Objective: The purpose of this study was to investigate the effectiveness of vision care teaching on vision care knowledge, attitudes, and behaviors among the 3rd and 4th graders of elementary school. Methods: This was a quasi-experimental study included a pre-post test design with both an experimental group and a control group. Study subjects were the 3rd and 4th graders of an elementary school in Nantou County. The experimental group consisted of 47 students undertaking three month intervention named ”a beautiful and new field of vision”(including teaching courses and activities, worksheets for family contact book, and checklists). Grade 1-9 Curriculum was applied for 47 students in the control group. The effectiveness was assessed using a vision care questionnaire developed according to ”The Study of Health Promoting Activities in Schools” conducted by ”Taiwan Health Promoting School”. Results: Homogeneity of experimental group and control group was observed in pretest. The experimental group had a posttest score of 5.47 of eye care knowledge, which was significantly higher than a score of 4.31 observed in the control group (t = 7.24, p＜.001). The posttest score of vision care attitudes in experimental group was significantly higher than control group (22.57 versus 21.16, t = 2.61, p＜.05). The experimental group also had a significantly higher score in vision care behaviors in posttest as compared with control group (9.38 versus 5.96, t = 4.59, p＜.001). Furthermore, among the 12 students with poor eyesight have been checked by Snellen's E chart screening in school, the vision ability of 3 students (25%) was improved to 0.9~1.0 after the intervention from less than 0.7~0.8 before the intervention. Qualitative data indicated that these students were able to implement the course content to daily life, and to pay attention to the light sources and vision distance. The animation for eye health care was cute and drew a high participation for students. However, some parents responded that the content of checklists were a bit too much. Conclusions: This study demonstrated that the intervention of vision health education had an immediate effectiveness on promoting vision care knowledge, attitudes, and behaviors among school children. For the promotion of vision care education, it is recommended that the government and relevant education authorities should simultaneously implement parent education in the community. Namely, it is expected that parent can support simplified checklists mainly including behavior of computer use, reading conduct at home and lifestyle of family. The application of worksheets of family contact book and further simplified checklists are suggested to achieve the learning outcomes.
|Number of pages||15|
|Publication status||Published - 2013|