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Multimedia education improves knowledge and follow-up in retinopathy of prematurity

Susanna Yau1, Elizabeth Fernandez Paz1, Victoria Chen1

  • 1University of Maryland School of Medicine, Baltimore, Maryland.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|July 11, 2026
PubMed

Insights

Multimedia patient education materials significantly improved parent knowledge of retinopathy of prematurity (ROP). Higher-income families showed improved follow-up attendance with these ROP resources.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Health Literacy

Background:

  • Written patient education materials (PEM) improve understanding and follow-up for retinopathy of prematurity (ROP).
  • Video education can further enhance comprehension for patients with limited literacy.
  • This study evaluates a multimedia education program for ROP.

Purpose of the Study:

  • To assess the effectiveness of a novel multimedia patient education program.
  • To improve parent knowledge of retinopathy of prematurity (ROP).
  • To increase follow-up attendance rates in infants at risk for ROP.

Main Methods:

  • Developed multimedia PEM (video, handout, website) in English and Spanish, adhering to health literacy guidelines.
  • Included 304 parents of infants at risk for ROP in a repeated-measures study.
  • Administered pre- and post-surveys for knowledge assessment and tracked follow-up attendance via electronic medical records.

Main Results:

  • Significant increase in ROP knowledge scores after multimedia PEM intervention (94.3% vs 62.3%, P < 0.001).
  • Multimedia PEM group showed higher post-education knowledge than standard handout group (94.3% vs 83.7%, P = 0.005).
  • Follow-up attendance improved significantly (91.5% vs 68.2%, P = 0.01); higher income associated with attendance.

Conclusions:

  • Multimedia PEM significantly enhances ROP knowledge compared to baseline.
  • The multimedia program improved follow-up attendance in higher-income families with infants with ROP, even after income adjustment.
Abstract

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