The validity of self-report of eye diseases in participants with vision loss in the National Eye Health Survey

Abstract We assessed the validity and reliability of self-report of eye disease in participants with unilateral vision loss (presenting visual acuity worse than 6/12 in the worse eye and equal to or better than 6/12 in the better eye) or bilateral vision loss (presenting visual acuity worse than 6/1...

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Autores principales:	Joshua Foreman, Jing Xie, Stuart Keel, Peter van Wijngaarden, Hugh R. Taylor, Mohamed Dirani
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3230a6368ead45598ea0f58981201f4e
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spelling	oai:doaj.org-article:3230a6368ead45598ea0f58981201f4e2021-12-02T12:30:37ZThe validity of self-report of eye diseases in participants with vision loss in the National Eye Health Survey10.1038/s41598-017-09421-92045-2322https://doaj.org/article/3230a6368ead45598ea0f58981201f4e2017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-09421-9https://doaj.org/toc/2045-2322Abstract We assessed the validity and reliability of self-report of eye disease in participants with unilateral vision loss (presenting visual acuity worse than 6/12 in the worse eye and equal to or better than 6/12 in the better eye) or bilateral vision loss (presenting visual acuity worse than 6/12 in the better eye) in Australia’s National Eye Health Survey. In total, 1738 Indigenous Australians and 3098 non-Indigenous Australians were sampled from 30 sites. Participants underwent a questionnaire and self-reported their eye disease histories. A clinical examination identified whether participants had cataract, age-related macular degeneration, diabetic retinopathy and glaucoma. For those identified as having unilateral or bilateral vision loss (438 Indigenous Australians and 709 non-Indigenous Australians), self-reports were compared with examination results using validity and reliability measures. Reliability was poor for all four diseases (Kappa 0.06 to 0.37). Measures of validity of self-report were variable, with generally high specificities (93.7% to 99.2%) in all diseases except for cataract (63.9 to 73.1%) and low sensitivities for all diseases (7.6% in Indigenous Australians with diabetic retinopathy to 44.1% of non-Indigenous Australians with cataract). This study suggests that self-report is an unreliable population-based research tool for identifying eye disease in those with vision loss.Joshua ForemanJing XieStuart KeelPeter van WijngaardenHugh R. TaylorMohamed DiraniNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Joshua Foreman Jing Xie Stuart Keel Peter van Wijngaarden Hugh R. Taylor Mohamed Dirani The validity of self-report of eye diseases in participants with vision loss in the National Eye Health Survey
description	Abstract We assessed the validity and reliability of self-report of eye disease in participants with unilateral vision loss (presenting visual acuity worse than 6/12 in the worse eye and equal to or better than 6/12 in the better eye) or bilateral vision loss (presenting visual acuity worse than 6/12 in the better eye) in Australia’s National Eye Health Survey. In total, 1738 Indigenous Australians and 3098 non-Indigenous Australians were sampled from 30 sites. Participants underwent a questionnaire and self-reported their eye disease histories. A clinical examination identified whether participants had cataract, age-related macular degeneration, diabetic retinopathy and glaucoma. For those identified as having unilateral or bilateral vision loss (438 Indigenous Australians and 709 non-Indigenous Australians), self-reports were compared with examination results using validity and reliability measures. Reliability was poor for all four diseases (Kappa 0.06 to 0.37). Measures of validity of self-report were variable, with generally high specificities (93.7% to 99.2%) in all diseases except for cataract (63.9 to 73.1%) and low sensitivities for all diseases (7.6% in Indigenous Australians with diabetic retinopathy to 44.1% of non-Indigenous Australians with cataract). This study suggests that self-report is an unreliable population-based research tool for identifying eye disease in those with vision loss.
format	article
author	Joshua Foreman Jing Xie Stuart Keel Peter van Wijngaarden Hugh R. Taylor Mohamed Dirani
author_facet	Joshua Foreman Jing Xie Stuart Keel Peter van Wijngaarden Hugh R. Taylor Mohamed Dirani
author_sort	Joshua Foreman
title	The validity of self-report of eye diseases in participants with vision loss in the National Eye Health Survey
title_short	The validity of self-report of eye diseases in participants with vision loss in the National Eye Health Survey
title_full	The validity of self-report of eye diseases in participants with vision loss in the National Eye Health Survey
title_fullStr	The validity of self-report of eye diseases in participants with vision loss in the National Eye Health Survey
title_full_unstemmed	The validity of self-report of eye diseases in participants with vision loss in the National Eye Health Survey
title_sort	validity of self-report of eye diseases in participants with vision loss in the national eye health survey
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/3230a6368ead45598ea0f58981201f4e
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The validity of self-report of eye diseases in participants with vision loss in the National Eye Health Survey

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