{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T19:57:34Z","timestamp":1782331054009,"version":"3.54.5"},"reference-count":49,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["BMRP 978"],"award-info":[{"award-number":["BMRP 978"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100020950","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["NSTC 111-2314-B-255 -004 -MY3"],"award-info":[{"award-number":["NSTC 111-2314-B-255 -004 -MY3"]}],"id":[{"id":"10.13039\/501100020950","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Childhood myopia, intensified by rapid technological advancements, is an escalating public health issue. Shared decision-making (SDM) facilitates collaborative treatment engagement and adherence, contributing to the mitigation of myopia progression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study developed and evaluated a web-based decision aid aimed at assisting parents in making informed, value-aligned decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following the International Patient Decision Aid Standards framework, we conducted a two-phase process: development (scoping, stakeholder engagement, and content planning) and testing (prototype creation and alpha and beta testing with external users) to develop the Childhood Myopia Shared Decision-Making Aid (CMSDM) to support informed and value-congruent treatment decisions. The study involved 55 parents, 12 ophthalmologists, 3 school nurses, 2 health education teachers, and 20 optometrists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      CMSDM comprises two decision aids (myopia treatment and optical correction) with six components: (1) Introduction\u2014stating the purpose of the tool; (2) Comparison\u2014outlining treatment options with pros and cons; (3) Consideration\u2014prompting value reflection; (4) Understanding\u2014clarifying key points; (5) Decision\u2014guiding informed choice; and (6) Submission\u2014sharing the decision with the ophthalmologist. A review from five experts provided the aid with a content validity index of 0.85, demonstrating consensus on content relevance. Users reported a mean System Usability Scale score of 85, indicating excellent usability. The use of CMSDM was associated with improved parental knowledge (t\u2009=\u20092.31, p\u2009&lt;\u20090.01; Cohen's\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      \u2009=\u20090.60) and reduced decisional regret (t\u2009=\u20092.01, p\u2009&lt;\u20090.05; Cohen's\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      \u2009=\u20090.52) in preliminary testing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CMSDM, the first SDM aid for childhood myopia, supports informed parental choice. Its effectiveness should be further examined in randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076251395560","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T21:14:07Z","timestamp":1763068447000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A web-based, user-centered decision aid to support parental choices in myopia control: A development and usability study"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4341-1064","authenticated-orcid":false,"given":"Li-Ling","family":"Hung","sequence":"first","affiliation":[{"name":"Department of Optometry, Hsin Sheng College of Medical Care and Management, Taoyuan, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9466-6986","authenticated-orcid":false,"given":"Chi-Chin","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan, ROC"},{"name":"School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0867-2699","authenticated-orcid":false,"given":"Li-Ling","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Health Science, Kaohsiung Medical University, Kaohsiung City, Taiwan, ROC"},{"name":"Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6704-8995","authenticated-orcid":false,"given":"Li-Chun","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan, ROC"},{"name":"School of Nursing, Chang Gung University of Science and Technology, Gui-Shan Town, Tao-Yuan County, Taiwan, ROC"},{"name":"School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6509-6582","authenticated-orcid":false,"given":"Hsiao-Jung","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Chang Gung University of Science and Technology, Gui-Shan Town, Tao-Yuan County, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,13]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization. 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