Effect of Health Education on Parents' Knowledge and Practices Caring for Children with Myopia

Authors

  • Amal Yousef Abdelwahed Department of Public Health, College of Health Sciences, Saudi Electronic University, 31411 Dammam, Saudi Arabia
  • Fadiyah Alshwail Department of Public Health, College of Health Sciences, Saudi Electronic University, 31411 Dammam, Saudi Arabia
  • Olfat Gushgari Department of Public Health, College of Health Sciences, Saudi Electronic University, 31411 Dammam, Saudi Arabia
  • Ayiat Allah Wagdy Farag Department of Community Health Nursing, Faculty of Nursing, Modern University for Technology and Information, Cairo Governorate 4411601, Egypt
  • Maha Hosny Mohamed Elshater Department of Pediatric Nursing, Faculty of Nursing, Alexandria University, Alexandria Governorate 5432042, Egypt
  • Lamiaa Moustafa Elbosaty Department of Community Health Nursing, Emergency Hospital, Mansoura University, Dakahlia Governorate 7650030, Egypt

DOI:

https://doi.org/10.31674/mjn.2026.v17i03.011

Abstract

Background: Myopia is a prevalent visual impairment that necessitates appropriate treatment and preventative measures, particularly for children. The current study aimed to determine the effect of health education on parents' knowledge and practices regarding the care of their children with myopia. Methods: A quasi-experimental research design was used for this study. This study was conducted at the ophthalmology clinics at Sohag University Hospitals. A convenience sample of all (200) parents and their children with myopia was enrolled in the study over a period of six months from the previously mentioned setting. Two tools were used for data collection. The Tool I was a structured interview questionnaire (used for pre-test and post-test data). It consisted of four parts: Part 1: Parents' personal data. Part 2: Children's personal data. Part 3: Children's medical history. Part 4: Parents’ knowledge regarding myopia. Tool II assessed parents' reported practices regarding myopia, also administered as a pre-test and post-test. Results: The study demonstrated that health education had a significant effect on improving participants' mean knowledge and practice scores. Notable improvements were observed in post-intervention. A statistically significant correlation was found between parents' total knowledge and practices regarding the care of their children with myopia, both pre- and post-health education. Conclusion: Health education had a positive effect on improving parents' knowledge and practices regarding the care of their children with myopia. Recommendation: Continuous health education programs for parents must be recommended to improve knowledge and practices about myopia management. The study should be replicated to generalize the results to a wider population.

Keywords:

Children and Myopia, Health Education, Parents' Knowledge, Practices

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References

Adetunji, O., Bishai, D., Pham, C. V., Taylor, J., Thi, N. T., Khan, Z., & Bachani, A. M. (2023). Evidence-based geriatric knowledge among healthcare providers in Vietnam: Adaptation, validation, and pilot of the knowledge about older patients quiz. BMC Geriatrics, 23, 287. https://doi.org/10.1186/s12877-023-03958-3

Andrade, C., Menon, V., Ameen, S., & Praharaj, S. K. (2020). Designing and conducting knowledge, attitude, and practice surveys in psychiatry: Practical guidance. Indian Journal of Psychological Medicine, 42(5), 478–481. https://doi.org/10.1177/0253717620946111

Ang, M., Flanagan, J. L., Wong, C. W., Müller, A., Davis, A., Keys, D., Resnikoff, S., Jong, M., Wong, T. Y., & Sankaridurg, P. (2019). Myopia control strategies recommendations from the 2018 WHO/IAPB/BHVI Meeting on Myopia. British Journal of Ophthalmology, 104(11), 1482-1487. https://doi.org/10.1136/bjophthalmol-2019-315575

Berhane, M. A., Demilew, K. Z., & Assem, A. S. (2022). Myopia: An increasing problem for medical students at the University of Gondar. Clinical Ophthalmology, 16, 1529–1539. https://doi.org/10.2147/OPTH.S365618

Chamberlain, P., Peixoto-de-Matos, S. C., Logan, N. S., Ngo, C., Jones, D., & Young, G. (2019). A 3-year randomized clinical trial of MiSight lenses for myopia control. Optometry and Vision Science, 96(8), 556–567. https://doi.org/10.1097/OPX.0000000000001410

