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Retinal haemorrhages in shaken baby syndrome
Author(s) -
Kontkanen Matti,
Kaarniranta Kai
Publication year - 2009
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2008.01268.x
Subject(s) - medicine , child abuse , pediatrics , shaken baby syndrome , poison control , crying , injury prevention , psychiatry , medical emergency
to diminish over time. They also showed that technical interventions (such as a less frequent dosage) resulted in better adherence and that behavioural interventions were relevant for improving adherence. Roter et al. (1998) found that interventions combining cognitive, behavioural and affective components were more effective than interventions focused on one element alone. Therefore, we do not follow the suggestion of Mansouri & Shaarawy (2009) that improved knowledge will greatly improve compliance or outcome. In our opinion, it is important to achieve a general level of knowledge in glaucoma patients. However, we do not have high expectations that further improvement of knowledge in the Dutch population will enhance compliance greatly. Knowledge on some items was even correlated negatively with compliance: for example, knowing that glaucoma is a condition that progresses slowly without treatment was correlated with worse compliance. More intervention studies are needed to examine other dimensions. We think that compliance-enhancing interventions focused on reducing forgetfulness and increasing usage of dosing aids may be of more benefit than an intervention based on improvement of knowledge. We thank Mansouri & Shaarawy for reading our article carefully.