Comparison of open-ended and close-ended questions to determine signs and symptoms of eye problems among children.
BACKGROUND
Parents play important role in providing information regarding their children's health status to healthcare providers. However, parents' ability in reporting signs and symptoms of eye problems among their children required more in-depth investigation. Our study aimed to compare the differences of parental report regarding eye problems among their children using two different question approaches.


METHODS
A total of 416 parents with children aged between two months old and 17 years old were participated in this cross-sectional survey. The responses of parents' observation on signs and symptoms of eye problems were compared between one open-ended question and ten close-ended questions. We also examined the demographic contributing factors that could influence parental responses.


RESULTS
The total count of reported signs and symptoms through open-ended and close-ended question was 164 and 529 reports, respectively. Parents reported more diverse (70% higher) categories of signs and symptoms in open-ended compared to close-ended questions. Parent's ability to report eye problems using open-ended question was associated with their gender (p<0.05), but no similar significant association was found in close-ended questions.


CONCLUSION
Parents reported more signs and symptoms of eye problems among their children through close-ended questions (regardless of gender) and more diversified categories through open-ended question in this study suggested that different communication approaches might be needed in clinical practice between those who requested specific appointment and those attending screening or routine assessment. The discrepancy might imply the importance to enhance the parent's role in preventive eye care. Effective communication between eyecare providers and parents has the potential to improve paediatric eyecare delivery.
['Chen|Ai-Hong|AH|', 'Bakar|Nurul-Farhana Abu|NA|', 'Lam|Carly Siu-Yin|CS|']
D000328:Adult D003430:Cross-Sectional Studies D005128:Eye Diseases D005260:Female D006801:Humans D008297:Male D008487:Medical History Taking D008875:Middle Aged D010287:Parent-Child Relations D010290:Parents D010808:Physical Examination D011795:Surveys and Questionnaires D055815:Young Adult
Close-ended question Open-ended question Atención ocular pediátrica Paediatric eye care Pregunta con respuesta abierta Pregunta con respuesta cerrada Signos visuales Síntomas visuales Visual signs Visual symptoms