A coalition partnership of vision health through a health-promoting school program for primary school students in Taiwan

Li Chun Chang, Jong Long Guo, Li Ling Liao, Hsiu Ying Peng, Pei Lin Hsieh

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Myopia, the most common refractive error, is the most common cause of avoidable visual impairment among children and has reached epidemic proportions among children and young adults in urban areas of East and Southeast Asia that contain populations of Chinese ancestry. Moreover, vision health is an important theme of the health-promoting school program issued by the Ministry of Education in Taiwan. The aim of this study is to assess the impact of pre- and post-intervention proposed by the health-promoting school (HPS) model. The objectives are to understand whether the HPS model influenced the vision screening results and the attitude, knowledge level, and vision care behavior of the students involved. A prospective cohort study design was used to evaluate a vision health program. Four elementary schools, local education authorities, and one university in northern Taiwan established a coalition partnership to design a six-month program to combat myopia among students. The target population was 6668 school children from local elementary schools. For the purpose of this study, the outcome of visual acuity testing (in logMAR) was analyzed with a sampling of 373 school children (aged 11–12 years old) who were chosen from high prevalence of poor vision classes. After the HPS program, the attitudes, behaviors, and knowledge levels of the school children regarding vision health were significantly improved. The pre-intervention mean logMAR of all participating students (N = 373) was –.10, which increased to –.19 after the intervention. Analysis using the Wilcoxon signed-rank test showed that the logMAR value was significantly improved after the intervention (t = 2.13, p < 0.05). Our findings highlight the relevance and effectiveness of the coalition’s efforts, which reinforces the usefulness of co-operatively implementing the HPS program.

Original languageEnglish
Pages (from-to)23-31
Number of pages9
JournalGlobal Health Promotion
Volume24
Issue number3
DOIs
Publication statusPublished - 2017 Sep 1

Fingerprint

School Health Services
Taiwan
Students
Health
Myopia
Vision Screening
Education
Southeastern Asia
Refractive Errors
Far East
Health Services Needs and Demand
Vision Disorders
Nonparametric Statistics
Visual Acuity
Young Adult
Cohort Studies
Outcome Assessment (Health Care)
Prospective Studies
Population

Keywords

  • health-promoting schools
  • school children
  • visual acuity
  • visual impairment

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

A coalition partnership of vision health through a health-promoting school program for primary school students in Taiwan. / Chang, Li Chun; Guo, Jong Long; Liao, Li Ling; Peng, Hsiu Ying; Hsieh, Pei Lin.

In: Global Health Promotion, Vol. 24, No. 3, 01.09.2017, p. 23-31.

Research output: Contribution to journalArticle

Chang, Li Chun ; Guo, Jong Long ; Liao, Li Ling ; Peng, Hsiu Ying ; Hsieh, Pei Lin. / A coalition partnership of vision health through a health-promoting school program for primary school students in Taiwan. In: Global Health Promotion. 2017 ; Vol. 24, No. 3. pp. 23-31.
@article{0f4d8d3af1584a498e9e7890919ccd2f,
title = "A coalition partnership of vision health through a health-promoting school program for primary school students in Taiwan",
abstract = "Myopia, the most common refractive error, is the most common cause of avoidable visual impairment among children and has reached epidemic proportions among children and young adults in urban areas of East and Southeast Asia that contain populations of Chinese ancestry. Moreover, vision health is an important theme of the health-promoting school program issued by the Ministry of Education in Taiwan. The aim of this study is to assess the impact of pre- and post-intervention proposed by the health-promoting school (HPS) model. The objectives are to understand whether the HPS model influenced the vision screening results and the attitude, knowledge level, and vision care behavior of the students involved. A prospective cohort study design was used to evaluate a vision health program. Four elementary schools, local education authorities, and one university in northern Taiwan established a coalition partnership to design a six-month program to combat myopia among students. The target population was 6668 school children from local elementary schools. For the purpose of this study, the outcome of visual acuity testing (in logMAR) was analyzed with a sampling of 373 school children (aged 11–12 years old) who were chosen from high prevalence of poor vision classes. After the HPS program, the attitudes, behaviors, and knowledge levels of the school children regarding vision health were significantly improved. The pre-intervention mean logMAR of all participating students (N = 373) was –.10, which increased to –.19 after the intervention. Analysis using the Wilcoxon signed-rank test showed that the logMAR value was significantly improved after the intervention (t = 2.13, p < 0.05). Our findings highlight the relevance and effectiveness of the coalition’s efforts, which reinforces the usefulness of co-operatively implementing the HPS program.",
keywords = "health-promoting schools, school children, visual acuity, visual impairment",
author = "Chang, {Li Chun} and Guo, {Jong Long} and Liao, {Li Ling} and Peng, {Hsiu Ying} and Hsieh, {Pei Lin}",
year = "2017",
month = "9",
day = "1",
doi = "10.1177/1757975915595347",
language = "English",
volume = "24",
pages = "23--31",
journal = "Global Health Promotion",
issn = "1757-9759",
publisher = "SAGE Publications Ltd",
number = "3",

