A toolkit on how to implement MyopiaEd Web Annex MyopiaEd message libraries A toolkit on how to implement MyopiaEd Web Annex MyopiaEd message libraries BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 2 Be he@lthy, be mobile: a toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries. ISBN (WHO) 978-92-4-004481-4 (electronic version) ISBN (ITU) 978-92-61-36271-3 (electronic version) © World Health Organization and International Telecommunication Union, 2022 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. 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The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO or ITU be liable for damages arising from its use. This publication forms part of the document entitled Be he@lthy, be mobile: a toolkit on how to implement MyopiaEd. It is being made publicly available for transparency purposes and information. Design and layout by 400 Communications. 3This document provides a library of messages for use in mHealth programmes for myopia. The message library is split into sub-libraries based on the following target audiences: 1. General population (ID: GP1-GP50) 2. Parents of children with myopia (ID: PM1-PM42) 3. Adolescents with myopia (ID: A1-A36) 4. Adults with myopia (ID: O1-O36) Each sub-library is designed to be delivered on its own i.e. a user will only receive the messages from one library depending on which target audience they belong. The message libraries should be adapted for the local population and context (please see chapter 5 of the toolkit on how to implement MyopiaEd). BE HE@LTHY BE MOBILE Online Annex: MyopiaEd message libraries BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 4 General population This message library contains messages designed to be delivered to the general population who are involved in supporting/caring for children at risk of developing myopia (e.g. parents of children without myopia, teachers, healthcare professionals). The messages are designed to encourage regular eye examinations to ensure optimal correction and access to the most up-to-date care; address common myopia related misconceptions; raise awareness of the importance of spectacle compliance; and increase awareness of strategies to delay progression of myopia. The messages in this library are designed to be delivered over a 12-month period, with approximately 1 message per week. It is recommended that the timing of delivery each week is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello. If not possible then remove. [activity] Add contact information for local parks/sports clubs etc. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 5 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to the MyopiaEd program. We will be sending you messages to support you to help prevent your child developing myopia (short-sightedness). 157 Information • Change “MyopiaEd message program” to local program name. • Change “your child” to “children” or “a child” depending on end- user type. 1 GP1 General knowledge about myopia Did you know that ‘short- sightedness’ or ‘near- sightedness’ are other names for myopia? They mean that a person can see clearly up close, but not well far away. 160 Information 8 2 GP2 General knowledge about myopia [hi] [name]. Myopia is becoming more common in young children, but it is preventable. By taking care of your child’s eyes you can help them to see clearly. 155 Information • Change “your child” to “children” or “a child” depending on end- user type. 1 3 GP3 Behaviour change/ lifestyle factors Time outdoors can prevent or delay the development of myopia. Encourage your child to play outside regularly and spend at least 90 minutes each day outside. 157 Information • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 6 Week ID Theme Message Count Type Notes Suggested Multimedia ID 4 GP4 Need for eye exams [hi]. Did you know that if a parent has myopia, their children are more likely to develop it too? Regular eye tests will be important to detect myopia early. 157 Information 1 5 GP5 Behaviour change/ lifestyle factors Near activities are ones that involve looking at things close up e.g. reading a book, using a smartphone. Lots of time on these things can increase myopia risk. 160 Information 6 6 GP6 Need for eye exams Early detection is best! Young children should have comprehensive eye exams by an eye health professional as they are the best person to care for their eyes. 157 Information • Include the age of first eye exam and ongoing frequency based on country-level guidelines. • Can add local idiom if relevant e.g. “ounce of prevention is worth a pound of cure”. 3, 34 7 GP7 General knowledge about myopia [hi]. Seeing clearly will help a child to succeed. It is important for achieving at school and on the sports field, as well as for their general wellbeing. 155 Motivation • Add motivators relevant to local population e.g. crossing the road. 4 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 7 Week ID Theme Message Count Type Notes Suggested Multimedia ID 8 GP8 Myopia misconceptions Myopia can be caused by different things (e.g. genetics, lifestyle) but there are things you can do to help prevent or slow the onset of myopia in your child. 158 Information • Change “your child” to “children” or “a child” depending on end- user type. 9 GP9 Behaviour change/ lifestyle factors [hi] [name]. Research shows spending more time outdoors lowers the risk of myopia. Encourage your child to go outside and play! 127 Motivation • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 10 GP10 Need for eye exams Sometimes myopia has no symptoms and so it isn’t easy to know when a child’s eyesight is worsening. Eye exams are key to diagnosing and treating myopia early. 158 Support 3, 5, 34 11 GP11 General knowledge about myopia [hi]. Myopia makes it hard to see things across the room and far away. Be on the lookout for signs that a child is struggling to see things in the distance. 156 Information 8 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 8 Week ID Theme Message Count Type Notes Suggested Multimedia ID 12 GP12 Behaviour change/ lifestyle factors Teach [child name] the 20- 20-20 rule: take a 20-second break to view something 20 feet away every 20 minutes of doing near activities e.g. reading a book. 154 Information • May need to change unit of measurement based on population 13 GP13 Need for eye exams [hi]. Eye rubbing, squinting, closing one eye to see, or trouble seeing the board in class are signs that a child may need to visit an eye health professional. 159 Information • Replace ‘board’ with other middle-distance object suitable for local context. 6, 8 14 GP14 Behaviour change/ lifestyle factors [hi] [name]. Looking for outside activity ideas for your child? Why not set up a treasure hunt or play hide and seek. 117 Information • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 9 Week ID Theme Message Count Type Notes Suggested Multimedia ID 15 GP15 General knowledge about myopia [hi] [name]. Worried about your child developing myopia? Remember eye health professionals are here to help and support you. 125 Support • Change “your child” to “children” or “a child” depending on end- user type. • Add link for local end- user facing professional association or government websites if available e.g. www.nhs. uk/conditions/short- sightedness/ 5 16 GP16 General knowledge about myopia Your child may have big dreams such as being an athlete or doctor. Their dreams are easier to achieve when they can see clearly. Take care of their eyes today. 159 Motivation • Change careers for common local options. • Change “your child” to “children” or “a child” depending on end- user type. 4 17 GP17 Behaviour change/ lifestyle factors [hi]. When a child is doing near activities such as reading or working on a computer, remind them to hold the book or device at least 30 cm from their eyes. 156 Information 36 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 10 Week ID Theme Message Count Type Notes Suggested Multimedia ID 18 GP18 General knowledge about myopia [hi] [name]. Myopia is becoming more common. 1 in 5 people around the world have myopia. Act now to help prevent your child developing myopia. 142 Motivation • Change “your child” to “children” or “a child” depending on end- user type. 19 GP19 General knowledge about myopia Myopia can affect more than vision. Regular visits to an eye health professional will help identify myopia early and minimise the impacts on a child's life. 156 Information 3 20 GP20 General knowledge about myopia [hi]. Sitting too close to the TV or holding a book too close may be a sign that a child is developing myopia. An eye health professional will be able to help. 159 Reminder 11 21 GP21 Behaviour change/ lifestyle factors Spending 90 minutes outdoors during daylight hours is important to help prevent myopia or slow its progression. Encourage your child to go outside and play! 156 Reminder • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 11 Week ID Theme Message Count Type Notes Suggested Multimedia ID 22 GP22 General knowledge about myopia Prevention and early treatment of myopia is vital as evidence shows untreated myopia can impact on a child’s academic performance and general quality of life. 158 Motivation 23 GP23 Need for eye exams Under-performing at school, moving closer to the TV, headaches and squinting are signs that a child should go to an eye health professional for a check-up. 155 Information 6, 8 24 GP24 Behaviour change/ lifestyle factors [hi]. When your child is doing near activities like reading, or playing on a computer or smartphone, encourage frequent breaks to help their eyes. 146 Information • Change “your child” to “children” or “a child” depending on end- user type. 7 25 GP25 Need for eye exams A child may not know that their vision is bad. Try asking "can you see the whiteboard clearly?" If they can’t then they need to see an eye health professional. 