An effectiveness study of a wearable device (Clouclip) intervention in unhealthy visual behaviors among school-age children: A pilot study
The study aimed to determine the effectiveness of an intervention for unhealthy visual behaviors of school-age children using a wearable device (Clouclip). The design was a self-controlled prospective study. Clouclip, with the vibration alert disabled, was first applied to measure baseline near-work...
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| Veröffentlicht in: | Medicine (Baltimore) Jg. 99; H. 2; S. e17992 |
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01.01.2020
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| Abstract | The study aimed to determine the effectiveness of an intervention for unhealthy visual behaviors of school-age children using a wearable device (Clouclip).
The design was a self-controlled prospective study. Clouclip, with the vibration alert disabled, was first applied to measure baseline near-work behaviors in the first week. The vibration alert was then enabled to signal unhealthy visual behaviors (near-work distance < 30 cm and >5 seconds, or near-work distance <60 cm for >45 minutes) for 3 weeks. Near-work behaviors were measured again at the first week and the first month after intervention, respectively. The changes in behaviors between the baseline and the first week and the first month after intervention were analyzed.
Sixty-seven subjects were eligible for this experiment (the mean age 10.45 ± 0.50 years, 34 boys). Children who logged sufficient wearing time (12.30 ± 0.18 hours on weekdays and 12.16 ± 0.23 hours on weekends) were included for analysis. The average daily near-work distance was significantly increased after the vibration intervention. The time ratio of near-work activity <30 cm to the total <60 cm and the frequency of continuous near-work (distance <60 cm and continuous time >30 minutes) were significantly decreased after the intervention. Although some of the effects were reversed with time following the intervention, some were observed to be maintained until the end of the observation period, and the improvement of the behaviors was more prominent in children who had a shorter near-work distance (<30 cm) at baseline.
In conclusion, Clouclip can significantly modify near-work behaviors in school-age children and it can last a certain period of time. If these behaviors are causes of myopia development and progression, Clouclip might provide a strategy for managing myopia. |
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| AbstractList | The study aimed to determine the effectiveness of an intervention for unhealthy visual behaviors of school-age children using a wearable device (Clouclip).INTRODUCTIONThe study aimed to determine the effectiveness of an intervention for unhealthy visual behaviors of school-age children using a wearable device (Clouclip).The design was a self-controlled prospective study. Clouclip, with the vibration alert disabled, was first applied to measure baseline near-work behaviors in the first week. The vibration alert was then enabled to signal unhealthy visual behaviors (near-work distance < 30 cm and >5 seconds, or near-work distance <60 cm for >45 minutes) for 3 weeks. Near-work behaviors were measured again at the first week and the first month after intervention, respectively. The changes in behaviors between the baseline and the first week and the first month after intervention were analyzed.METHODThe design was a self-controlled prospective study. Clouclip, with the vibration alert disabled, was first applied to measure baseline near-work behaviors in the first week. The vibration alert was then enabled to signal unhealthy visual behaviors (near-work distance < 30 cm and >5 seconds, or near-work distance <60 cm for >45 minutes) for 3 weeks. Near-work behaviors were measured again at the first week and the first month after intervention, respectively. The changes in behaviors between the baseline and the first week and the first month after intervention were analyzed.Sixty-seven subjects were eligible for this experiment (the mean age 10.45 ± 0.50 years, 34 boys). Children who logged sufficient wearing time (12.30 ± 0.18 hours on weekdays and 12.16 ± 0.23 hours on weekends) were included for analysis. The average daily near-work distance was significantly increased after the vibration intervention. The time ratio of near-work activity <30 cm to the total <60 cm and the frequency of continuous near-work (distance <60 cm and continuous time >30 minutes) were significantly decreased after the intervention. Although some of the effects were reversed with time following the intervention, some were observed to be maintained until the end of the observation period, and the improvement of the behaviors was more prominent in children who had a shorter near-work distance (<30 cm) at baseline.RESULTSSixty-seven subjects were eligible for this experiment (the mean age 10.45 ± 0.50 years, 34 boys). Children who logged sufficient wearing time (12.30 ± 0.18 hours on weekdays and 12.16 ± 0.23 hours on weekends) were included for analysis. The average daily near-work distance was significantly increased after the vibration intervention. The time ratio of near-work activity <30 cm to the total <60 cm and the frequency of continuous near-work (distance <60 cm and continuous time >30 minutes) were significantly decreased after the intervention. Although some of the effects were reversed with time following the intervention, some were observed to be maintained until the end of the observation period, and the improvement of the behaviors was more prominent in children who had a shorter near-work distance (<30 cm) at baseline.In conclusion, Clouclip can significantly modify near-work behaviors in school-age children and it can last a certain period of time. If these behaviors are