{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,14]],"date-time":"2026-11-14T01:53:39Z","timestamp":1794621219567,"version":"4.9.1"},"reference-count":26,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"unspecified","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,3,17]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This cross-sectional study aimed to assess parents\u2019 knowledge, attitude and practice (KAP) towards myopia amidst increased children\u2019s online course participation during the COVID-19 pandemic, potentially impacting visual health.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>The study adopted a cross-sectional design to analyse parent KAP regarding myopia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting and participants<\/jats:title>\n                  <jats:p>Conducted from 19 August 2022 to 19 October 2022, in the Jinan High-tech District, the study included 3261 participants, comprising 800 males (24.5%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Interventions<\/jats:title>\n                  <jats:p>A self-administered questionnaire assessed KAP, with a good KAP defined as a score &gt;75% of the total.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Primary and secondary outcome measures<\/jats:title>\n                  <jats:p>The KAP scores were the primary outcome measures. The factors associated with a practice score &gt;75% were also investigated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Parents had mean KAP scores of 10.2\u00b12.4 (10.2\/14=72.9%), 41.8\u00b14.9 (41.8\/50=83.6%) and 54.3\u00b17.1 (54.3\/65=83.5%), respectively. The knowledge scores (OR 1.11, 95% CI 1.06 to 1.16, p&lt;0.001), attitude scores (OR 1.15, 95% CI 1.12 to 1.17, p&lt;0.001), daily outdoor activities time (30\u201360\u2009min: OR 1.46, 95% CI 1.16 to 1.84, p=0.001; 1\u20132\u2009hours: OR 1.92, 95% CI 1.48 to 2.49, p&lt;0.001; &gt;2 hours: OR 1.91, 95% CI 1.34 to 2.74, p&lt;0.001, respectively), and parents whose children did not have myopia progression during the online class (OR 1.43, 95% CI 1.05 to 1.96, p=0.024) were independently associated with a practice score &gt;75%, while a child in fourth grade of primary school (OR 0.76, 95% CI 0.58 to 0.99, p=0.042), unaware of child\u2019s myopia (OR 0.52, 95% CI 0.43 to 0.64, p=0.002) and daily electronics usage time &gt;2\u2009hours (OR 0.53, 95% CI 0.43 to 0.64, p&lt;0.001) were independently associated with practice scores \u226475%.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The study found that parents showed suboptimal knowledge, positive attitude and proactive practice concerning myopia prevention during the pandemic. Areas requiring improvement include better education for parents of grade 4 students, increased awareness for parents unaware of their child\u2019s myopia status and addressing excessive electronic device use among children.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-089431","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T14:00:19Z","timestamp":1744725619000},"page":"e089431","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Knowledge, attitude and practice among parents of children and teenagers towards myopia prevention and control during the COVID-19 epidemic"],"prefix":"10.1136","volume":"15","author":[{"given":"Te","family":"Fu","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Jinan 2nd People\u2019s Hospital, Jinan, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Jinan 2nd People\u2019s Hospital, Jinan, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Jinan 2nd People\u2019s Hospital, Jinan, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Jinan 2nd People\u2019s Hospital, Jinan, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1725-953X","authenticated-orcid":false,"given":"Lei","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Jinan 2nd People\u2019s Hospital, Jinan, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"key":"2025101811325499000_15.4.e089431.1","unstructured":"UNESCO . 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