159 Information • Replace ‘whiteboard’ with chalkboard or other middle-distance object suitable for local context. 8 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 12 Week ID Theme Message Count Type Notes Suggested Multimedia ID 26 GP26 General knowledge about myopia Kids are constantly growing! As they grow their eyes change which may lead to myopia. By having their eyes tested regularly it will help detect myopia early. 157 Support • Include local guidelines on regularity. 5 27 GP27 Behaviour change/ lifestyle factors Spending time outside as a family is good for the eye health of your child and the whole family. Why not go on a walk together or play a game of hide and seek? 159 Reminder • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 33 28 GP28 General knowledge about myopia [hi] [name]. People with myopia see far away things as blurry, so if your child develops myopia, they will need glasses to help them see things far away. 154 Motivation • Change “your child” to “children” or “a child” depending on end- user type. 10 29 GP29 Myopia misconceptions [hi]. It is not true that glasses will make your vision worse! They not only help children to see clearly but help prevent them from straining to see things. 157 Motivation • Add motivators relevant to local population. 35 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 13 Week ID Theme Message Count Type Notes Suggested Multimedia ID 30 GP30 Behaviour change/ lifestyle factors [hi] [name]. Looking for ideas to get your child outside? Find a local park to explore or join a local sports team. Go to [activity] for ideas. 143 Support • Add local website for parks/activities/sports clubs. • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 31 GP31 General knowledge about myopia [hi] [name]. Complaining of sore or tired eyes may be a sign that a child is developing myopia. Talk to an eye health professional for support. 143 Information 6 32 GP32 General knowledge about myopia Good eye health makes it easier to do many things e.g. reading, play sport. Caring for the eye health of a child now will help them to see well in the future. 158 Motivation • Add motivators relevant to local population. 4 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 14 Week ID Theme Message Count Type Notes Suggested Multimedia ID 33 GP33 Behaviour change/ lifestyle factors Taking breaks when doing near activities can help prevent or delay myopia. Encourage your child to look up often at things far away from their book or screen. 158 Reminder • Change “your child” to “children” or “a child” depending on end- user type. • Change “book or screen” to modalities appropriate for local population. 9 34 GP34 General knowledge about myopia [hi] [name]. If your child needs to move to the front of the classroom to see the board clearly, it is time for them to visit an eye health professional. 153 Reminder • Change “your child” to “children” or “a child” depending on end- user type. 8 35 GP35 Need for eye exams [hi] [name]. Regular eye exams are important, especially during the early school years. Your child should be taken to an eye health professional regularly. 155 Support • Update time frame (e.g. yearly) to match local guidelines. • Change “your child” to “children” or “a child” depending on end- user type. 3 36 GP36 Myopia misconceptions It isn’t true that there is nothing you can do to stop your child getting myopia! Taking breaks when doing close-up activities and spending time outside help. 158 Reminder • Change “your child” to “children” or “a child” depending on end- user type. • Add reference to sun protection if appropriate. 9, 12 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 15 Week ID Theme Message Count Type Notes Suggested Multimedia ID 37 GP37 Behaviour change/ lifestyle factors [hi] [name]. Does your child love reading? Remember, spending lots of time doing near activities can be hard on their eyes. Remind them to take breaks often. 157 Reminder • Change example to common local activity. • Change “your child” to “children” or “a child” depending on end- user type. 6, 7 38 GP38 Need for eye exams [hi] [name]. Taking a child to an eye health professional is an essential part of their healthcare, just like visiting the dentist. 131 Support • Use a locally relevant example of routine health care e.g. vaccination, infection care. 3 39 GP39 Behaviour change/ lifestyle factors Spending time outside is hard in bad weather. If your child can’t get outside, they can still look after their eyes by taking breaks when doing near activities. 160 Reminder • Change “your child” to “children” or “a child” depending on end- user type. 9 40 GP40 General knowledge about myopia [hi]. Do you have questions about myopia? Check in with an eye health professional and ask them any questions you might have – they’re there to support you! 156 Support • Add link for local end- user facing professional association or government websites if available e.g. www.nhs. uk/conditions/short- sightedness/ BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 16 Week ID Theme Message Count Type Notes Suggested Multimedia ID 41 GP41 General knowledge about myopia Remember a child should be taken to an eye health professional as early as possible if you think they might have a vision problem – early treatment is key. 155 Reminder 3 42 GP42 General knowledge about myopia A child may not know that their vision should not be blurry. Talk to them about their eyesight and take them for regular checks by an eye health professional. 158 Information 43 GP43 Behaviour change/ lifestyle factors [hi]. Help keep your child’s eyes healthy! Encourage them to spend more time outdoors and less time using devices such as tablet computers or mobile phones. 156 Reminder • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 44 GP44 Need for eye exams It’s important that children have a check-up with an eye health professional often. Eye health professionals can answer any questions you have about myopia. 156 Support 5 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 17 Week ID Theme Message Count Type Notes Suggested Multimedia ID 45 GP45 Myopia misconceptions [hi] [name]. Myopia can be prevented and is treatable! By taking care of their eyes you are helping your child see clearly today and into the future. 149 Motivation • Add local motivations. • Change “your child” to “children” or “a child” depending on end- user type. 46 GP46 General knowledge about myopia [hi] [name]. Setting your child up for a healthy future involves taking care of their vision. An eye health professional here to support and help you. 151 Support • Change “your child” to “children” or “a child” depending on end- user type. 5 47 GP47 Behaviour change/ lifestyle factors [hi] [name]. Encouraging more time spent outdoors can help prevent myopia – remind your child to spend time outside every day! 126 Motivation • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 48 GP48 Need for eye exams Early detection of myopia is important. Taking your child to an eye health professional to get their eyes checked regularly will help prevent or delay myopia. 158 Motivation • Change “your child” to “children” or “a child” depending on end- user type. 3 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 18 Week ID Theme Message Count Type Notes Suggested Multimedia ID 49 GP49 Behaviour change/ lifestyle factors It can be useful to monitor the time a child spends on near activities e.g. reading, using a computer. Support them to take breaks often to protect their eyes. 159 Reminder 9, 12 50 GP50 General knowledge about myopia The messages will end soon but remember that your child could develop myopia as they get older. Regular eye tests will be important to detect myopia early. 155 Reminder • Change “your child” to “children” or “a child” depending on end- user type. 3 Admin [hi] [name]. You have now finished the MyopiaEd program, thanks for taking part. We hope you have found the messages useful. 123 Admin • Change “MyopiaEd program” to local program name. x BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 19 Parents of children with myopia This message library contains messages designed to be delivered to parents of pre-school or primary-level children who have myopia. The messages are designed to encourage regular eye examinations to ensure optimal correction and access to the most up-to-date care; address common myopia related misconceptions; raise awareness of the importance of spectacle compliance; and increase awareness of strategies to delay progression of myopia. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [child name] If possible, insert the child’s name (the child with myopia) if not available use “your child” [name] If possible, insert recipients name (the parent). If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello, Kia ora. If not possible then remove. [activity] Add contact information for local parks/sports clubs etc. [he/she/they] If possible, use child’s correct pronoun. If not available use “they”. [him/her/them] If possible, use child’s correct pronoun. If not available use “them”. [his/her/their] If possible, use child’s correct pronoun. If not available use “their”. [role model] Insert locally relevant role model or celebrity who wears glasses. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 20 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 0 0 Admin [hi] [name]. Welcome to the MyopiaEd program. We will be sending you messages about myopia (short/near sightedness) to support you to care for [child name]. 155 Admin • Change “MyopiaEd message program” to local program name. 1 1 PM1 General knowledge about myopia Did you know that 'short- sightedness' or 'near- sightedness' are other names for myopia? They mean that a person can see clearly up close, but not well far away. 160 Information 10 4 PM2 General knowledge about myopia [hi] [name]. Prescription glasses will help [child name] see clearly. Encourage [him/ her/them] to wear [his/her/ their] glasses as instructed by [his/her/their] eye health professional. 184 Motivation • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 14, 37 2 8 PM3 Behaviour change/ lifestyle factors When [child name] is reading a book, or working on a computer, remind [him/her/ them] to hold the book or device at least 30cms from [his/her/their] eyes. 153 Information • Replace activities with common local activities. 36 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 21 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 11 PM4 Myopia misconceptions [hi] [name]. Myopia has different causes (e.g. genetics, lifestyle) but there are things you can do to help prevent myopia getting worse for [child name]. 154 Information 3 15 PM5 Behaviour change/ lifestyle factors Time outdoors can help slow the development of myopia. Encourage [child name] to play outside regularly and spend at least 90 minutes of their day outside. 155 Information • Add reference to sun protection if appropriate. 2, 12 18 PM6 Compliance with correction Is [child name] worried about wearing glasses? Remind them that glasses are important for their eyesight. Point out inspiring role models who wear glasses. 155 Motivation • Add name of local celebrity or aspirational figure who wears glasses. 15 4 22 PM7 Behaviour change/ lifestyle factors Try to monitor the time [child name] spends doing near activities e.g. reading, using a computer. Encourage [him/ her/them] to take breaks often to protect [his/her/their] eyes. 176 Reminder • Change examples to common local activity. 7, 9 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 22 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 25 PM8 General knowledge about myopia People with myopia see far away things as blurry, so [child name] may not be able to see things far away. Wearing [his/ her/their] glasses will help with this. 158 Information • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 10 5 29 PM9 Need for eye exams Children need regular comprehensive eye exams even after they start wearing glasses. An eye health professional is the best person to care for their eyes! 154 Support • Include local guidelines on regularity of eye exams. 3, 5 32 PM10 General knowledge about myopia Good vision makes it easier to do so many things e.g. read books, play sport. Caring for [child name]'s eye health will help them to see well in the future. 156 Motivation • Add motivators relevant to local target population. 4, 37 6 36 PM11 General knowledge about myopia Did you know that having myopia can increase the risk of [child name] developing other eye conditions later on? That is why protecting [his/her/their] eyes now is key. 167 Motivation 3, 5, 16 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 23 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 39 PM12 Myopia misconceptions It isn't true that glasses make your vision worse! They will not only help [child name] to see clearly but help prevent [his/ her/their] eyes from straining to see things. 170 Information 35, 14 7 43 PM13 General knowledge about myopia Teach [child name] the 20- 20-20 rule: take a 20-second break to view something 20 feet away every 20 minutes of doing near activities e.g. reading a book. 154 Information • Change unit of measurement based on population norms. 46 PM14 General knowledge about myopia [hi]. Do you have questions about [child name]'s myopia? Chat to your eye health professional about this next time you see them – they’re here to support you! 158 Support • Add link to local end-user facing professional association or government websites if available and appropriate e.g. www.nhs.uk/ conditions/short- sightedness/ 5 8 50 PM15 Need for eye exams [hi] [name]. Early treatment of myopia gives [child name] the best chance of having healthy eyes long term. Has your child had an eye check recently? 149 Motivation 3 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 24 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 53 PM16 Myopia misconceptions Everyone’s eyes are different! So it’s important [child name] wears the glasses prescribed to [him/her/them] by an eye health professional rather than someone else’s. 166 Information 14 9 57 PM17 General knowledge about myopia [child name] isn’t alone, around the world 1 in 5 people have myopia and even more wear glasses. Remind [him/ her/them] that even famous people need glasses. 156 Support • Add local statistics if available. • Add name of local celebrity or role model who wears glasses. 15 60 PM18 Behaviour change/ lifestyle factors [hi] [name]. Research shows spending more time outdoors is good for your eyes as well as your wellbeing. Encourage [child name] to go outside and play! 152 Reminder • Add reference to sun protection if appropriate. 2, 12 10 64 PM19 General knowledge about myopia [hi]. Seeing clearly will help [child name] succeed. It is important for achieving at school and on the sports field, as well as for [his/her/their] general wellbeing. 167 Motivation • Change motivations to align with local population. 4, 37 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 25 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 67 PM20 General knowledge about myopia When [child name] is doing near activities like reading, or using a computer, encourage breaks every 20 minutes to help prevent [his/her/their] myopia getting worse. 165 Reminder 7, 9, 12 11 71 PM21 Need for eye exams There are special glasses and other treatments to help prevent myopia getting worse. Book [child name] for an eye exam to find out what is best for their eyes. 159 Information 3 74 PM22 Compliance with correction [hi] [name]. Songs can be a great way to help children understand about wearing glasses. Why not make up a song together? 121 Information • Add link to song from local culture if available. 12 78 PM23 Myopia misconceptions [child name]’s myopia may change over time. Visit an eye health professional regularly to check if [his/her/their] glasses prescription needs updating. 151 Information • Include local guidelines on regularity of eye exams. • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 14, 16 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 26 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 81 PM24 Behaviour change/ lifestyle factors Reducing time on devices (e.g. computer) can help prevent a range of eye problems. Encourage [child name] to spend time off devices after school/weekends. 154 Reminder 2, 7, 12 13 85 PM25 General knowledge about myopia [hi]. Is [child name] complaining of headaches, or sore or tired eyes? It may be a sign [his/her/their] glasses need updating. Visit an eye health professional to check. 169 Information 6, 16 88 PM26 Behaviour change/ lifestyle factors [hi] [name]. Looking for ideas to get [child name] outside? Find a local park to explore or join a local sports team. Go to [activity] for ideas. 145 Support • Add local website for parks/ activities/ sports clubs. • Add reference to sun protection if appropriate. 2 14 92 PM27 Need for eye exams [hi] [name]. See taking [child name] to an eye health professional as an essential part of their healthcare, just like visiting the dentist. 140 Support • Use a locally relevant example of routine health care e.g. vaccination, infection care. 5 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 27 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 95 PM28 General knowledge about myopia [child name] may have big dreams of becoming an athlete or actor. These things are easier when you can see clearly so encourage them to take care of their eyes. 160 Motivation • Change careers for common local options. 4, 15 15 99 PM29 Need for eye exams Under-performing at school, moving closer to the TV, headaches and squinting are signs [child name] should visit an eye health professional for a check-up. 155 Information 8, 16 102 PM30 Compliance with correction Is [child name] worried about how they look wearing glasses? Remind them that there are many beautiful and successful people who wear glasses such as [role model]. 163 Reminder • Add name of local celebrity or role model who wears glasses. 15 16 106 PM31 Behaviour change/ lifestyle factors [hi]. Spending 90 minutes outdoors during daylight hours is important to prevent myopia from getting worse. Encourage [child name] to go outside and play! 154 Reminder • Add reference to sun protection if appropriate. 2, 12 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 28 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 109 PM32 General knowledge about myopia Sitting too close to the TV or holding a book too close may indicate [child name] needs new glasses. Visit an eye health professional to get their eyes checked. 160 Information 11 17 113 PM33 Compliance with correction If [child name] needs glasses to see well, make sure [he/ she/they] is wearing them as instructed by an eye health professional to help the health of [his/her/their] eyes. 170 Reminder • Can also refer to contact lenses or other forms of refractive correction if suitable. • Add motivators relevant to local target population. 