Chen, Q., Zhang, Y., & Li, H. (2024). Knowledge, attitude, and practice toward non-nutritive sweeteners among the population with reduced sugar intake requirement. Frontiers in Nutrition, 10, 1268599. https://doi.org/10.3389/fnut.2023.1268599

Chua, S. Y. L., Sabanayagam, C., Cheung, Y.-B., Chia, A., Valenzuela, R. K., Tan, D., Wong, T.-Y., Cheng, C.-Y., & Saw, S.-M. (2016). Age of onset of myopia predicts risk of high myopia in later childhood in myopic Singapore children. Ophthalmic and Physiological Optics, 36(4), 388–394. https://doi.org/10.1111/opo.12305

Douglass, A., Keller, P. R., He, M., & Downie, L. E. (2021). Knowledge, perspectives and clinical practices of Australian optometrists in relation to childhood myopia. Clinical and Experimental Optometry, 103(2), 155–166 https://doi.org/10.1111/cxo.12936

Goldschmidt, E., & Jacobsen, N. (2014). Genetic and environmental effects on myopia development and progression. Eye, 28, 126–133. https://doi.org/10.1038/eye.2013.254

Grzybowski, A., Kanclerz, P., Tsubota, K., Lanca, C., & Saw, S.-M. (2020). A review on the epidemiology of myopia in school children worldwide. BMC Ophthalmology, 20, 27. https://doi.org/10.1186/s12886-019-1220-0

Holden, B. A., Fricke, T. R., Wilson, D. A., Jong, M., Naidoo, K. S., Sankaridurg, P., Wong, T. Y., Naduvilath, T. J., & Resnikoff, S. (2016). Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology, 123(5), 1036–1042. https://doi.org/10.1016/j.ophtha.2016.01.006

Hossain, M. B., Alam, M. Z., Islam, M. S., Sultan, S., Faysal, M. M., Rima, S., Hossain, M. A., & Mamun, A. A. (2021). Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: What predicts COVID-19 vaccine hesitancy better among the Bangladeshi adults? Frontiers in Public Health, 9, 711066. https://doi.org/10.3389/fpubh.2021.711066

Huang, Y., Chen, Z., Wang, B., Zhao, J., Zhou, X., Qu, X., Wang, X., & Zhou, X. (2023). Chinese parents’ perspective on myopia: A cross-sectional survey study. Ophthalmology and Therapy, 12, 2409–2425. https://doi.org/10.1007/s40123-023-00743-8

Jiang, N., Chen, J., Cao, H., Liu, Y., Zhang, Y., Wang, Q., Wang, T., Zhao, H., Lu, H., Yang, L., & Wang, J. (2022). Parents’ intentions toward preschool children’s myopia preventive behaviors: Combining the health belief model and the theory of planned behavior. Frontiers in Public Health, 10, 1036929. https://doi.org/10.3389/fpubh.2022.1036929

Kim, K., Shin, S., Kim, S., & Lee, E. (2023). The relation between eHealth literacy and health-related behaviors: Systematic review and meta-analysis. Journal of Medical Internet Research, 25, e40778. https://doi.org/10.2196/40778

Lee, F., & Suryohusodo, A. A. (2022). Knowledge, attitude, and practice assessment toward COVID-19 among communities in East Nusa Tenggara, Indonesia: A cross-sectional study. Frontiers in Public Health, 10, 957630. https://doi.org/10.3389/fpubh.2022.957630

Leo, S. W. (2017). Current approaches to myopia control. Current Opinion in Ophthalmology, 28(3), 267–275. https://doi.org/10.1097/ICU.0000000000000367

Li, L., Lam, J., Lu, Y., Ye, Y., Lam, D. S. C., Gao, Y., Sharma, A., Zhang, M., Griffiths, S., & Congdon, N. (2010). Attitudes of students, parents, and teachers toward glasses use in rural China. Archives of Ophthalmology, 128(6), 759–765. https://doi.org/10.1001/archophthalmol.2010.73

Li, Q., Guo, L., Zhang, J., Zhao, F., Hu, Y., Guo, Y., Du, X., Zhang, S., Yang, X., & Lu, C. (2021). Effect of school-based family health education via social media on children’s myopia and parents’ awareness: A randomized clinical trial. JAMA Ophthalmology, 139(11), 1165–1172. https://doi.org/10.1001/jamaophthalmol.2021.3695

