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Abstract：
OBJECTIVE: This study analyses strategies and attitudes on myopia management reported by eye care practitioners (ECP) from Spain in 2022.
METHODS: A questionnaire was distributed to ECPs worldwide via the internet through professional associations. The questionnaire was distributed by email to all registered Spanish optician-optometrists. Questions examined awareness of increasing myopia prevalence; perceived efficacy; uptake of available approaches; and reasons preventing further uptake of specific approaches.
RESULTS: Of 3,107 practitioners who participated in the study, 380 were Spanish ECPs. Using a 10-point scale, Spanish practitioners reported less concern about increasing pediatric myopia (8.3 ± 1.6) compared to ECP\'s worldwide (8.5 ± 1.9) (p < 0.001), but similar level of clinical activity in myopia control (7.8 ± 2.3 vs. 7.5 ± 2.5, respectively) (p > 0.05); however, around half of all prescribed treatments were single-vision distance spectacles/contact lenses both in Spain and in most regions, with Spanish practitioners prescribing less single-vision spectacles than African and Asian (p < 0.001), but more than Australasian practitioners (p = 0.04). No significant differences were found between Spain and the other regions in the perceived efficacy of combined therapy, orthokeratology, and outdoor time (p > 0.05), with the former being perceived as the most effective myopia control method followed by orthokeratology. No significant differences were found between Spain and the world\'s average in factors preventing the prescription of myopia control approaches (p > 0.05). Spanish practitioners reported that embracing myopia management has a positive, but lower impact on customer loyalty, practice revenue and job satisfaction compared with the other regions (all p < 0.001).
CONCLUSIONS: Myopia control is increasing, although around half of practitioners still prescribe single-vision distance spectacles/contact lenses to young/progressive myopes. Combined therapy followed by orthokeratology were perceived as the most effective treatments. Embracing myopia management improved patient loyalty and job satisfaction.
METHODS: A questionnaire was distributed to ECPs worldwide via the internet through professional associations. The questionnaire was distributed by email to all registered Spanish optician-optometrists. Questions examined awareness of increasing myopia prevalence; perceived efficacy; uptake of available approaches; and reasons preventing further uptake of specific approaches.
RESULTS: Of 3,107 practitioners who participated in the study, 380 were Spanish ECPs. Using a 10-point scale, Spanish practitioners reported less concern about increasing pediatric myopia (8.3 ± 1.6) compared to ECP\'s worldwide (8.5 ± 1.9) (p < 0.001), but similar level of clinical activity in myopia control (7.8 ± 2.3 vs. 7.5 ± 2.5, respectively) (p > 0.05); however, around half of all prescribed treatments were single-vision distance spectacles/contact lenses both in Spain and in most regions, with Spanish practitioners prescribing less single-vision spectacles than African and Asian (p < 0.001), but more than Australasian practitioners (p = 0.04). No significant differences were found between Spain and the other regions in the perceived efficacy of combined therapy, orthokeratology, and outdoor time (p > 0.05), with the former being perceived as the most effective myopia control method followed by orthokeratology. No significant differences were found between Spain and the world\'s average in factors preventing the prescription of myopia control approaches (p > 0.05). Spanish practitioners reported that embracing myopia management has a positive, but lower impact on customer loyalty, practice revenue and job satisfaction compared with the other regions (all p < 0.001).
CONCLUSIONS: Myopia control is increasing, although around half of practitioners still prescribe single-vision distance spectacles/contact lenses to young/progressive myopes. Combined therapy followed by orthokeratology were perceived as the most effective treatments. Embracing myopia management improved patient loyalty and job satisfaction.
摘要：
目的：本研究分析了西班牙眼科医生（ECP）在2022年报告的近视管理策略和态度。
方法：通过专业协会通过互联网向全球的ECPs分发了一份问卷。问卷通过电子邮件分发给所有注册的西班牙验光师。问题检查了对近视患病率增加的认识；感知功效；采用可用方法；以及阻止进一步采用特定方法的原因。
结果：在参与研究的3,107名从业者中，380个是西班牙ECPs。使用10点刻度，西班牙从业者报告说，与全世界的ECP（8.5±1.9）相比，对儿童近视增加的担忧较少（8.3±1.6）（p<0.001），但近视控制的临床活动水平相似(7.8±2.3vs.分别为7.5±2.5)(p>0.05)；然而，在西班牙和大多数地区，所有处方治疗中约有一半是单视距离眼镜/隐形眼镜，西班牙医生开的单眼眼镜少于非洲和亚洲人(p<0.001)，但超过澳大利亚的从业者（p=0.04）。西班牙和其他地区在联合治疗的感知疗效方面没有发现显着差异，角膜塑形术,和室外时间(p>0.05)，前者被认为是最有效的近视控制方法，其次是角膜塑形术。在预防近视控制方法处方的因素方面，西班牙与世界平均水平之间没有显着差异（p>0.05）。西班牙从业者报告说，拥抱近视管理有积极的，但对客户忠诚度的影响较小，与其他地区相比，实践收入和工作满意度(所有p<0.001)。
结论：近视控制正在增加，尽管大约一半的从业者仍然为年轻/渐进式近视患者开单视距离眼镜/隐形眼镜。联合治疗和角膜塑形术被认为是最有效的治疗方法。采用近视管理可提高患者忠诚度和工作满意度。
方法：通过专业协会通过互联网向全球的ECPs分发了一份问卷。问卷通过电子邮件分发给所有注册的西班牙验光师。问题检查了对近视患病率增加的认识；感知功效；采用可用方法；以及阻止进一步采用特定方法的原因。
结果：在参与研究的3,107名从业者中，380个是西班牙ECPs。使用10点刻度，西班牙从业者报告说，与全世界的ECP（8.5±1.9）相比，对儿童近视增加的担忧较少（8.3±1.6）（p<0.001），但近视控制的临床活动水平相似(7.8±2.3vs.分别为7.5±2.5)(p>0.05)；然而，在西班牙和大多数地区，所有处方治疗中约有一半是单视距离眼镜/隐形眼镜，西班牙医生开的单眼眼镜少于非洲和亚洲人(p<0.001)，但超过澳大利亚的从业者（p=0.04）。西班牙和其他地区在联合治疗的感知疗效方面没有发现显着差异，角膜塑形术,和室外时间(p>0.05)，前者被认为是最有效的近视控制方法，其次是角膜塑形术。在预防近视控制方法处方的因素方面，西班牙与世界平均水平之间没有显着差异（p>0.05）。西班牙从业者报告说，拥抱近视管理有积极的，但对客户忠诚度的影响较小，与其他地区相比，实践收入和工作满意度(所有p<0.001)。
结论：近视控制正在增加，尽管大约一半的从业者仍然为年轻/渐进式近视患者开单视距离眼镜/隐形眼镜。联合治疗和角膜塑形术被认为是最有效的治疗方法。采用近视管理可提高患者忠诚度和工作满意度。
