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Time Outdoors as an Intervention for Myopia in Children

Primary Purpose

Myopia

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Outdoor activity 1
Outdoor activity 2
Sponsored by
Shanghai Eye Disease Prevention and Treatment Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Myopia focused on measuring Myopia, Outdoor time, Children, Intervention, Prevention

Eligibility Criteria

6 Years - 9 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. at baseline be enrolled in grade 1 and 2 of primary schools;
  2. have a parent or guardian who is able to read and comprehend Mandarin and give informed consent as demonstrated by signing a record of informed consent;
  3. Children verbally consent when registration for examination

Exclusion Criteria:

  1. Any systemic or ocular pathology that may affect the refractive error status of the eye;
  2. Strabismus and amblyopia;
  3. Intellectual disability;
  4. Using any anti-myopia treatments (orthokeratology, atropine, accommodation function training, acupuncture, auricular point sticking, progressive addition spectacle lenses or other anti-myopia contact lenses).
  5. Not suitable for inclusion in the study as deemed by the investigator.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    No Intervention

    Experimental

    Experimental

    Arm Label

    Control

    Outdoor Activity 1

    Outdoor Activity 2

    Arm Description

    40min outdoor time in total.

    80min outdoor time in total

    Outcomes

    Primary Outcome Measures

    Cycloplegic refractive power(auto-refractor instrument)
    The Cycloplegic refraction of all children are measured by auto-refractor(KR-8900, Topcon)

    Secondary Outcome Measures

    Axial length(IOL Master instrument)
    The axial length of the eyeball are measured by IOL Master(version 5.02, Carl Zeiss).

    Full Information

    First Posted
    November 21, 2016
    Last Updated
    November 29, 2016
    Sponsor
    Shanghai Eye Disease Prevention and Treatment Center
    Collaborators
    Brien Holden Vision
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02980445
    Brief Title
    Time Outdoors as an Intervention for Myopia in Children
    Official Title
    Time Outdoors as an Intervention for Myopia in Children--School-based Randomized Controlled Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2016
    Overall Recruitment Status
    Unknown status
    Study Start Date
    November 2016 (undefined)
    Primary Completion Date
    November 2018 (Anticipated)
    Study Completion Date
    May 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Shanghai Eye Disease Prevention and Treatment Center
    Collaborators
    Brien Holden Vision

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The purpose of this study is to determine whether improved outdoor time has an effect on the onset and progression of myopia in children.
    Detailed Description
    To evaluate the effect of increased time outdoors on the incidence of myopia in non-myopic children; To evaluate the effect of increased time outdoors on the progression of myopia in myopic children; To explore if there is dose-response effect of time outdoors on the incidence and progression of myopia.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Myopia
    Keywords
    Myopia, Outdoor time, Children, Intervention, Prevention

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    7200 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Control
    Arm Type
    No Intervention
    Arm Title
    Outdoor Activity 1
    Arm Type
    Experimental
    Arm Description
    40min outdoor time in total.
    Arm Title
    Outdoor Activity 2
    Arm Type
    Experimental
    Arm Description
    80min outdoor time in total
    Intervention Type
    Behavioral
    Intervention Name(s)
    Outdoor activity 1
    Intervention Description
    40-minute outdoor activity
    Intervention Type
    Behavioral
    Intervention Name(s)
    Outdoor activity 2
    Intervention Description
    Dose 1 plus an additional 40-minute outdoor activities during recesses
    Primary Outcome Measure Information:
    Title
    Cycloplegic refractive power(auto-refractor instrument)
    Description
    The Cycloplegic refraction of all children are measured by auto-refractor(KR-8900, Topcon)
    Time Frame
    1 year
    Secondary Outcome Measure Information:
    Title
    Axial length(IOL Master instrument)
    Description
    The axial length of the eyeball are measured by IOL Master(version 5.02, Carl Zeiss).
    Time Frame
    6 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    6 Years
    Maximum Age & Unit of Time
    9 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: at baseline be enrolled in grade 1 and 2 of primary schools; have a parent or guardian who is able to read and comprehend Mandarin and give informed consent as demonstrated by signing a record of informed consent; Children verbally consent when registration for examination Exclusion Criteria: Any systemic or ocular pathology that may affect the refractive error status of the eye; Strabismus and amblyopia; Intellectual disability; Using any anti-myopia treatments (orthokeratology, atropine, accommodation function training, acupuncture, auricular point sticking, progressive addition spectacle lenses or other anti-myopia contact lenses). Not suitable for inclusion in the study as deemed by the investigator.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Xun Xu, MD
    Organizational Affiliation
    Shanghai Eye Disease Prevention and Treatment Center
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    35882514
    Citation
    Gong W, Cheng T, Wang J, Zhang B, Chen J, Zhu J, Zou H, Liu K, He X, Xu X. Role of corneal radius of curvature in early identification of fundus tessellation in children with low myopia. Br J Ophthalmol. 2023 Oct;107(10):1532-1537. doi: 10.1136/bjo-2022-321295. Epub 2022 Jul 26.
    Results Reference
    derived
    PubMed Identifier
    35779695
    Citation
    He X, Sankaridurg P, Wang J, Chen J, Naduvilath T, He M, Zhu Z, Li W, Morgan IG, Xiong S, Zhu J, Zou H, Rose KA, Zhang B, Weng R, Resnikoff S, Xu X. Time Outdoors in Reducing Myopia: A School-Based Cluster Randomized Trial with Objective Monitoring of Outdoor Time and Light Intensity. Ophthalmology. 2022 Nov;129(11):1245-1254. doi: 10.1016/j.ophtha.2022.06.024. Epub 2022 Jun 30.
    Results Reference
    derived

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    Time Outdoors as an Intervention for Myopia in Children

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