McCrann, S., Flitcroft, I., Lalor, K., Butler, J., Bush, A., & Loughman, J. (2018). Parental attitudes to myopia: A key agent of change for myopia control? Ophthalmic and Physiological Optics, 38(3), 298–308. https://doi.org/10.1111/opo.12455

Morgan, I. G., French, A. N., Ashby, R. S., Guo, X., Ding, X., He, M., & Rose, K. A. (2018). The epidemics of myopia: Aetiology and prevention. Progress in Retinal and Eye Research, 62, 134–149. https://doi.org/10.1016/j.preteyeres.2017.09.004

Morgan, I. G., Ohno-Matsui, K., & Saw, S.-M. (2012). Myopia. The Lancet, 379(9827), 1739–1748. https://doi.org/10.1016/S0140-6736(12)60272-4

Qian, Y., & Lu, P. (2024). Parents' or guardians' knowledge, attitudes and practices in the prevention and management of childhood myopia. Ophthalmology and Therapy, 13, 3095–3109. https://doi.org/10.1007/s40123-024-01045-3 .

Sherief, S. T., Tesfaye, S., Eshetu, Z., Ali, A., & Dimaras, H. (2023). Exploring the knowledge, attitudes, and practice towards child eye health: A qualitative analysis of parent experience focus groups. PLoS One, 18(11), e0293595. https://doi.org/10.1371/journal.pone.0293595 .

Tao, Z.-Y., Chen, S.-Q., Yu, Y., Zhao, J., Wang, J., Lin, Z.-H., & Deng, H.-W. (2022). The influence of parents’ background and their perception on the progression of myopia in children. International Journal of Clinical Practice, 2022, 4123470. https://doi.org/10.1155/2022/4123470

Thomas, L. (2024, January 22). Quasi-experimental design: Definition, types & examples. Scribbr. https://www.scribbr.com/methodology/quasi-experimental-design/

Thompson, N. R., Asare, M., Millan, C., & Umstattd Meyer, M. R. (2020). Theory of planned behavior and perceived role model as predictors of nutrition and physical activity behaviors among college students in health-related disciplines. Journal of Community Health, 45, 965–972. https://doi.org/10.1007/s10900-020-00814-y

Tuncer Orhan, F., & Gursoy, H. H. (2023). A proposed method for estimating refractive error in primary school children. Cureus, 15(2), e34554. https://doi.org/10.7759/cureus.34554

Xie, L., Zhang, S., Xin, M., Zhu, M., Lu, W., & Mo, P. K.-H. (2022). Electronic health literacy and health-related outcomes among older adults: A systematic review. Preventive Medicine, 157, 106997. https://doi.org/10.1016/j.ypmed.2022.106997

Zhan, B., Huang, Y., Wang, B., Zhao, J., Shang, J., Chen, Z., & Zhou, X. (2025). Chinese parents’ knowledge, attitude, and practice of myopia control: 2023 update. BMC Public Health, 25, 779. https://doi.org/10.1186/s12889-025-22003-z

Zhang, R., Kuang, Y., Rao, J., Liu, X., Fang, Q., Tang, Y., & Li, J. (2025). Knowledge, attitude, and practice among parents of myopic children regarding multifocal soft contact lenses. BMC Public Health, 25, 2159. https://doi.org/10.1186/s12889-025-23408-6

Zhou, P., Wang, D.-D., Fan, L., Yang, L., & Zhao, M.-W. (2023). Thin central corneal thickness may be a risk factor for myopia progression in children. Journal of Ophthalmology, 2023, 3815863. https://doi.org/10.1155/2023/3815863

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Published

10-01-2026

How to Cite

Yousef Abdelwahed, A., Alshwail, F. ., Gushgari, O. ., Allah Wagdy Farag, A. ., Hosny Mohamed Elshater, M. ., & Moustafa Elbosaty, L. . (2026). Effect of Health Education on Parents’ Knowledge and Practices Caring for Children with Myopia. The Malaysian Journal of Nursing (MJN), 17(3), 104-117. https://doi.org/10.31674/mjn.2026.v17i03.011

Issue

Vol. 17 No. 3 (2026): The Malaysian Journal of Nursing

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Original Article

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