14, 37 116 PM34 Behaviour change/ lifestyle factors When [child name] is spending long periods of time doing near activities remind them to look up at something in the distance (e.g. out a window) regularly. 156 Information • Replace activities with common local activities. 9 18 120 PM35 Need for eye exams If [child name] complains about [his/her/their] eyes or vision it's a good idea to visit an eye health professional to check if [his/her/their] glasses need updating. 166 Information • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 5, 16 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 29 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 123 PM36 Compliance with correction When [child name] wears the correct type of glasses for [him/her/them] it will help to protect [his/her/their] eyes and prevent future eye problems. 148 Information • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 3, 5, 16, 35 19 127 PM37 Myopia misconceptions [hi] [name]. It isn’t true that nothing can stop myopia getting worse! Spending time outside will help [child name]. 116 Reminder • Add reference to sun protection if appropriate. 2, 33 20 134 PM38 General knowledge about myopia [hi] [name]. Setting [child name] up for a healthy future involves taking care of their eyes. An eye health professional is here to support and help you. 154 Support 3, 5 21 141 PM39 General knowledge about myopia As [child name] grows [his/her/ their] eyes will also grow which may increase [his/her/their] level of myopia. [He/She/They] may need to change [his/her/ their] glasses as [he/she/they] gets older. 195 Information • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 16, 35 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 30 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 22 148 PM40 Need for eye exams It is not always easy to tell if [child name] is having trouble seeing. Remember an eye health professional is here to help you identify if there is an issue. 158 Support 3, 5 23 155 PM41 Behaviour change/ lifestyle factors Does [child name] love reading? Remember, spending lots of time doing close up activities can be hard on their eyes. Remind [him/her/them] to take breaks often. 160 Reminder 6, 7 24 162 PM42 Need for eye exams When did [child name] last have a check-up with eye health professional? Remember regular eye exams for children are important to treat myopia effectively. 155 Reminder 3, 5, 16, 34 168 Admin [hi] [name]. You have now finished the MyopiaEd message program, thanks for taking part [name]. We hope you have found the messages useful. 138 Admin • Change “MyopiaEd message program” to local program name. x BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 31 Adolescents with myopia This message library contains messages designed to be delivered to adolescents who have myopia. The messages are designed to target the importance of compliance with refractive error correction; common myopia-related misconceptions; and raise awareness of the importance of regular eye examinations to ensure optimal correction and awareness of management options to delay progression of myopia. These messages should be adapted to the local population and context following consultation with local adolescents, particularly in relation to barriers to wearing glasses, myopia misconceptions, motivations for good eye health, and role models. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hey, Hello. This should be appropriate to the adolescent age group. If not possible then remove. [role model] Add name of local celebrity or role model who wears glasses BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 32 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 0 0 Admin [hi] [name]. Welcome to the MyopiaEd message program. We will be sending you messages over the next 6 months to support you to care for your eyes. 145 Admin • Change “MyopiaEd message program” to local program name. 1 1 A1 General knowledge about myopia You might hear people refer to myopia as 'short-sightedness' or 'near-sightedness'. Both mean that you can see clearly up close, but not so well far away. 154 Information 10, 13 4 A2 Behaviour change/ lifestyle factors Spending less time on devices (e.g. smartphone, computer) is good for your eye health. Try to take breaks often if using devices for long periods. 146 Information 20 2 8 A3 General knowledge about myopia [hi]. Remember you are not alone, over 20% of the world’s population has myopia and even more wear glasses. Many famous people wear glasses like [role model]. 158 Support • Add name of local celebrity or role model who wears glasses. 15, 19 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 33 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 11 A4 Behaviour change/ lifestyle factors [hi] [name]. Time spent outdoors can help protect your eyes. Aim to spend at least 90 minutes of your day outside – try going for a bike ride with your friends! 160 Reminder • Change activity to suit local population. • Add reference to sun protection if appropriate. 18 3 15 A5 Compliance with correction [hi] [name]. People with myopia usually see far away things as blurry; wearing your glasses will help you see things in the distance more clearly. 146 Information • Add reference to contact lenses if an accessible option in local population. 10 18 A6 Need for eye exams Regular eye exams are a vital part of keeping your eyes healthy and preventing your myopia getting worse. Don't let your eyesight get in the way of your dreams. 160 Motivation • Add motivators relevant to local target population. 17 4 22 A7 General knowledge about myopia [hi] [name]. Myopia is caused by changes in the shape of the eye, which impacts vision. Glasses will help you to see clearly. 125 Information • Add reference to contact lenses if an accessible option in local population. • Add link to more information if local appropriate resource is available. 35 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 34 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 25 A8 Compliance with correction [hi] [name]. Remember to wear your glasses every day at school. This will help you see things clearly in your classroom. 121 Reminder • Add reference to contact lenses if an accessible option in local population. 19 5 29 A9 Compliance with correction Worried about what you look like when wearing glasses? Try not to let glasses get you down. There are many amazing people who wear glasses like [role model]. 157 Support • Add name of local celebrity or role model who wears glasses. • Add reference to contact lenses if an accessible option in local population. 15 32 A10 Behaviour change/ lifestyle factors When doing near activities such as reading a book, using a smartphone, or working on a computer try to hold the book or device at least 30 cm from your eyes. 157 Information • Change unit of measurement to match what is used in the local population. 36 6 36 A11 Myopia misconceptions It is not true that glasses make your vision worse. They not only help you see clearly but also prevent your eyes from straining to see things in the distance. 159 Reminder • Add reference to contact lenses if an accessible option in local population. 10 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 35 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 39 A12 General knowledge about myopia [hi]. Everyone’s eyes are different. So it’s important to wear your own glasses as prescribed by your eye health professional rather than using someone else’s. 159 Information 17, 21 7 43 A13 Need for eye exams [hi]. Are you struggling to see things at school, moving closer to TV, or squinting? These are signs you should visit an eye health professional for a check-up. 160 Information 23 46 A14 General knowledge about myopia [hi]. Got goals for the future [name]? Want to go to uni, have kids, travel? Don't let your eyesight get in the way of your goals. Take care of your eyes today! 160 Motivation • Add motivators relevant to local target population. 4 8 50 A15 General knowledge about myopia [hi] [name]. Did you know that myopia can increase your risk of developing other eye conditions in the future? Regular eye checks will help to prevent this. 156 Motivation 17 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 36 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 53 A16 General knowledge about myopia [hi] [name]. Do you ever get worried about your eyesight? Remember your eye health professional is here to help and support you. 128 Support • Add link to local end-user facing professional association or government website if available/ appropriate e.g. www.nhs.uk/ conditions/short- sightedness/ 21 9 57 A17 General knowledge about myopia [hi]. No one wants to have issues with their eyes when they are older. Taking care of your eyes now helps you see clearly and can prevent future eye conditions. 160 Motivation 60 A18 Compliance with correction [hi]. Find wearing glasses annoying? They can be frustrating but remember you are not alone – millions of people worldwide wear glasses including [role model]. 159 Motivation • Add names of local role models/ celebrities who wear glasses. • Add ways to overcome local barriers to wearing glasses. • Add reference to contact lenses if an accessible option in local population. 15, 19 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 37 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 10 64 A19 General knowledge about myopia [hi] [name]. Just like the rest of your body your eyes change as you get older. As a result of your eyes changing, you may need to change your glasses. 