Parents' performance using the AAPOS Vision Screening App to test visual acuity in Malaysian preschoolers
To evaluate parents' performance in using the American Association for Pediatric Ophthalmology and Strabismus (AAPOS) Vision Screening App (application) as a vision screening tool among preschool children and to evaluate the reliability of this app. A total of 195 5- and 6-year-old preschoolers...
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| Veröffentlicht in: | Journal of AAPOS 2019-10, Vol.23 (5), p.268.e1-268.e6 |
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| creator | Nik Azis, Nik Nazihah Chew, Fiona Lee Min Rosland, Siti Famira Ramlee, Azura Che-Hamzah, Jemaima |
| description | To evaluate parents' performance in using the American Association for Pediatric Ophthalmology and Strabismus (AAPOS) Vision Screening App (application) as a vision screening tool among preschool children and to evaluate the reliability of this app.
A total of 195 5- and 6-year-old preschoolers were recruited from children attending Hospital Selayang, Selangor, Malaysia, to test the app. Uncooperative children and those with visual acuity of >logMAR 0.6 were excluded. Results from parents and the screening doctor using the app (Lea symbols) to test visual acuity were compared to each other and to gold standard vision testing by an optometrist using the Lea symbols chart.
Children 5 years of age represented 46.7% of the study population. The mean age of parents was 37.27 ± 7.68 years. Bland-Altman scatterplot agreement between assessors mainly was within the 95% confidence interval for bilateral eyes screening. Parents obtained a sensitivity of 86.6% (right vision) and 79.5% (left vision) and specificity of 78.9% (right vision) and 71.8% (left vision). Parents took a mean of 191.2 ± 70.82 seconds for bilateral screening. The intraclass correlation coefficient between optometrist and parents in bilateral eyes screening was good (P |
| doi_str_mv | 10.1016/j.jaapos.2019.01.019 |
| format | Article |
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A total of 195 5- and 6-year-old preschoolers were recruited from children attending Hospital Selayang, Selangor, Malaysia, to test the app. Uncooperative children and those with visual acuity of >logMAR 0.6 were excluded. Results from parents and the screening doctor using the app (Lea symbols) to test visual acuity were compared to each other and to gold standard vision testing by an optometrist using the Lea symbols chart.
Children 5 years of age represented 46.7% of the study population. The mean age of parents was 37.27 ± 7.68 years. Bland-Altman scatterplot agreement between assessors mainly was within the 95% confidence interval for bilateral eyes screening. Parents obtained a sensitivity of 86.6% (right vision) and 79.5% (left vision) and specificity of 78.9% (right vision) and 71.8% (left vision). Parents took a mean of 191.2 ± 70.82 seconds for bilateral screening. The intraclass correlation coefficient between optometrist and parents in bilateral eyes screening was good (P < 0.001). Cronbach's α for all three assessors was >0.7, indicating high internal reliability of the app. Most parents (178/195 [91.3%]) strongly agreed on the app's acceptability and ease of use.
The AAPOS Vision Screening App used by parents is a promising tool for visual acuity screening among Malaysian preschool children and a reliable app for vision screening.</description><identifier>ISSN: 1091-8531</identifier><identifier>EISSN: 1528-3933</identifier><identifier>DOI: 10.1016/j.jaapos.2019.01.019</identifier><identifier>PMID: 31520719</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Amblyopia - diagnosis ; Amblyopia - ethnology ; Asian Continental Ancestry Group - ethnology ; Child ; Child, Preschool ; Female ; Humans ; Malaysia - epidemiology ; Male ; Middle Aged ; Mobile Applications ; Ophthalmology - organization & administration ; Parents ; Reproducibility of Results ; Societies, Medical - organization & administration ; Strabismus - diagnosis ; Strabismus - ethnology ; Vision Screening - instrumentation ; Visual Acuity - physiology</subject><ispartof>Journal of AAPOS, 2019-10, Vol.23 (5), p.268.e1-268.e6</ispartof><rights>2019 American Association for Pediatric Ophthalmology and Strabismus</rights><rights>Copyright © 2019 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-9fef79007b3d7e5e872437a5fb1ca0ce6db9f6fa6822c91d96c818b99df80dbb3</citedby><cites>FETCH-LOGICAL-c362t-9fef79007b3d7e5e872437a5fb1ca0ce6db9f6fa6822c91d96c818b99df80dbb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1091853119304756$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31520719$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nik Azis, Nik Nazihah</creatorcontrib><creatorcontrib>Chew, Fiona Lee Min</creatorcontrib><creatorcontrib>Rosland, Siti Famira</creatorcontrib><creatorcontrib>Ramlee, Azura</creatorcontrib><creatorcontrib>Che-Hamzah, Jemaima</creatorcontrib><title>Parents' performance using the AAPOS Vision Screening App to test visual acuity in Malaysian preschoolers</title><title>Journal of AAPOS</title><addtitle>J AAPOS</addtitle><description>To evaluate parents' performance in using the American Association for Pediatric Ophthalmology and Strabismus (AAPOS) Vision Screening App (application) as a vision screening tool among preschool children and to evaluate the reliability of this app.
