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StudyJournal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2026

Multimedia education improves knowledge and follow-up in retinopathy of prematurity.

Susanna Yau, Elizabeth Fernandez Paz, Victoria Chen … Moran R Levin

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OphthalmologyStudy

Multimedia education sharply improves parents' knowledge of retinopathy of prematurity.

Multimedia education improves knowledge and follow-up in retinopathy of prematurity.

Susanna Yau … Moran R Levin

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2026

Background

Written patient education material (patient education material) adhering to health literacy standards has been shown to improve parent understanding and clinic follow-up attendance rates in infants with retinopathy of prematurity (retinopathy of prematurity).

Purpose

We investigated the efficacy of a multimedia education program to improve parent knowledge of retinopathy of prematurity and follow-up attendance.

Methods

We created novel multimedia patient education material consisting of a video, a handout, and a website (ROPeducation.com) in English and Spanish that adhere to national health literacy guidelines.

Results

parents' post-education test scores rose sharply after watching the materials

OR 1.29 (95% CI 1.04 to 1.53)

null 1

1.04

1.53

CI excludes the null - significant

More results

Follow-up attendance significantly improved in the multimedia patient education material group compared with baseline attendance (91.5% vs 68.2% [P = 0.01]).

The odds of follow-up attendance were also increased as a function of family income (P = 0.01).

More results

In whole-dataset adjusted analysis, only income remained significantly associated with follow-up attendance (adjusted OR = 1.29 [95% CI, 1.04, 1.53]); however, a significant association (P = 0.047) of multimedia patient education material with follow-up persisted in the higher-income stratum of patients even after adjustment for income.

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Conclusion · 1 of 2

Multimedia patient education material adhering to health literacy standards significantly improves retinopathy of prematurity knowledge compared with that preceding receipt of patient education material.

Conclusion · 2 of 2

Among higher-income families, the video, handout, and website created for this study improved follow-up attendance rates in infants with retinopathy of prematurity even after adjustment for income.

Post

Multimedia education improves knowledge and follow-up in retinopathy of prematurity.

Multimedia education sharply improves parents' knowledge of retinopathy of prematurity.

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