Volume 44 Issue 11
Nov.  2023
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ZHANG Xiyan, XU Jimin, MIAO Shenghao, ZHANG Juan, CAI Jianping, WANG Wei, LI Ping, WANG Yan, YANG Wenyi, XIANG Yao, WANG Xin, XIN Yiliang, YANG Jie. Effectiveness of online and offline health education myopia intervention on primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1720-1723. doi: 10.16835/j.cnki.1000-9817.2023.11.028
Citation: ZHANG Xiyan, XU Jimin, MIAO Shenghao, ZHANG Juan, CAI Jianping, WANG Wei, LI Ping, WANG Yan, YANG Wenyi, XIANG Yao, WANG Xin, XIN Yiliang, YANG Jie. Effectiveness of online and offline health education myopia intervention on primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1720-1723. doi: 10.16835/j.cnki.1000-9817.2023.11.028

Effectiveness of online and offline health education myopia intervention on primary school students

doi: 10.16835/j.cnki.1000-9817.2023.11.028
  • Received Date: 2023-08-02
  • Rev Recd Date: 2023-09-07
  • Available Online: 2023-11-27
  • Publish Date: 2023-11-25
  •   Objective  To assess the effectiveness of online and offline myopia prevention and control health education interventions using wearable behavior monitoring tools for non-myopic elementary school students, so as to provide evidence-based medical support for public health practices.  Methods  From May to June in 2021, two schools were selected within the same county in Jiangsu Province.School 1 conducted online and offline parental health education (n=111), while school 2 exclusively conducted offline health education activities, representing the traditional intervention group (n=122).Students from both schools underwent monitoring through wearable behavior-tracking tools, with feedback reports provided (eye distance, eye duration, ambient light, and outdoor exposure time).Both schools relied on activities to carry out health education interventions, and organized the distribution of promotional materials and display boards.The intervention group also established WeChat groups to conduct online"Healthy Parents Action"(answering and providing feedback on health knowledge related to myopia prevention and control, myopia prevention and control, science popularization, etc.raised by parents).Evaluation criteria included myopia rates, post-dilation refractive error, and axial length, with a tracking period of two years (from 2021 to 2023).Additionally, the study collected refractive parameters from non-myopic students who did not participate in wearable tool monitoring in the 12 classes across the two schools.  Results  The baseline results indicated that there were no significant differences between the two groups in terms of refractive parameters and wearable tool monitoring results (including screen time, viewing distance, outdoor exposure time, and homework light exposure)(t/Z/χ2=1.94, 1.17, 0.58, 0.40, 0.80, 0.69, 0.32, P>0.05).After a two-year follow-up, in the first and second year, the myopia rate of the online Healthy Parents Action group (11.4%, 29.7%) were lower than that of the traditional group (26.2%, 50.9%), and the degree of refractive change in the intervention group[0.63(0.38, 1.19) D]was lower than that of the traditional group[0.91(0.40, 1.50) D], and all the differences were statistically significant (χ2/Z=4.93, 10.37, 2.29, P < 0.05).However, there were no significant differences (P>0.05) in axial length changes between the two groups over the two-year intervention period.Nevertheless, in the second year, the axial length change in the traditional group[0.35(0.20, 0.65) mm]was lower than that in the natural observation group[0.55(0.30, 0.75) mm], and this difference was statistically significant (Z=1.92, P < 0.05).  Conclusions  Online and offline myopia prevention and control health education can effectively reduce myopia rates.The intervention mode combining wearable behavior monitoring tools with online health education may have better effects, but further large-sample and multi-center studies are needed to provide additional evidence and confirmation.
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  • [1]
    SANKARIDURG P, TAHHAN N, KANDEL H, et al. IMI Impact of Myopia[J]. Invest Ophthalmol Vis Sci, 2021, 62(5): 2. doi: 10.1167/iovs.62.5.2
    [2]
    ZHANG X Y, ZHOU Y L, WANG Y, et al. Trend of myopia through different interventions from 2010 to 2050: findings from Eastern Chinese student surveillance study[J]. Front Med, 2023, 9(1): 1069649.
    [3]
    HOLDEN B A, FRICKE T R, WILSON D A, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050[J]. Ophthalmology, 2016, 123(5): 1036-1042. doi: 10.1016/j.ophtha.2016.01.006
    [4]
    刘瑶, 唐小哲, 张宇晶, 等. 中国疾病预防控制机构学校卫生科室设置和人员配备现状[J]. 中国学校卫生, 2022, 43(4): 618-621. doi: 10.16835/j.cnki.1000-9817.2022.04.033

    LIU Y, TANG X Z, ZHANG Y J, et al. Current status about school health department settings and staff building of the centers for disease control and prevention in China[J]. Chin J Sch Health, 2022, 43(4): 618-621. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.04.033
    [5]
    YE B, LIU K, CAO S, et al. Discrimination of indoor versus outdoor environmental state with machine learning algorithms in myopia observational studies[J]. J Transl Med, 2019, 17(1): 314. doi: 10.1186/s12967-019-2057-2
    [6]
    温龙波, 蓝卫忠, 李晓柠, 等. 客观监测近视眼相关环境因素的新设备"云夹"的准确性和稳定性研究[J]. 中华眼视光学与视觉科学杂志, 2017, 19(4): 198-203.

