

结论

尽管当孩子被诊断出患有近视时，父母会扮演被动的角色，但他们在决定进行正畸治疗时会扮演积极的角色。儿童近视治疗是一个长期的过程。了解治疗过程和不依从性有助于眼科护理专业人员为父母提供必要的帮助和资源，并使近视治疗产生最大效果。