Effects of parental involvement in a preschool-based eye health intervention regarding children’s screen use in china

Shu Mei Liu, Fong Ching Chang*, Cheng Yu Chen, Shu Fang Shih, Bo Meng, Eric Ng, Chia Hsuan Hsu, Yi Te Chiang, Xiao Jie Mao, Ming Yan Yi, Ben Lepage, Wei Ta Fang*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


In this digital era, young children spend a considerable amount of time looking at telephone, tablet, computer and television screens. However, preventative eye health behavior education could help avoid and relieve asthenopia. The effects of parental influence on their children’s eye health behavior through the preschool eye health education intervention program were examined. The Health Belief Model was used to develop parental involvement strategy and eye health curriculum. The study was conducted in a large public preschool with five branches in Beijing, China. A total of 248 parent– child pairs participated in the baseline and follow-up surveys, of which 129 were in the intervention group and 119 were in the comparison group. The generalized estimating equation analysis results indicated that parental involvement in preschool-based eye health intervention on screen uses had positive influence on parents’ eye health knowledge, cues to action, and parenting efficacy. The intervention program also had positive effects on the increasing level of children’s eye health knowledge, beliefs, cues to action, self-efficacy, and behaviors. The results supported the implementation of a preschool-based eye health intervention program with parental involvement, which could potentially enhance children’s and parents’ eye health beliefs and practices.

Original languageEnglish
Article number11330
JournalInternational journal of environmental research and public health
Issue number21
Publication statusPublished - 2021 Nov 1


  • Children
  • Eye health
  • Parent involvement
  • Preschool
  • Screen use

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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