}

TY - JOUR

T1 - A coalition partnership of vision health through a health-promoting school program for primary school students in Taiwan

AU - Chang, Li Chun

AU - Guo, Jong Long

AU - Liao, Li Ling

AU - Peng, Hsiu Ying

AU - Hsieh, Pei Lin

PY - 2017/9/1

Y1 - 2017/9/1

N2 - Myopia, the most common refractive error, is the most common cause of avoidable visual impairment among children and has reached epidemic proportions among children and young adults in urban areas of East and Southeast Asia that contain populations of Chinese ancestry. Moreover, vision health is an important theme of the health-promoting school program issued by the Ministry of Education in Taiwan. The aim of this study is to assess the impact of pre- and post-intervention proposed by the health-promoting school (HPS) model. The objectives are to understand whether the HPS model influenced the vision screening results and the attitude, knowledge level, and vision care behavior of the students involved. A prospective cohort study design was used to evaluate a vision health program. Four elementary schools, local education authorities, and one university in northern Taiwan established a coalition partnership to design a six-month program to combat myopia among students. The target population was 6668 school children from local elementary schools. For the purpose of this study, the outcome of visual acuity testing (in logMAR) was analyzed with a sampling of 373 school children (aged 11–12 years old) who were chosen from high prevalence of poor vision classes. After the HPS program, the attitudes, behaviors, and knowledge levels of the school children regarding vision health were significantly improved. The pre-intervention mean logMAR of all participating students (N = 373) was –.10, which increased to –.19 after the intervention. Analysis using the Wilcoxon signed-rank test showed that the logMAR value was significantly improved after the intervention (t = 2.13, p < 0.05). Our findings highlight the relevance and effectiveness of the coalition’s efforts, which reinforces the usefulness of co-operatively implementing the HPS program.

AB - Myopia, the most common refractive error, is the most common cause of avoidable visual impairment among children and has reached epidemic proportions among children and young adults in urban areas of East and Southeast Asia that contain populations of Chinese ancestry. Moreover, vision health is an important theme of the health-promoting school program issued by the Ministry of Education in Taiwan. The aim of this study is to assess the impact of pre- and post-intervention proposed by the health-promoting school (HPS) model. The objectives are to understand whether the HPS model influenced the vision screening results and the attitude, knowledge level, and vision care behavior of the students involved. A prospective cohort study design was used to evaluate a vision health program. Four elementary schools, local education authorities, and one university in northern Taiwan established a coalition partnership to design a six-month program to combat myopia among students. The target population was 6668 school children from local elementary schools. For the purpose of this study, the outcome of visual acuity testing (in logMAR) was analyzed with a sampling of 373 school children (aged 11–12 years old) who were chosen from high prevalence of poor vision classes. After the HPS program, the attitudes, behaviors, and knowledge levels of the school children regarding vision health were significantly improved. The pre-intervention mean logMAR of all participating students (N = 373) was –.10, which increased to –.19 after the intervention. Analysis using the Wilcoxon signed-rank test showed that the logMAR value was significantly improved after the intervention (t = 2.13, p < 0.05). Our findings highlight the relevance and effectiveness of the coalition’s efforts, which reinforces the usefulness of co-operatively implementing the HPS program.

KW - health-promoting schools

KW - school children

KW - visual acuity

KW - visual impairment

UR - http://www.scopus.com/inward/record.url?scp=85031414784&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85031414784&partnerID=8YFLogxK

U2 - 10.1177/1757975915595347

DO - 10.1177/1757975915595347

M3 - Article

AN - SCOPUS:85031414784

VL - 24

SP - 23

EP - 31

JO - Global Health Promotion

JF - Global Health Promotion

SN - 1757-9759

IS - 3

ER -