Visual impairment in young children is common, affecting between 5% and 10% of children 5 years of age and younger. Preschool vision screening is therefore recommended as a standard component of well-child care. Unfortunately, the rate of vision screening by primary care practitioners is less than 30%. The overarching goals of this proposed project are to improve vision care for preschool-aged children and to prepare the candidate for a career as an expert and independent investigator in the delivery of vision related services for children. These goals will be achieved through career development activities and research activities organized in three phases of research: (1) Identification of the barriers to the delivery of vision-related services; (2) Measurement of utilization of vision-related services under public and private insurance; and, (3) Development and pilot testing of educational material based to improve the delivery of vision-related services in the primary care practice setting. Research methods for Phase One of the research will include surveys of primary care practitioners, eye care specialists, and the parents of preschool-aged children. Phase Two will be based on analysis of administrative claims databases from private and public insurers. In Phase Three, the educational intervention will be developed and pilot tested in 10 primary care practices. Career development activities during these phases of research will include formal training in vision science and the treatment of visual impairment, survey research methodology, and healthcare economics. Three dedicated and expert mentors will guide these career development activities. By the completion of this proposed project, the candidate will be an expert in vision care for children, and he will submit an independent investigator-initiated grant proposal to continue his goal of improving the delivery of vision services for children.
| Kemper, Alex R; Freedman, Sharon F; Wallace, David K (2008) Retinopathy of prematurity care: patterns of care and workforce analysis. J AAPOS 12:344-8 |
| Kemper, Alex R; Wallace, David K; Quinn, Graham E (2008) Systematic review of digital imaging screening strategies for retinopathy of prematurity. Pediatrics 122:825-30 |
| Kemper, Alex R; Clark, Sarah J (2007) Preschool vision screening by family physicians. J Pediatr Ophthalmol Strabismus 44:24-7;quiz 43-4 |
| Kemper, Alex R; Wallace, David K (2007) Neonatologists'practices and experiences in arranging retinopathy of prematurity screening services. Pediatrics 120:527-31 |
| Kemper, Alex R; Gurney, James G; Eibschitz-Tsimhoni, Maya et al. (2007) Corrective lens wear among adolescents: findings from the National Health and Nutrition Examination Survey. J Pediatr Ophthalmol Strabismus 44:356-62 |
| Kemper, Alex R; Clark, Sarah J (2006) Preschool vision screening in pediatric practices. Clin Pediatr (Phila) 45:263-6 |
| Kemper, Alex R; Uren, Rebecca L; Clark, Sarah J (2006) Barriers to follow-up eye care after preschool vision screening in the primary care setting: findings from a pilot study. J AAPOS 10:476-8 |
| Kemper, Alex R; Cohn, Lisa M; Dombkowski, Kevin J (2004) Patterns of vision care among Medicaid-enrolled children. Pediatrics 113:e190-6 |
| Kemper, Alex R; Bruckman, David; Freed, Gary L (2004) Prevalence and distribution of corrective lenses among school-age children. Optom Vis Sci 81:7-10 |
| Kemper, Alex R; Diaz Jr, Guillermo; Clark, Sarah J (2004) Willingness of eye care practices to evaluate children and accept Medicaid. Ambul Pediatr 4:303-7 |
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