151 Information • Add reference to contact lenses if an accessible option in local population. 35 67 A20 Behaviour change/ lifestyle factors [hi] [name]. Do you spend a lot of time using screens e.g. social media, video games, watching movies? Don't forget to take breaks often to protect your eyes. 158 Reminder • Change screen use examples to local common ones. 20 11 71 A21 General knowledge about myopia Do you want to learn more about myopia? Check in with your eye health professional and ask them any questions you might have – they are here to support you! 156 Support • Add link to local end-user facing professional association or government websites if available and appropriate e.g. www.nhs.uk/ conditions/short- sightedness/ 21 74 A22 Compliance with correction Can you still see clearly through your glasses? It's important to keep your prescription up to date so visit eye health professional if things look blurry. 155 Support • Add reference to contact lenses if an accessible option in local population. 17, 21, 23 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 38 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 12 78 A23 Behaviour change/ lifestyle factors [hi]. Spending time outside is good for your eyes and also good for your mental and physical health. Spend time outside today, your future self will thank you! 159 Motivation • Add reference to sun protection if appropriate. 18 81 A24 General knowledge about myopia Good vision and eye health makes it easier to do so many things e.g. play sport, learn to drive. Caring for your eyes will help you to see well in the future. 158 Motivation • Add motivators relevant to local target population. 18 13 85 A25 Myopia misconceptions Carrots are good for your health but it’s not true that they improve your vision or keep you from needing glasses. Wearing your glasses as prescribed is key. 157 Information • Change to a common local misconception. • Add reference to contact lenses if an accessible option in local population. 35 14 92 A26 General knowledge about myopia [hi] [name]. Do you get headaches or tired eyes? This may be a sign your glasses need updating. Visit an eye health professional to check. 138 Information • Add reference to contact lenses if an accessible option in local population. 22 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 39 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 15 99 A27 General knowledge about myopia Myopia can affect more than just vision. Visit an eye health professional to keep your eyes healthy and stop myopia from impacting other areas of your health. 158 Information • Add reference to most up-to- date treatments available. 17, 21 16 106 A28 Need for eye exams Early and regular treatment of myopia gives you the best chance of healthy eyes and good vision long term. When was your last eye check? Book one in today. 155 Reminder • Add reference to contact lenses if an accessible option in local population. • Add reference to most up-to- date treatments available. 17 17 113 A29 General knowledge about myopia What do you want to be when you are older? An athlete or a doctor? Achieving your goals will be easier if you can see clearly so remember to care for your eyes. 160 Motivation • Change careers for common local options. 4, 15 18 120 A30 General knowledge about myopia [hi] [name]. If your vision seems blurrier than usual it might be time to update your glasses prescription. Visit an eye health professional to check. 151 Reminder • Add reference to contact lenses prescription if accessible option in local population. • Add reference to most up-to-date treatments available. 13, 22, 23 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 40 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 19 127 A31 Behaviour change/ lifestyle factors [hi] [name]. Help keep your eyes healthy. Balance the time you spend watching TV or movies with time outdoors having fun with friends. 134 Reminder • Add reference to sun protection if appropriate. • Change near activity types to common local examples. 18 20 134 A32 General knowledge about myopia If you have trouble seeing the whiteboard at school, you don't have to put up with it! Visit an eye health professional to check if your glasses need updating. 159 Reminder • Replace ‘whiteboard’ with chalkboard or other middle- distance object suitable for local context. 23 21 141 A33 Myopia misconceptions [hi] [name]. It is important to wear your glasses whenever you have been told to. It is not true that wearing glasses will make your vision worse! 147 Information • Add reference to contact lenses if an accessible option in local population. 19, 35 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 41 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 22 148 A34 Compliance with correction [hi] [name]. Dislike wearing glasses? Talk to your eye health professional about other options. 95 Information • Add contact lenses as an example of an alternative option to glasses if they accessible in local context. • Add names of role models who wear glasses. • Add tips to address common barriers to wearing glasses. 24 23 155 A35 Need for eye exams [hi] [name]. The best way to help your myopia is to go for regular eye exams and ensure that you are wearing the correct glasses prescription. 142 Information • Add motivators relevant to local target population. • Add reference to contact lenses if an accessible option in local population. 17 24 162 A36 Myopia misconceptions [hi] [name]. Remember myopia is treatable! By taking care of your eyes you are helping yourself to see clearly now and into the future. 135 Motivation • Add motivators relevant to local target population. 17, 21 168 Admin [hi] [name]. You have now finished the MyopiaEd program, thanks for taking part. We hope you have found the messages useful. 123 Admin • Change “MyopiaEd program” to local program name. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 42 Adults with myopia This message library contains messages designed to be delivered to adults who have been diagnosed with myopia. The messages are designed to target the importance of regular eye examinations due to the higher risk of other sight-threatening complications in adulthood. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello, Kia ora. If not possible then remove. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 43 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 0 0 Admin [hi] [name]. Welcome to the MyopiaEd program. We will be sending you messages over the next 6 months to support you to care for your vision and eye health. 154 Admin • Change “MyopiaEd message program” to local program name. 1 1 O1 General knowledge about myopia You might hear people refer to myopia as 'short-sightedness' or 'near-sightedness'. They both mean that you can see clearly up close, but not so well far away. 159 Information 10, 13 4 O2 Behaviour change/ lifestyle factors Near work activities are things like reading or using a computer. Look up often when doing these to reduce eye strain and help keep your eyes healthy. 150 Information • Add activities relevant to local target population. 30 2 8 O3 General knowledge about myopia Did you know that myopia increases the risk of some eye conditions and future vision loss? Taking care of your eyes will help reduce the risk of this. 150 Motivation • Add specific conditions common in local target population. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 44 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 11 O4 Compliance with correction [hi] [name]. Remember to wear your glasses every day. This will help you see things clearly and make sure your vision doesn’t hold you back. 140 Reminder • Add motivators relevant to local target population. • Add reference to contact lenses if accessible in local population. 29, 35 3 15 O5 General knowledge about myopia [hi] [name]. People with myopia usually see far away things as blurry; wearing your glasses helps you see things in the distance more clearly. 142 Information • Add reference to contact lenses if an accessible option in local population. 10 18 O6 Need for eye exams Eye exams are a key part of managing myopia and maintaining your eye health. Make visits to an eye health professional a regular thing like seeing the dentist. 159 Motivation • Add motivators relevant to local target population. • Change dentist to other health care professional/ regular health service appropriate to local population. 27 4 22 O7 General knowledge about myopia Good eyesight makes it easier to do many things e.g. drive safely, do work, read a book. Caring for your eyes will help you to see well now and in the future. 158 Motivation • Add activities relevant to local target population. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 45 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 25 O8 General knowledge about myopia [hi] [name]. Do you get worried about your eyesight or your myopia? Remember an eye health professional is here to help and support you. 137 Support • Add link to local end-user facing professional association or government website if available and appropriate e.g. www.nhs.uk/ conditions/short- sightedness/ 28 5 29 O9 Behaviour change/ lifestyle factors [hi] [name]. When doing near activities such as reading a book, doing a crossword or working on a computer try to take regular breaks. 134 Information • Add activities relevant to local target population. 