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

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 and Wei-Ta Fang
Additional contact information
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
Wei-Ta Fang: Graduate Institute of Environmental Education, National Taiwan Normal University, Taipei 116, Taiwan

IJERPH, 2021, vol. 18, issue 21, 1-14

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.

Keywords: eye health; screen use; children; preschool; parent involvement (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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