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  1. Home
  3. Factors Influencing Shared Decision-making And Decision Regret In Parents Of Children Undergoing Myopia Control Within One Year.
  1. Home
  3. Factors Influencing Shared Decision-making And Decision Regret In Parents Of Children Undergoing Myopia Control Within One Year.

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Factors influencing shared decision-making and decision regret in parents of children undergoing myopia control

Li-Ling Hung1, Chi-Chin Sun2,3, Li-Chun Chang4,5,6

  • 1Department of Optometry, Hsin Sheng College of Medical Care and Management, Taoyuan City, Taiwan, R.O.C.

BMC Ophthalmology
|November 1, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Shared decision-making (SDM) significantly reduces parental regret regarding childhood myopia treatments. Open communication about options like atropine therapy is key for better outcomes and adherence.

Keywords:
ChildrenDecision regretMyopia controlParentsShared decision-making

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Area of Science:

  • Ophthalmology
  • Pediatrics
  • Health Psychology

Background:

  • Childhood myopia is a significant public health issue, particularly in East Asia.
  • Parental decisions heavily influence myopia management strategies.
  • Understanding factors affecting parental decision quality is crucial for effective myopia control.

Purpose of the Study:

  • To investigate the impact of parental knowledge and shared decision-making (SDM) on decision regret in parents of children with myopia.
  • To assess how treatment type and follow-up frequency influence parental decision-making experiences.

Main Methods:

  • A cross-sectional online survey was administered to 314 parents of children newly diagnosed with myopia.
  • Data collected included parental knowledge of myopia control, SDM, decision regret, and treatment details.
  • Multiple regression analysis identified predictors of decision regret.

    • Main Results:

    • Shorter follow-up intervals (≤6 months), higher parental knowledge, and orthokeratology use were linked to lower decision regret.
    • Shared decision-making (SDM) was the strongest predictor of reduced regret (B = -0.410, p < .001).
    • Treatment type's significance diminished when SDM was considered, suggesting SDM mediates treatment-regret relationships.

    Conclusions:

    • SDM is a critical factor in mitigating parental decision regret for childhood myopia treatments.
    • Improved communication regarding myopia control options, including atropine therapy, can enhance decision satisfaction.
    • Future research should focus on longitudinal studies and SDM tools for diverse parental literacy levels to improve adherence and outcomes.