30 32 O10 Myopia misconceptions It is not true that glasses make your vision worse. They not only help you see clearly but also prevent your eyes from straining to see things in the distance. 159 Reminder • Add reference to contact lenses if an accessible option in local population. 26, 29, 35 6 36 O11 Compliance with correction [hi] [name]. Do you enjoy watching movies or tv? Having the correct glasses will help you see clearly while doing these things. 127 Motivation • Change behaviours to suit audience. • Add reference to contact lenses if an accessible option in local population. 38 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 46 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 39 O12 Need for eye exams Just like the rest of your body, your eyes will change as you age. It’s important to have regular eye exams to detect any issues with your eyes or vision early. 160 Information 27, 28 7 43 O13 Myopia misconceptions Even if you have had myopia for a while there may be things you can do to help prevent your eyesight from worsening. Talk to a eye health professional today. 157 Information 29 46 O14 Compliance with correction [hi]. Everyone’s eyes are different so it’s important to wear your own glasses as prescribed by your eye health professional, rather than using someone else’s. 159 Information 26, 27, 35 8 50 O15 General knowledge about myopia Myopia can cause changes at the back of your eye that may affect your future eyesight if not treated. Regular eye exams will pick up changes early. 147 Motivation • Add specific conditions common in local target population. 27 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 47 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 53 O16 Myopia misconceptions Carrots are good for your health, but it is not true that they improve your vision or keep you from needing glasses. Wearing your glasses as prescribed is key. 159 Information • Change to a common local misconception. • Can also refer to contact lenses or other forms of refractive correction if suitable. 9 57 O17 Behaviour change/ lifestyle factors Do you spend a lot of time using screens e.g. working on a computer, doing video calls, watching movies? Don't forget to take breaks often to rest your eyes. 157 Reminder 30 60 O18 General knowledge about myopia [hi] [name]. Having myopia doesn't need to have a negative impact on your work, family or health. Caring for your eyes will help protect your eyesight. 151 Motivation 26 10 64 O19 General knowledge about myopia [hi] [name]. Are you struggling to see things, moving closer to TV, or squinting? These are signs you should visit an eye health professional for a check-up. 157 Information 31 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 48 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 67 O20 General knowledge about myopia Do you want to learn more about myopia? Check in with your eye health professional and ask them any questions you might have; they are here to support you! 155 Support • Add link to local end-user facing professional association or government website if available and appropriate e.g. www.nhs.uk/ conditions/short- sightedness/ 11 71 O21 General knowledge about myopia [hi] [name]. Do you get headaches, tired eyes or find you are straining to see things in the distance? This may be a sign that your glasses need updating. 154 Information • Add reference to contact lenses if an accessible option in local population. 32 74 O22 Myopia misconceptions [hi] [name]. Remember myopia is not just about wearing glasses! Having regular eye exams will help to prevent it impacting your long-term vision and eye health. 160 Reminder • Can also refer to contact lenses if suitable. 27, 28 12 78 O23 General knowledge about myopia Try to follow the 20-20-20 rule: take a 20-second break to view something 20 feet away every 20 minutes of doing near activities e.g. reading a book. 149 Information • May need to change unit of measurement based on population. 36 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 49 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 81 O24 Need for eye exams [hi] [name]. Regular eye examinations are important so that you can detect changes to your eyes and vision early to prevent vision loss in the future. 150 Information 27 13 85 O25 Need for eye exams [hi] [name]. Can't see the scoreboard when at a sports game or street signs in the distance when driving? It might be time to have your eyes checked again. 155 Support • Change behaviours relevant to target audience. 31 14 92 O26 Behaviour change/ lifestyle factors [hi] [name]. If you are spending long periods reading or using screens (e.g. computer, tablet, smartphone) remember to take breaks often to care for your eyes. 160 Reminder 30 15 99 O27 General knowledge about myopia [hi] [name]. If your vision seems more blurry than before, it might be time to visit an eye health professional to check. They are here to help and support you. 160 Reminder 13 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 50 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 16 106 O28 Need for eye exams [hi]. The best ways to look after your long-term eye health are to ensure that you are wearing the correct glasses prescription and to have regular eye exams. 158 Information • Add motivators relevant to local target population. • Add reference to contact lenses if an accessible option in local population. • Add reference to most up-to- date treatments available. 27, 28, 34 17 113 O29 Myopia misconceptions Treating myopia isn’t just about wearing glasses. Care from your eye health professional will help to stop it affecting other aspects of your eye health. 153 Information • Can also refer to contact lenses if suitable. 27, 28 18 120 O30 Need for eye exams When did you last have a check-up with an eye health professional? Regular eye exams are key to keep your eyes healthy. Book one today if it's been a while. 156 Reminder 27, 28 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 51 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 19 127 O31 General knowledge about myopia Do you rub your eyes, squint, or close one eye to help you see? These are signs that your glasses may need updating. Visit an eye health professional to check. 159 Information 31, 32 20 134 O32 General knowledge about myopia Remember to talk to an eye health professional if you have any questions about your eyes. Protecting your eyes will allow you to keep doing the things you love. 160 Support 28 21 141 O33 Need for eye exams Myopia can affect more than just your vision. Your eye health professional will help you prevent myopia impacting other areas of your vision and eye health. 156 Reminder • Add reference to most up-to- date treatments available. 22 148 O34 General knowledge about myopia [hi]. Remember, myopia increases the risk of developing other eye conditions. Taking care of your eyes today will help to reduce your risk of these in future. 158 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 52 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 23 155 O35 Need for eye exams Are you struggling to see things when out and about or moving closer to the TV? These are signs you should visit an eye health professional for a check-up. 155 Information 31 24 162 O36 Myopia misconceptions [hi] [name]. Remember managing your myopia is not just about your vision. Regular eye exams will prevent it impacting other aspects of your life. 146 Reminder 27 168 Admin [hi] [name]. You have now finished the MyopiaEd program, thanks for taking part. We hope you have found the messages useful. 123 Admin • Change “MyopiaEd program” to local program name. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 53 Suggested multimedia list The following is a list of multimedia descriptions to guide choice of multimedia to accompany messages in the MyopiaEd message libraries where they are to be delivered via a modality which allows for this (e.g. social media, app messaging). The descriptions provided are designed to guide the choice of multimedia by the local team. Actual multimedia chosen should include people that are relevant and relatable to the target audience considering aspects such as ethnicity, culture, and age. They should also include culturally relevant or age-appropriate settings and contexts depending on the target audience. For example, audiences who have access to contact lenses should include images of contact lenses and their use, for audiences whom sun-protection is a concern the images should include relevant sun-protection measures such as sunhats or sunglasses. ID Multimedia description 1 Image of smiling parent(s) and child, all/both with glasses 2 Image of child outside e.g. in a green space or urban space depending on what is relevant for the local population. Image could include a group of children playing together, parents playing with child, or child playing independently. Child wearing glasses when used for the 'Parents of children with Myopia' library. 3 Image of a smiling eye health professional conducting eye test with a child – include features such as equipment used in an eye test. 4 Image of a smiling child/adolescent wearing glasses graduating high school/receiving an award/wearing a sports medal. 5 Image of an eye health professional welcoming a parent and child into an eye clinic or looking friendly in front of shelves of glasses/eye testing equipment. 