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Published on: September 27, 2020
The Interplay Between Self-Determination and Cognitive Bias: Nonlinear Associations Between Myopia Control Knowledge
Yang Chen1, Yijia He1, Shenyu Zhao2
1Department of Reproduction, Changzhou Maternal and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, 213000, People's Republic of China.
Journal of Multidisciplinary Healthcare
|August 10, 2026
Summary
Parental knowledge about myopia control significantly impacts communication preparedness. Tailored interventions are needed, addressing low knowledge with foundational education and high knowledge with decision-making skills for better adolescent myopia management.
Area of Science:
- Ophthalmology
- Health Communication
- Behavioral Science
Background:
- Parents play a crucial role in adolescent myopia management.
- Understanding parental knowledge and communication is key to effective myopia control strategies.
Purpose of the Study:
- To examine the relationship between parental myopia control knowledge reserve (KR) and communication preparedness (CP).
- To explore the moderating role of the Dunning-Kruger effect within the Self-Determination Theory (SDT) framework.
- To provide theoretical foundations for optimizing adolescent myopia control.
Main Methods:
- Cross-sectional questionnaire surveys were conducted among parents of adolescents in major Chinese cities.
- Participants were grouped based on their myopia control knowledge reserve (KR).
- Structural equation modeling was used to analyze the association between KR and CP, including mediating roles of participation in decision-making (PD) and perceived a community with shared future for doctor-patient (PCSF).
Main Results:
- A negative correlation between KR and CP was observed in the low KR group.
- In the high KR group, KR positively correlated with PD, and PD and PCSF mediated the KR-CP relationship.
- PCSF partially mediated PD-CP effects in both groups, with a stronger effect in the low KR group.
Conclusions:
- The study integrates the Dunning-Kruger effect with SDT for myopia control.
- Interventions should focus on foundational knowledge for low KR parents and collaborative decision-making for high KR parents.
- Establishing shared decision-making platforms can enhance precision science popularization and collaborative myopia management.
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