A total of 195 5- and 6-year-old preschoolers were recruited from children attending Hospital Selayang, Selangor, Malaysia, to test the app. Uncooperative children and those with visual acuity of >logMAR 0.6 were excluded. Results from parents and the screening doctor using the app (Lea symbols) to test visual acuity were compared to each other and to gold standard vision testing by an optometrist using the Lea symbols chart.
Children 5 years of age represented 46.7% of the study population. The mean age of parents was 37.27 ± 7.68 years. Bland-Altman scatterplot agreement between assessors mainly was within the 95% confidence interval for bilateral eyes screening. Parents obtained a sensitivity of 86.6% (right vision) and 79.5% (left vision) and specificity of 78.9% (right vision) and 71.8% (left vision). Parents took a mean of 191.2 ± 70.82 seconds for bilateral screening. The intraclass correlation coefficient between optometrist and parents in bilateral eyes screening was good (P < 0.001). Cronbach's α for all three assessors was >0.7, indicating high internal reliability of the app. Most parents (178/195 [91.3%]) strongly agreed on the app's acceptability and ease of use.
The AAPOS Vision Screening App used by parents is a promising tool for visual acuity screening among Malaysian preschool children and a reliable app for vision screening.</description><subject>Adult</subject><subject>Amblyopia - diagnosis</subject><subject>Amblyopia - ethnology</subject><subject>Asian Continental Ancestry Group - ethnology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Malaysia - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mobile Applications</subject><subject>Ophthalmology - organization & administration</subject><subject>Parents</subject><subject>Reproducibility of Results</subject><subject>Societies, Medical - organization & administration</subject><subject>Strabismus - diagnosis</subject><subject>Strabismus - ethnology</subject><subject>Vision Screening - instrumentation</subject><subject>Visual Acuity - physiology</subject><issn>1091-8531</issn><issn>1528-3933</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1rGzEQhkVJqBOn_6AE3dLLOvqwtatLwYTmA1JscNOr0GpHjcx6tdXsGvzvK-Mkx8KABPOM3tFDyFfOZpxxdbudba3tI84E43rGeC79iVzwhagKqaU8y3emeVEtJJ-QS8QtY0xpzj-TicwUK7m-IGFtE3QD3tAeko9pZzsHdMTQ_aHDK9Dlcr3a0N8BQ-zoxiWA7tha9j0dIh0AB7oPONqWWjeG4UBDR3_a1h4w2I72CdC9xthCwity7m2L8OXtnJKX-x-_7h6L59XD093yuXBSiaHQHnypGStr2ZSwgKoUc1naha-5s8yBamrtlbeqEsJp3mjlKl7VWje-Yk1dyyn5dnq3T_HvmBc0u4AO2tZ2EEc0QmhWyblSIqPzE-pSREzgTZ_CzqaD4cwcJZutOUk2R8mG8Vw6j12_JYz1DpqPoXerGfh-AiD_cx8gGXQBstgmJHCDaWL4f8I_CZuQ5w</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Nik Azis, Nik Nazihah</creator><creator>Chew, Fiona Lee Min</creator><creator>Rosland, Siti Famira</creator><creator>Ramlee, Azura</creator><creator>Che-Hamzah, Jemaima</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201910</creationdate><title>Parents' performance using the AAPOS Vision Screening App to test visual acuity in Malaysian preschoolers</title><author>Nik Azis, Nik Nazihah ; Chew, Fiona Lee Min ; Rosland, Siti Famira ; Ramlee, Azura ; Che-Hamzah, Jemaima</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-9fef79007b3d7e5e872437a5fb1ca0ce6db9f6fa6822c91d96c818b99df80dbb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Amblyopia - diagnosis</topic><topic>Amblyopia - ethnology</topic><topic>Asian Continental Ancestry Group - ethnology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Malaysia - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mobile Applications</topic><topic>Ophthalmology - organization & administration</topic><topic>Parents</topic><topic>Reproducibility of Results</topic><topic>Societies, Medical - organization & administration</topic><topic>Strabismus - diagnosis</topic><topic>Strabismus - ethnology</topic><topic>Vision Screening - instrumentation</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nik Azis, Nik Nazihah</creatorcontrib><creatorcontrib>Chew, Fiona Lee Min</creatorcontrib><creatorcontrib>Rosland, Siti Famira</creatorcontrib><creatorcontrib>Ramlee, Azura</creatorcontrib><creatorcontrib>Che-Hamzah, Jemaima</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of AAPOS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nik Azis, Nik Nazihah</au><au>Chew, Fiona Lee Min</au><au>Rosland, Siti Famira</au><au>Ramlee, Azura</au><au>Che-Hamzah, Jemaima</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parents' performance using the AAPOS Vision Screening App to test visual acuity in Malaysian preschoolers</atitle><jtitle>Journal of AAPOS</jtitle><addtitle>J AAPOS</addtitle><date>2019-10</date><risdate>2019</risdate><volume>23</volume><issue>5</issue><spage>268.e1</spage><epage>268.e6</epage><pages>268.e1-268.e6</pages><issn>1091-8531</issn><eissn>1528-3933</eissn><abstract>To evaluate parents' performance in using the American Association for Pediatric Ophthalmology and Strabismus (AAPOS) Vision Screening App (application) as a vision screening tool among preschool children and to evaluate the reliability of this app.
A total of 195 5- and 6-year-old preschoolers were recruited from children attending Hospital Selayang, Selangor, Malaysia, to test the app. Uncooperative children and those with visual acuity of >logMAR 0.6 were excluded. Results from parents and the screening doctor using the app (Lea symbols) to test visual acuity were compared to each other and to gold standard vision testing by an optometrist using the Lea symbols chart.
Children 5 years of age represented 46.7% of the study population. The mean age of parents was 37.27 ± 7.68 years. Bland-Altman scatterplot agreement between assessors mainly was within the 95% confidence interval for bilateral eyes screening. Parents obtained a sensitivity of 86.6% (right vision) and 79.5% (left vision) and specificity of 78.9% (right vision) and 71.8% (left vision). Parents took a mean of 191.2 ± 70.82 seconds for bilateral screening. The intraclass correlation coefficient between optometrist and parents in bilateral eyes screening was good (P < 0.001). Cronbach's α for all three assessors was >0.7, indicating high internal reliability of the app. Most parents (178/195 [91.3%]) strongly agreed on the app's acceptability and ease of use.
The AAPOS Vision Screening App used by parents is a promising tool for visual acuity screening among Malaysian preschool children and a reliable app for vision screening.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31520719</pmid><doi>10.1016/j.jaapos.2019.01.019</doi></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Amblyopia - diagnosis Amblyopia - ethnology Asian Continental Ancestry Group - ethnology Child Child, Preschool Female Humans Malaysia - epidemiology Male Middle Aged Mobile Applications Ophthalmology - organization & administration Parents Reproducibility of Results Societies, Medical - organization & administration Strabismus - diagnosis Strabismus - ethnology Vision Screening - instrumentation Visual Acuity - physiology |
| title | Parents' performance using the AAPOS Vision Screening App to test visual acuity in Malaysian preschoolers |
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