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Effects of Parental Involvement in a Preschool-Based Eye Health Intervention Regarding Children’s Screen Use in China

Author

Listed:
  • Shu-Mei Liu

    (Department of Preschool Education, Jing Hengyi College of Education, Hangzhou Normal University, Hangzhou 311121, China)

  • Fong-Ching Chang

    (Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei 106, Taiwan)

  • Cheng-Yu Chen

    (Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei 106, Taiwan)

  • Shu-Fang Shih

    (Department of Health Administration, College of Health Professions, Virginia Commonwealth University, Richmond, VA 23298, USA)

  • Bo Meng

    (Department of Surgery, Shanxi Provincial People’s Hospital, Taiyuan 030012, China)

  • Eric Ng

    (School of Business, University of Southern Queensland, Toowoomba, QLD 4350, Australia)

  • Chia-Hsuan Hsu

    (Graduate Institute of Environmental Education, National Taiwan Normal University, Taipei 116, Taiwan)

  • Yi-Te Chiang

    (Graduate Institute of Environmental Education, National Taiwan Normal University, Taipei 116, Taiwan)

  • Xiao-Jie Mao

    (Health Care Center, The First Kindergarten in Fengtai District, Beijing 100071, China)

  • Ming-Yan Yi

    (Health Care Center, The First Kindergarten in Fengtai District, Beijing 100071, China)

  • Ben LePage

    (Graduate Institute of Environmental Education, National Taiwan Normal University, Taipei 116, Taiwan
    Academy of Natural Sciences, Philadelphia, PA 19103, USA)

  • Wei-Ta Fang

    (Graduate Institute of Environmental Education, National Taiwan Normal University, Taipei 116, Taiwan)

Abstract

In this digital era, young children spend a considerable amount of time looking at telephone, tablet, computer and television screens. However, preventative eye health behavior education could help avoid and relieve asthenopia. The effects of parental influence on their children’s eye health behavior through the preschool eye health education intervention program were examined. The Health Belief Model was used to develop parental involvement strategy and eye health curriculum. The study was conducted in a large public preschool with five branches in Beijing, China. A total of 248 parent–child pairs participated in the baseline and follow-up surveys, of which 129 were in the intervention group and 119 were in the comparison group. The generalized estimating equation analysis results indicated that parental involvement in preschool-based eye health intervention on screen uses had positive influence on parents’ eye health knowledge, cues to action, and parenting efficacy. The intervention program also had positive effects on the increasing level of children’s eye health knowledge, beliefs, cues to action, self-efficacy, and behaviors. The results supported the implementation of a preschool-based eye health intervention program with parental involvement, which could potentially enhance children’s and parents’ eye health beliefs and practices.

Suggested Citation

  • Shu-Mei Liu & Fong-Ching Chang & Cheng-Yu Chen & Shu-Fang Shih & Bo Meng & Eric Ng & Chia-Hsuan Hsu & Yi-Te Chiang & Xiao-Jie Mao & Ming-Yan Yi & Ben LePage & Wei-Ta Fang, 2021. "Effects of Parental Involvement in a Preschool-Based Eye Health Intervention Regarding Children’s Screen Use in China," IJERPH, MDPI, vol. 18(21), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11330-:d:666937
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    References listed on IDEAS

    as
    1. Wei-Ta Fang & Eric Ng & Mei-Chuan Chang, 2017. "Physical Outdoor Activity versus Indoor Activity: Their Influence on Environmental Behaviors," IJERPH, MDPI, vol. 14(7), pages 1-12, July.
    2. Gui-You Yang & Li-Hua Huang & Katrina L. Schmid & Chen-Guang Li & Jing-Yi Chen & Guan-Hao He & Li Liu & Zeng-Liang Ruan & Wei-Qing Chen, 2020. "Associations Between Screen Exposure in Early Life and Myopia amongst Chinese Preschoolers," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    3. Zhixin Zhang & Gang Xu & Jing Gao & Lu Wang & Yonghai Zhu & Zhiyong Li & Wei Zhou, 2020. "Effects of E-Learning Environment Use on Visual Function of Elementary and Middle School Students: A Two-Year Assessment—Experience from China," IJERPH, MDPI, vol. 17(5), pages 1-19, February.
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