"A glint or a squint should make you think." Determining the impact of an eye-health awareness pamphlet for parents.

INTERVENTION: The Principal Investigator developed the pamphlet two phases. Phase 1: An exploratory qualitative study to identify knowledge gaps and determine factors that influence parents’ help‐seeking intentions for ocular symptoms in young children was undertaken. With Human Research Ethics Approval, 18 parents participated in 5 focus groups using photographic prompts of different eye diseases/problems in children. These included: conjunctivitis, swollen eye, white pupil [leukocoria] and turned/crossed‐eye [strabismus]. Using an inductive thematic analysis approach [Braun & Clarke, 2006], data from the focus groups were then analysed to inform and guide the content of the paediatric eye‐health awareness pamphlet for parents. The development of this pamphlet was grounded in an evidence‐based approach to develop health promotion materials ‐ ‘Information‐Motivation‐Behavioural skills’ (IMB) model. {Abraham & Kools, 2012] This theoretical framework specifies that effective health promotion material needs to: address information gaps [information]; provide arguments that motivate behaviour [motivation]; and provide instruction and explanation to perform behaviour [behaviour skills]. Key messages included in the pamphlet addressed the deficits in their knowledge that were identified, messages to motivate action and messages to inform behavioural skills to bring about a change in behaviour. Phase 2: Seventeen cognitive interviews were conducted with women who were either pregnant, had children or were of child‐bearing age to review the pamphlet and provide feedback on content, design, layout and comprehension. Following this process, the pamphlet was modified accordingly. The intervention is provided once only for participants randomised to the intervention group at Baseline. Following un‐blinding at the conclusion of the study, participants allocated to the control group at Baseline will be provided with the pamphlet to maintain clinical equipoise. CONDITION: leukocoria strabismus PRIMARY OUTCOME: Knowledge of leukocoria ; ; A survey has been specifically designed for the purpose of this RCT. ; Single item True/False questions and clinical scenarios with photographic prompts with Likert scale items will assess the participants' knowledge of signs of leukocoria. Knowledge of strabismus ; ; A survey has been specifically designed for the purpose of this RCT. ; Single item True/False questions and clinical scenarios with photographic prompts with Likert scale items will assess the participants' knowledge of signs of leukocoria. SECONDARY OUTCOME: Parents' help‐seeking intentions if signs of strabismus or leukocoria are observed in their child. ; ; A survey has been specifically designed for the purpose of this RCT. ; Single item True/False questions and clinical scenarios with photographic prompts with Likert scale items will assess the participants' perceived urgency and help‐seeking intentions if these ocular signs were observed. INCLUSION CRITERIA: Pregnant women in 2nd or 3rd trimester of pregnancy English‐speaking Regular access to email for completion of post‐test survey