    WEN L B, LAN W Z, LI X N, et al. Accuracy and stability of Clouclip TM, a novel device to record myopic environmental risks[J]. Chin J Optometry Visual Sci, 2017, 19(4): 198-203. (in Chinese)
    [7]
    LI S M, RAN A R, KANG M T, et al. Effect of text messaging parents of school-aged children on outdoor time to control myopia: a randomized clinical trial[J]. JAMA Pediatr, 2022, 176(11): 1077-1083. doi: 10.1001/jamapediatrics.2022.3542
    [8]
    LI Q, GUO L, ZHANG J, et al. Effect of school-based family health education via social media on children's myopia and parents' awareness: a randomized clinical trial[J]. JAMA Ophthalmol, 2021, 139(11): 1165-1172. doi: 10.1001/jamaophthalmol.2021.3695
    [9]
    ZHANG X, YANG W, YANG J, et al. Relationship between family and myopia: based on the jiangsu school student myopia study[J]. J Ophthalmol, 2021, 2021: 6754013.
    [10]
    ZHANG X, ZHAO G, MA J, et al. Design, methodology, and baseline of eastern China student health and wellbeing cohort study[J]. Front Public Health, 2023, 11: 1100227. doi: 10.3389/fpubh.2023.1100227
    [11]
    FLITCROFT D I, HE M, JONAS J B, et al. IMI-defining and classifying myopia: a proposed set of standards for clinical and epidemiologic studies[J]. Invest Ophthalmol Vis Sci, 2019, 60(3): M20-M30.
    [12]
    王小琦. 应用"云夹"监控青少年近视发展的临床分析[J]. 中国医药指南, 2019, 17(12): 11-12. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201912006.htm

    WANG X Q. Clinical analysis of monitoring the development of teenage myopia by clouclipTM[J]. Guide Chin Med, 2019, 17(12): 11-12. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201912006.htm
    [13]
    中华人民共和国国家卫生健康委员会. 去年全国儿童青少年近视率53.6%[EB/OL]. (2019-04-30)[2023-10-23]. http://www.nhc.gov.cn/wjw/spxw/201904/6ae3705a26ff459b936ab5f039084700.shtml.

    National Health Commission of the PRC. Last year, the national myopia rate among children and adolescents was 53.6%[EB/OL]. (2019-04-30)[2023-10-23]. http://www.nhc.gov.cn/wjw/spxw/201904/6ae3705a26ff459b936ab5f039084700.shtml. (in Chinese)
    [14]
    何鲜桂, 潘臣炜. 儿童青少年近视防控需要更高质量的研究证据[J]. 中国学校卫生, 2021, 42(2): 161-164, 169. doi: 10.16835/j.cnki.1000-9817.2021.02.001

    HE X G, PAN C W. Prevention and control of children and adolescents myopia needs more high-quality research evidence[J]. Chin J Sch Health, 2021, 42(2): 161-164, 169. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.02.001
    [15]
    AGYEKUM S, CHAN P P, ZHANG Y, et al. Cost-effectiveness analysis of myopia management: a systematic review[J]. Front Public Health, 2023, 11: 1093836. doi: 10.3389/fpubh.2023.1093836
    [16]
    项耀, 王艳, 张凤云, 等. 2018年江苏省儿童青少年近视状况调查结果分析[J]. 江苏预防医学, 2021, 32(4): 409-411. https://www.cnki.com.cn/Article/CJFDTOTAL-JSYF202104008.htm

    XIANG Y, WANG Y, ZHANG F Y, et al. Analysis of investigation results for myopia status of children and adolescents in Jiangsu Province in 2018[J]. Jiangsu J Prev Med, 2021, 32(4): 409-411. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JSYF202104008.htm
    [17]
    ZHU Z, CHEN Y, TAN Z, et al. Interventions recommended for myopia prevention and control among children and adolescents in China: a systematic review[J]. Br J Ophthalmol, 2023, 107(2): 160-166. doi: 10.1136/bjophthalmol-2021-319306
    [18]
    中华人民共和国国家卫生健康委员会. 儿童青少年近视防控适宜技术指南(更新版)[EB/OL]. (2021-10-11)[2023-10-23]. http://www.nhc.gov.cn/jkj/s5899tg/202110/65a3a99c42a84e3f8a11f392d9fea91e.shtml.

    National Health Commission of the PRC Guidelines for Appropriate Techniques for myopia prevention and control in children and adolescents (Updated Edition)[EB/OL]. (2021-10-11)[2023-10-23]. http://www.nhc.gov.cn/jkj/s5899tg/202110/65a3a99c42a84e3f8a11f392d9fea91e.shtml. (in Chinese)
    [19]
    中华人民共和国卫生部.中小学校教室采光和照明卫生标准:GB 7793—2010[S]. 2011-05-01.

    Ministry of Health of the PRC.Hygienic standard for day lighting and artificial lighting for middle and elementary school:GB 7793-2010[S]. 2011-05-01.(in Chinese)
    [20]
    张锡彦, 周永林, 张凤云, 等.教室环境与学生近视的关联研究[J]. 中华流行病学杂志, 2023, 44(4):602-609.

    ZHANG X Y, ZHOU Y L, ZHANG F Y, et al.The relationship between classroom environment and myopia[J]. Chin J Epidemiol, 2023, 44(4):602-609.(in Chinese)
    [21]
    HE M, XIANG F, ZENG Y, et al.Effect of time spent outdoors at school on the development of myopia among children in China:a randomized clinical trial[J]. JAMA, 2015, 314(11):1142-1148. doi: 10.1001/jama.2015.10803
    [22]
    PÃRSSINEN O, KAUPPINEN M.Associations of near work time, watching TV, outdoors time, and parents' myopia with myopia among school children based on 38-year-old historical data[J]. Acta Ophthalmol, 2022, 100(2):e430-e438.
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