Longitudinal trajectory analysis of orthokeratology lens wearing adherence in myopic children and adolescents

BAI Guoxin; CAO Mingcong; LI Haiyue; WANG Jian; WANG Yuhe; XU Xiaoteng; CHEN Zhongfei

doi:10.16835/j.cnki.1000-9817.2025148

Volume 46 Issue 5

May 2025

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BAI Guoxin, CAO Mingcong, LI Haiyue, WANG Jian, WANG Yuhe, XU Xiaoteng, CHEN Zhongfei. Longitudinal trajectory analysis of orthokeratology lens wearing adherence in myopic children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(5): 728-731. doi: 10.16835/j.cnki.1000-9817.2025148

Citation:

BAI Guoxin, CAO Mingcong, LI Haiyue, WANG Jian, WANG Yuhe, XU Xiaoteng, CHEN Zhongfei. Longitudinal trajectory analysis of orthokeratology lens wearing adherence in myopic children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(5): 728-731. doi: 10.16835/j.cnki.1000-9817.2025148

Citation:

BAI Guoxin, CAO Mingcong, LI Haiyue, WANG Jian, WANG Yuhe, XU Xiaoteng, CHEN Zhongfei. Longitudinal trajectory analysis of orthokeratology lens wearing adherence in myopic children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(5): 728-731. doi: 10.16835/j.cnki.1000-9817.2025148

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Longitudinal trajectory analysis of orthokeratology lens wearing adherence in myopic children and adolescents

doi: 10.16835/j.cnki.1000-9817.2025148

1.
Eye Medicine Center of Cangzhou Central Hospital, Cangzhou (061000), Hebei Province, China

Received Date: 2025-03-07
Rev Recd Date: 2025-03-28

Available Online: 2025-06-07

Publish Date: 2025-05-25

Abstract

Abstract

Objective To analyze the potential categories and influencing factors of the compliance trajectory of orthokeratology lenses (OK lens) in myopic children and adolescents, so as to provide a basis for dynamic and accurate intervention of OK lens compliance in myopic children and adolescents. Methods From January to June 2024, 310 myopic children and adolescents wearing OK lens were selected as research subjects from the Ophthalmology Medical Center of Cangzhou Central Hospital using a convenient sampling method. Data were collected at four time points: when the glasses were first fitted (T0), 2 weeks after fitting (T1), 1 month later (T2), 3 months later (T3), and 6 months later (T4). The data collection methods included general information questionnaires, compliance surveys for OK lens wearers, the Behavior Rating Inventory of Executive Function-Self-report Version (BRIEF-SR), family support scales, and a self-made questionnaire on myopia control attitudes. A growth mixed model was used to identify the trajectory categories of compliance with OK lens wearing among myopic children and adolescents, and multiple Logistic regression analysis was employed to examine the influencing factors. Results The compliance with OK lens among myopic children and adolescents were roughly divided into four developmental trajectories: C1 exemplary adherent (58 cases, 18.71%), C2 gradual progressor (130 cases, 41.94%), C3 fluctuating (85 cases, 27.42%), and C4 stubborn low follower (37 cases, 11.94%). Multivariate Logistic regression analysis showed that, with C1 group as the reference, age (C3, OR=0.74), parental education level (C4, OR=0.67), executive function (C2, OR=0.69; C4, OR=0.44), family support (C3, OR=0.75) and myopia control attitude (C2, OR=0.39) were all influencing factors for the compliance trajectory of OK lens; with C2 group as the reference, age (C3, OR=0.55), parental education level (C3, OR=0.34; C4, OR=0.64), executive function (C3, OR=0.77), and family support (C4, OR=0.58) were all influencing factors for the compliance trajectory of OK lens; with C3 group as the reference, age (C4, OR=0.68), and myopia control attitude (C4, OR=0.44) were both influencing factors for the compliance trajectory of OK lens (P < 0.05). Conclusions The compliance of wearing OK lens in children and adolescents with myopia can be roughly divided into four trajectories, and there is group heterogeneity. Dynamic and precise compliance intervention strategies should be given based on different trajectories and influencing factors.
- Myopia,
- Orthokeratologic procedures,
- Patient compliance,
- Regression analysis,
- Child,
- Adolescent

