Effectiveness of vision screening program conducted by pre-school teachers

Rokiah Omar, Victor Feizal Knight, Asma Ahida Ahmad Zabidi, Nur Zakiah Mohd Saat, Tan Xuan Li

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Vision impairment when undetected early can affect the social and mental development of a child. Early detection of visual impairment can provide better prognosis and can be conducted through vision screening at pre-school. Vision screening performed using pre-school teachers would allow cost and time savings while providing greater access to perform this screening. The objective of this study was to determine the effectiveness of vision screening conducted by pre-school teachers. A total of sixty pre-school teachers from KEMAS Tabika's and Taska's in the Klang Valley were randomly selected and divided into two groups i.e. a Study Group and a Control Group. The Study Group was given participative and hands-on vision screening training whereas the Control Group was only given brief verbal instructions on conducting the screening. Each of these pre-school teachers was asked to conduct vision screening on 15 pre-school children aged 4 to 6 years old. Trained optometrists then repeated the vision screening on the same children. The results showed that there was a higher validity in the vision screening findings from the Study Group (sensitivity = 79%, specificity = 95%) compared to the Control Group (sensitivity = 26%, specificity = 95%). The level of agreement concurrence between the pre-school teachers in the Study Group and the optometrist was high for all tests (AC1 ≥ 0.89). In conclusion, the vision screening program conducted by pre-school teachers was effective but needed proper training for the screeners. This program is seen to be able to empower pre-school teachers using vison screening techniques to allow them to identify pre-school children with vision impairment who would then require further examination and management by an eye-care professional. This program would be able to reduce the prevalence of vision impairment among pre-school children in Malaysia in the long term.

Original languageEnglish
Pages (from-to)41-50
Number of pages10
JournalMalaysian Journal of Public Health Medicine
Volume2018
Issue numberSpecialissue1
Publication statusPublished - 31 Mar 2018

Fingerprint

Vision Screening
Control Groups
Sensitivity and Specificity
School Teachers
Cost Savings
Malaysia
Vision Disorders
Child Development

Keywords

  • Early detection
  • Preschooler
  • Teachers
  • Vision impairment
  • Vision screening

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Effectiveness of vision screening program conducted by pre-school teachers. / Omar, Rokiah; Knight, Victor Feizal; Zabidi, Asma Ahida Ahmad; Mohd Saat, Nur Zakiah; Li, Tan Xuan.

In: Malaysian Journal of Public Health Medicine, Vol. 2018, No. Specialissue1, 31.03.2018, p. 41-50.

Research output: Contribution to journalArticle

Omar, Rokiah ; Knight, Victor Feizal ; Zabidi, Asma Ahida Ahmad ; Mohd Saat, Nur Zakiah ; Li, Tan Xuan. / Effectiveness of vision screening program conducted by pre-school teachers. In: Malaysian Journal of Public Health Medicine. 2018 ; Vol. 2018, No. Specialissue1. pp. 41-50.
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