causes of myopia development and progression, Clouclip might provide a strategy for managing myopia.CONCLUSIONSIn conclusion, Clouclip can significantly modify near-work behaviors in school-age children and it can last a certain period of time. If these behaviors are causes of myopia development and progression, Clouclip might provide a strategy for managing myopia. The study aimed to determine the effectiveness of an intervention for unhealthy visual behaviors of school-age children using a wearable device (Clouclip). The design was a self-controlled prospective study. Clouclip, with the vibration alert disabled, was first applied to measure baseline near-work behaviors in the first week. The vibration alert was then enabled to signal unhealthy visual behaviors (near-work distance < 30 cm and >5 seconds, or near-work distance <60 cm for >45 minutes) for 3 weeks. Near-work behaviors were measured again at the first week and the first month after intervention, respectively. The changes in behaviors between the baseline and the first week and the first month after intervention were analyzed. Sixty-seven subjects were eligible for this experiment (the mean age 10.45 ± 0.50 years, 34 boys). Children who logged sufficient wearing time (12.30 ± 0.18 hours on weekdays and 12.16 ± 0.23 hours on weekends) were included for analysis. The average daily near-work distance was significantly increased after the vibration intervention. The time ratio of near-work activity <30 cm to the total <60 cm and the frequency of continuous near-work (distance <60 cm and continuous time >30 minutes) were significantly decreased after the intervention. Although some of the effects were reversed with time following the intervention, some were observed to be maintained until the end of the observation period, and the improvement of the behaviors was more prominent in children who had a shorter near-work distance (<30 cm) at baseline. In conclusion, Clouclip can significantly modify near-work behaviors in school-age children and it can last a certain period of time. If these behaviors are causes of myopia development and progression, Clouclip might provide a strategy for managing myopia. |
| Author | Lan, Weizhong Yang, Zhikuan Li, Xiaoning Wen, Longbo Wang, Xuan Cao, Yingpin Pan, Lun |
| AuthorAffiliation | Aier School of Ophthalmology, Central South University, Changsha, Hunan Aier Institute of Optometry and Vision Science, Changsha, Hunan, the People's Republic of China |
| AuthorAffiliation_xml | – name: Aier Institute of Optometry and Vision Science, Changsha, Hunan, the People's Republic of China – name: Aier School of Ophthalmology, Central South University, Changsha, Hunan – name: a Aier School of Ophthalmology, Central South University, Changsha, Hunan – name: b Aier School of Optometry and Vision Science, Hubei University of Science and Technology, Xianning, Hubei – name: c Aier Institute of Optometry and Vision Science, Changsha, Hunan, the People's Republic of China |
| Author_xml | – sequence: 1 givenname: Yingpin surname: Cao fullname: Cao, Yingpin organization: Aier School of Ophthalmology, Central South University, Changsha, Hunan – sequence: 2 givenname: Weizhong surname: Lan fullname: Lan, Weizhong organization: Aier School of Ophthalmology, Central South University, Changsha, Hunan – sequence: 3 givenname: Longbo surname: Wen fullname: Wen, Longbo organization: Aier School of Ophthalmology, Central South University, Changsha, Hunan – sequence: 4 givenname: Xiaoning surname: Li fullname: Li, Xiaoning organization: Aier School of Ophthalmology, Central South University, Changsha, Hunan – sequence: 5 givenname: Lun surname: Pan fullname: Pan, Lun organization: Aier Institute of Optometry and Vision Science, Changsha, Hunan, the People's Republic of China – sequence: 6 givenname: Xuan surname: Wang fullname: Wang, Xuan organization: Aier Institute of Optometry and Vision Science, Changsha, Hunan, the People's Republic of China – sequence: 7 givenname: Zhikuan surname: Yang fullname: Yang, Zhikuan organization: Aier School of Ophthalmology, Central South University, Changsha, Hunan |
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| Cites_doi | 10.1111/j.1444-0938.2003.tb03123.x 10.1016/j.ophtha.2012.11.009 10.1111/j.1755-3768.2011.02210.x 10.1016/j.ophtha.2016.01.006 10.1186/s12886-015-0052-9 10.1167/iovs.09-4997 10.1016/j.preteyeres.2017.09.004 10.1016/j.ophtha.2013.02.035 10.1111/j.1475-1313.2011.00884.x 10.1001/jama.2015.10803 10.1111/opo.12207 10.1016/S0002-9394(14)71034-7 10.1007/s00417-016-3383-1 10.3928/0191-3913-20010501-08 10.1371/journal.pone.0052668 10.1007/s00417-016-3440-9 10.1167/iovs.03-1051 10.1080/01658100701486459 10.1167/iovs.07-1144 10.1186/1472-6882-13-306 10.1111/j.1475-1313.2005.00298.x 10.1167/iovs.07-0804 10.1155/2018/5076454 10.1097/00055735-199806000-00004 10.1080/09286586.2018.1554159 10.1167/iovs.04-0565 10.47102/https://doi.org/10.47102/annals-acadmedsg.V33N1p27 10.1038/s41598-019-43408-y 10.5455/msm.2014.26.100-103 |
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The... The study aimed to determine the effectiveness of an intervention for unhealthy visual behaviors of school-age children using a wearable device... |
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| SubjectTerms | Child Child Behavior - psychology Clinical Trial/Experimental Study Family Health - education Family Health - statistics & numerical data Female Humans Male Myopia - etiology Myopia - psychology Myopia - therapy Prevalence Prospective Studies Reading Vision Disorders - epidemiology Vision Disorders - prevention & control Vision Disorders - psychology Wearable Electronic Devices - adverse effects |
| Title | An effectiveness study of a wearable device (Clouclip) intervention in unhealthy visual behaviors among school-age children: A pilot study |
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