6 Image of a child using a screen or book, and rubbing their eyes (wearing glasses when used for 'Parents of child with Myopia’ library) 7 Image of child walking away from laptop/closing laptop (wearing glasses when used for 'Parents of child with Myopia’ library) BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 54 ID Multimedia description 8 Image of child squinting at board from the back of the class, TV, or something else in the middle distance. (wearing glasses when used for 'Parents of child with Myopia’ library) 9 Image of child looking away from screen or book i.e. out the window (wearing glasses when used for 'Parents of child with Myopia’ library) 10 Image of blurry background, clear through glasses (could be an outdoor setting, the whiteboard at school, or any relevant/ acceptable image, ideally a long-distance scene in line with what someone with myopia is like to experience) 11 Image of child sitting very close to the TV 12 Image of child/children leaving the house and heading outside (wearing glasses when used for 'Parents of child with Myopia’ library) 13 Image of blurry scene not in focus e.g. group of people 14 Image of child looking happy wearing glasses, with/without parent 15 Image of role model/local celebrity wearing glasses 16 Image of parents and child (wearing glasses) at the eye health professional/choosing glasses 17 Image of adolescent getting an eye exams/with friendly eye health professional 18 Image of adolescents wearing glasses outside e.g. playing sport, hanging out with friends – include activities and settings relevant to local audience e.g. urban, green, snow, beach 19 Image of happy adolescent wearing glasses at school or with friends 20 Image of adolescent wearing glasses walking away from laptop/closing laptop 21 Image of friendly eye health professional smiling in front of eye test equipment/shelves of glasses, or an adolescent talking to an eye health professional 22 Image of adolescent wearing glasses and rubbing eyes or holding/rubbing head indicating they have a headache, perhaps with a laptop in front of them (or holding their phone/a pair of glasses) BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 55 ID Multimedia description 23 Image of adolescent squinting through glasses perhaps in the classroom, on the sports field, or in any relevant context 24 Image of glasses and contact lenses side by side 25 Image of adolescent with parent(s), both/all wearing glasses 26 Image of adult wearing glasses and looking happy 27 Image of adult getting an eye exam with an eye health professional and/or optometry equipment e.g. visual acuity test 28 Image of adult (wearing glasses) and eye health professional shaking hands/interacting in a friendly way 29 Image of happy adult wearing glasses in a context relevant to the local audience e.g. in a business meeting, in a car, at home, among friends 30 Image of adult wearing glasses and looking away from phone/screen, or shutting laptop lid/walking away 31 Image of adult wearing glasses and squinting in a locally relevant context e.g. at the TV, at their phone, in a car, into the distance, in the office 32 Image of adult wearing glasses and rubbing eyes, holding head, or rubbing head indicating a headache, while looking at/ holding a screen or phone 33 Image of family with some/all wearing glasses and spending time outside together 34 Image of Snellen chart 35 Image of glasses 36 Image of a child/adolescent/adult wearing glasses holding a book, tablet, or laptop at least 30cm away from their face 37 Image of child wearing glasses in the last row at school, while playing sport or crossing the road (or any locally relevant activities) 38 Image of adult(s) wearing glasses watching TV or looking at something in the middle distance World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland website: www.who.int/initiatives/behealthy e-mail: bhbm@who.in
A toolkit on how to implement MyopiaEd Web Annex MyopiaEd message libraries A toolkit on how to implement MyopiaEd Web Annex MyopiaEd message libraries BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 2 Be he@lthy, be mobile: a toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries. ISBN (WHO) 978-92-4-004481-4 (electronic version) ISBN (ITU) 978-92-61-36271-3 (electronic version) © World Health Organization and International Telecommunication Union, 2022 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. 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The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO or ITU be liable for damages arising from its use. This publication forms part of the document entitled Be he@lthy, be mobile: a toolkit on how to implement MyopiaEd. It is being made publicly available for transparency purposes and information. Design and layout by 400 Communications. 3This document provides a library of messages for use in mHealth programmes for myopia. The message library is split into sub-libraries based on the following target audiences: 1. General population (ID: GP1-GP50) 2. Parents of children with myopia (ID: PM1-PM42) 3. Adolescents with myopia (ID: A1-A36) 4. Adults with myopia (ID: O1-O36) Each sub-library is designed to be delivered on its own i.e. a user will only receive the messages from one library depending on which target audience they belong. The message libraries should be adapted for the local population and context (please see chapter 5 of the toolkit on how to implement MyopiaEd). BE HE@LTHY BE MOBILE Online Annex: MyopiaEd message libraries BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 4 General population This message library contains messages designed to be delivered to the general population who are involved in supporting/caring for children at risk of developing myopia (e.g. parents of children without myopia, teachers, healthcare professionals). The messages are designed to encourage regular eye examinations to ensure optimal correction and access to the most up-to-date care; address common myopia related misconceptions; raise awareness of the importance of spectacle compliance; and increase awareness of strategies to delay progression of myopia. The messages in this library are designed to be delivered over a 12-month period, with approximately 1 message per week. It is recommended that the timing of delivery each week is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello. If not possible then remove. [activity] Add contact information for local parks/sports clubs etc. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 5 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to the MyopiaEd program. We will be sending you messages to support you to help prevent your child developing myopia (short-sightedness). 157 Information • Change “MyopiaEd message program” to local program name. • Change “your child” to “children” or “a child” depending on end- user type. 1 GP1 General knowledge about myopia Did you know that ‘short- sightedness’ or ‘near- sightedness’ are other names for myopia? They mean that a person can see clearly up close, but not well far away. 160 Information 8 2 GP2 General knowledge about myopia [hi] [name]. Myopia is becoming more common in young children, but it is preventable. By taking care of your child’s eyes you can help them to see clearly. 155 Information • Change “your child” to “children” or “a child” depending on end- user type. 1 3 GP3 Behaviour change/ lifestyle factors Time outdoors can prevent or delay the development of myopia. Encourage your child to play outside regularly and spend at least 90 minutes each day outside. 157 Information • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 6 Week ID Theme Message Count Type Notes Suggested Multimedia ID 4 GP4 Need for eye exams [hi]. Did you know that if a parent has myopia, their children are more likely to develop it too? Regular eye tests will be important to detect myopia early. 157 Information 1 5 GP5 Behaviour change/ lifestyle factors Near activities are ones that involve looking at things close up e.g. reading a book, using a smartphone. Lots of time on these things can increase myopia risk. 160 Information 6 6 GP6 Need for eye exams Early detection is best! Young children should have comprehensive eye exams by an eye health professional as they are the best person to care for their eyes. 157 Information • Include the age of first eye exam and ongoing frequency based on country-level guidelines. • Can add local idiom if relevant e.g. “ounce of prevention is worth a pound of cure”. 3, 34 7 GP7 General knowledge about myopia [hi]. Seeing clearly will help a child to succeed. It is important for achieving at school and on the sports field, as well as for their general wellbeing. 155 Motivation • Add motivators relevant to local population e.g. crossing the road. 4 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 7 Week ID Theme Message Count Type Notes Suggested Multimedia ID 8 GP8 Myopia misconceptions Myopia can be caused by different things (e.g. genetics, lifestyle) but there are things you can do to help prevent or slow the onset of myopia in your child. 158 Information • Change “your child” to “children” or “a child” depending on end- user type. 9 GP9 Behaviour change/ lifestyle factors [hi] [name]. Research shows spending more time outdoors lowers the risk of myopia. Encourage your child to go outside and play! 127 Motivation • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 10 GP10 Need for eye exams Sometimes myopia has no symptoms and so it isn’t easy to know when a child’s eyesight is worsening. Eye exams are key to diagnosing and treating myopia early. 158 Support 3, 5, 34 11 GP11 General knowledge about myopia [hi]. Myopia makes it hard to see things across the room and far away. Be on the lookout for signs that a child is struggling to see things in the distance. 