ArticlePatient preference and adherence2026
Knowledge, Attitude, and Practice of Chinese Parents Regarding Myopia in Children and Adolescents: A Cross-Sectional Study with Structural Equation Modeling.
Article in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The high and increasing prevalence of myopia among Chinese children and adolescents is a major public health concern. Parents play a pivotal role in myopia control, yet large-scale studies investigating the mechanisms linking their Knowledge, Attitude, and Practice, KAP are limited. Objective: To assess the KAP levels of Chinese parents concerning childhood myopia, identify influencing factors, and, crucially, employ Structural Equation Modeling, SEM to explore the mediating pathway from knowledge to practice via attitude. Methods: A cross-sectional online survey was conducted among parents of children aged 0-19 years. The questionnaire captured demographics and KAP dimensions. Analyses included descriptive statistics, univariate analysis (rank-sum tests, Results: Among 193 valid responses, the mean total KAP score was 69.83 ± 7.48, with attainment (≥60% of total score) and excellence (≥85% of total score) rates of 98.96% and 41.45%, respectively. Attitude scores were highest (excellence: 75.65%), while practice scores were lowest (excellence: 27.98%). Residence, parental education, parental myopia, and child's age at myopia onset significantly influenced KAP (all p < 0.05). Notably, 46.11% of children engaged in >8 hours of daily online learning. SEM demonstrated a good model fit (CFI=0.972, TLI=0.969, RMSEA=0.070). Critically, the direct effect of knowledge on practice was non-significant (β = -0.012, p = 0.892), whereas the indirect effect via attitude was significant (β = 0.232, p = 0.003), indicating full mediation. Conclusion: Chinese parents possess favorable KAP levels, yet a significant knowledge-practice gap persists, fully mediated by attitude. This empirically validates the KAP theory's core tenet: knowledge alone is insufficient; it must catalyze a positive attitude to translate into action. Future interventions should strategically shift from pure knowledge dissemination to targeted attitude shaping to bridge this gap and enhance effective myopia prevention practices.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.