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References(14)

References

[1]	徐李莎, 黄烨, 吴汶灿, 等. 河南省中小学生2019—2020年近视队列研究结果[J]. 中国学校卫生, 2023, 44(12): 1814-1818, 1823. doi: 10.16835/j.cnki.1000-9817.2023.12.012 XU L S, HUANG Y, WU W C, et al. Analysis of a cohort study on myopia among primary and secondary school students in Henan Province, 2019-2020[J]. Chin J Sch Health, 2023, 44(12): 1814-1818, 1823. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.12.012
[2]	张玉娇. 角膜塑形镜控制近视的临床研究进展[J]. 国际眼科杂志, 2024, 24(9): 1453-1456. ZHANG Y J. Advances in clinical research on the control of myopia with orthokeratology[J]. Int Eye Sci, 2024, 24(9): 1453-1456. (in Chinese)
[3]	LIPSON M J, KOFFLER B H. The history and impact of prescribing orthokeratology for slowing myopia progression[J]. Eye Contact Lens, 2024, 50(12): 517-521. doi: 10.1097/ICL.0000000000001123
[4]	JUN J, ZHIWEN B, FEIFU W, et al. Level of compliance in orthokeratology[J]. Eye Contact Lens, 2018, 44(5): 330-334. doi: 10.1097/ICL.0000000000000516
[5]	KESHANI P, SHAHRAKI H R. Modeling trend changes in percent of under five-year-old children with malnutrition amongst 39 Asian countries from 1987 to 2016 via growth mixture model[J]. BMC Nutr, 2022, 8(1): 38. doi: 10.1186/s40795-022-00530-x
[6]	DALMAIJER E S, NORD C L, ASTLE D E. Statistical power for cluster analysis[J]. BMC Bioinformatics, 2022, 23(1): 205. doi: 10.1186/s12859-022-04675-1
[7]	杨羿. 配戴角膜塑形镜需做好定期复查[J]. 中国眼镜科技杂志, 2024(11): 93-94. YANG Y. Wearing an orthokeratology lens requires a regular review[J]. China Glass Sci Technol Mag, 2024(11): 93-94. (in Chinese)
[8]	FUSTER M, SANTOS M P, DIMOND E, et al. Examining capabilities, opportunities, and motivations for healthy eating behaviors in Latin American restaurants: a quantitative application of the COM-B model to inform future interventions[J]. BMC Nutr, 2023, 9(1): 57. doi: 10.1186/s40795-023-00712-1
[9]	WALKER J, D'AMATO R. Test review: Behavior Rating Inventory of Executive Function-Self-report Version[J]. J Psychoeduc Assess, 2006, 24(4): 394-398. doi: 10.1177/0734282906288390
[10]	PROCIDANO M E, HELLER K. Measures of perceived social support from friends and from family: three validation studies[J]. Am J Community Psychol, 1983, 11(1): 1-24. doi: 10.1007/BF00898416
[11]	郑森国. 角膜塑形镜戴镜者卫生依从性及镜盒污染现况的调查分析[D]. 温州: 温州医科大学, 2018. ZHENG S G. Investigation and analysis of hygiene compliance and current status of lens box contamination[D]. Wenzhou: Wenzhou Medical University, 2018. (in Chinese)
[12]	STILLITANO I, MAIDANA E, LUI M, et al. Bubble and corneal dimple formation after the first overnight wear of an orthokeratology lens: a case series[J]. Eye Contact Lens, 2007, 33(5): 253-258. doi: 10.1097/01.icl.0000252870.05807.ea
[13]	CHANG L C, SUN C C, LIAO L L. Compliance with orthokeratology care among parents of young children in Taiwan[J]. Cont Lens Anterior Eye, 2021, 44(5): 101427. doi: 10.1016/j.clae.2021.02.013
[14]	BIAN Z, XU X, CHEN D, et al. Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study[J]. BMC Ophthalmol, 2021, 21(1): 396. doi: 10.1186/s12886-021-02148-2