Community-Based Interventions to Improve Eye Health Outcomes in Older Adults: A Systematic Review and Meta-Analysis
Issued Date
2026-01-01
Resource Type
ISSN
03010422
eISSN
21076952
Scopus ID
2-s2.0-105029238498
Journal Title
Public Health Reviews
Volume
46
Rights Holder(s)
SCOPUS
Bibliographic Citation
Public Health Reviews Vol.46 (2026)
Suggested Citation
Luangphituck W., Boonyamalik P., Klainin-Yobas P., Lagampan S., Viwatwongkasem C. Community-Based Interventions to Improve Eye Health Outcomes in Older Adults: A Systematic Review and Meta-Analysis. Public Health Reviews Vol.46 (2026). doi:10.3389/phrs.2025.1607404 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/114965
Title
Community-Based Interventions to Improve Eye Health Outcomes in Older Adults: A Systematic Review and Meta-Analysis
Author's Affiliation
Corresponding Author(s)
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Abstract
Objectives: This review aimed to synthesize evidence on community-based interventions designed to improve eye health among older adults. Methods: Eleven electronic databases and reference lists of relevant studies were systematically searched. Two reviewers independently screened records, extracted data, and assessed study quality. Pooled effect sizes were calculated using a random-effects model with standardized mean differences (SMD) and relative risks. Heterogeneity was assessed using the I<sup>2</sup> and Chi-square tests, with subgroup, sensitivity, and publication bias analyses performed. Results: Twenty-two studies met the inclusion criteria, and 13 were included in the meta-analysis. Interventions included educational, telephone-based, and health promotion programs. Educational programs significantly improved attitudes toward eye health (SMD = 3.91) and general eye health behaviors (SMD = 8.20). Structured teaching interventions had the greatest effect on knowledge (SMD = 4.04), while community-based support groups improved eye examination uptake (SMD = 4.33). Subgroup and meta-regression analyses found no significant moderators, with persistent heterogeneity. Conclusion: Community-based interventions appear to enhance eye health knowledge and behaviors among older adults, but evidence remains limited and heterogeneous, warranting cautious interpretation. Systematic Review Registration: PROSPERO: Identifier CRD42023434652.