156 Information 8 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 8 Week ID Theme Message Count Type Notes Suggested Multimedia ID 12 GP12 Behaviour change/ lifestyle factors Teach [child name] the 20- 20-20 rule: take a 20-second break to view something 20 feet away every 20 minutes of doing near activities e.g. reading a book. 154 Information • May need to change unit of measurement based on population 13 GP13 Need for eye exams [hi]. Eye rubbing, squinting, closing one eye to see, or trouble seeing the board in class are signs that a child may need to visit an eye health professional. 159 Information • Replace ‘board’ with other middle-distance object suitable for local context. 6, 8 14 GP14 Behaviour change/ lifestyle factors [hi] [name]. Looking for outside activity ideas for your child? Why not set up a treasure hunt or play hide and seek. 117 Information • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 9 Week ID Theme Message Count Type Notes Suggested Multimedia ID 15 GP15 General knowledge about myopia [hi] [name]. Worried about your child developing myopia? Remember eye health professionals are here to help and support you. 125 Support • Change “your child” to “children” or “a child” depending on end- user type. • Add link for local end- user facing professional association or government websites if available e.g. www.nhs. uk/conditions/short- sightedness/ 5 16 GP16 General knowledge about myopia Your child may have big dreams such as being an athlete or doctor. Their dreams are easier to achieve when they can see clearly. Take care of their eyes today. 159 Motivation • Change careers for common local options. • Change “your child” to “children” or “a child” depending on end- user type. 4 17 GP17 Behaviour change/ lifestyle factors [hi]. When a child is doing near activities such as reading or working on a computer, remind them to hold the book or device at least 30 cm from their eyes. 156 Information 36 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 10 Week ID Theme Message Count Type Notes Suggested Multimedia ID 18 GP18 General knowledge about myopia [hi] [name]. Myopia is becoming more common. 1 in 5 people around the world have myopia. Act now to help prevent your child developing myopia. 142 Motivation • Change “your child” to “children” or “a child” depending on end- user type. 19 GP19 General knowledge about myopia Myopia can affect more than vision. Regular visits to an eye health professional will help identify myopia early and minimise the impacts on a child's life. 156 Information 3 20 GP20 General knowledge about myopia [hi]. Sitting too close to the TV or holding a book too close may be a sign that a child is developing myopia. An eye health professional will be able to help. 159 Reminder 11 21 GP21 Behaviour change/ lifestyle factors Spending 90 minutes outdoors during daylight hours is important to help prevent myopia or slow its progression. Encourage your child to go outside and play! 156 Reminder • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 11 Week ID Theme Message Count Type Notes Suggested Multimedia ID 22 GP22 General knowledge about myopia Prevention and early treatment of myopia is vital as evidence shows untreated myopia can impact on a child’s academic performance and general quality of life. 158 Motivation 23 GP23 Need for eye exams Under-performing at school, moving closer to the TV, headaches and squinting are signs that a child should go to an eye health professional for a check-up. 155 Information 6, 8 24 GP24 Behaviour change/ lifestyle factors [hi]. When your child is doing near activities like reading, or playing on a computer or smartphone, encourage frequent breaks to help their eyes. 146 Information • Change “your child” to “children” or “a child” depending on end- user type. 7 25 GP25 Need for eye exams A child may not know that their vision is bad. Try asking "can you see the whiteboard clearly?" If they can’t then they need to see an eye health professional. 159 Information • Replace ‘whiteboard’ with chalkboard or other middle-distance object suitable for local context. 8 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 12 Week ID Theme Message Count Type Notes Suggested Multimedia ID 26 GP26 General knowledge about myopia Kids are constantly growing! As they grow their eyes change which may lead to myopia. By having their eyes tested regularly it will help detect myopia early. 157 Support • Include local guidelines on regularity. 5 27 GP27 Behaviour change/ lifestyle factors Spending time outside as a family is good for the eye health of your child and the whole family. Why not go on a walk together or play a game of hide and seek? 159 Reminder • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 33 28 GP28 General knowledge about myopia [hi] [name]. People with myopia see far away things as blurry, so if your child develops myopia, they will need glasses to help them see things far away. 154 Motivation • Change “your child” to “children” or “a child” depending on end- user type. 10 29 GP29 Myopia misconceptions [hi]. It is not true that glasses will make your vision worse! They not only help children to see clearly but help prevent them from straining to see things. 157 Motivation • Add motivators relevant to local population. 35 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 13 Week ID Theme Message Count Type Notes Suggested Multimedia ID 30 GP30 Behaviour change/ lifestyle factors [hi] [name]. Looking for ideas to get your child outside? Find a local park to explore or join a local sports team. Go to [activity] for ideas. 143 Support • Add local website for parks/activities/sports clubs. • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 31 GP31 General knowledge about myopia [hi] [name]. Complaining of sore or tired eyes may be a sign that a child is developing myopia. Talk to an eye health professional for support. 143 Information 6 32 GP32 General knowledge about myopia Good eye health makes it easier to do many things e.g. reading, play sport. Caring for the eye health of a child now will help them to see well in the future. 158 Motivation • Add motivators relevant to local population. 4 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 14 Week ID Theme Message Count Type Notes Suggested Multimedia ID 33 GP33 Behaviour change/ lifestyle factors Taking breaks when doing near activities can help prevent or delay myopia. Encourage your child to look up often at things far away from their book or screen. 158 Reminder • Change “your child” to “children” or “a child” depending on end- user type. • Change “book or screen” to modalities appropriate for local population. 9 34 GP34 General knowledge about myopia [hi] [name]. If your child needs to move to the front of the classroom to see the board clearly, it is time for them to visit an eye health professional. 153 Reminder • Change “your child” to “children” or “a child” depending on end- user type. 8 35 GP35 Need for eye exams [hi] [name]. Regular eye exams are important, especially during the early school years. Your child should be taken to an eye health professional regularly. 155 Support • Update time frame (e.g. yearly) to match local guidelines. • Change “your child” to “children” or “a child” depending on end- user type. 3 36 GP36 Myopia misconceptions It isn’t true that there is nothing you can do to stop your child getting myopia! Taking breaks when doing close-up activities and spending time outside help. 158 Reminder • Change “your child” to “children” or “a child” depending on end- user type. • Add reference to sun protection if appropriate. 9, 12 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 15 Week ID Theme Message Count Type Notes Suggested Multimedia ID 37 GP37 Behaviour change/ lifestyle factors [hi] [name]. Does your child love reading? Remember, spending lots of time doing near activities can be hard on their eyes. Remind them to take breaks often. 157 Reminder • Change example to common local activity. • Change “your child” to “children” or “a child” depending on end- user type. 6, 7 38 GP38 Need for eye exams [hi] [name]. Taking a child to an eye health professional is an essential part of their healthcare, just like visiting the dentist. 131 Support • Use a locally relevant example of routine health care e.g. vaccination, infection care. 3 39 GP39 Behaviour change/ lifestyle factors Spending time outside is hard in bad weather. If your child can’t get outside, they can still look after their eyes by taking breaks when doing near activities. 160 Reminder • Change “your child” to “children” or “a child” depending on end- user type. 9 40 GP40 General knowledge about myopia [hi]. Do you have questions about myopia? Check in with an eye health professional and ask them any questions you might have – they’re there to support you! 156 Support • Add link for local end- user facing professional association or government websites if available e.g. www.nhs. uk/conditions/short- sightedness/ BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 16 Week ID Theme Message Count Type Notes Suggested Multimedia ID 41 GP41 General knowledge about myopia Remember a child should be taken to an eye health professional as early as possible if you think they might have a vision problem – early treatment is key. 155 Reminder 3 42 GP42 General knowledge about myopia A child may not know that their vision should not be blurry. Talk to them about their eyesight and take them for regular checks by an eye health professional. 158 Information 43 GP43 Behaviour change/ lifestyle factors [hi]. Help keep your child’s eyes healthy! Encourage them to spend more time outdoors and less time using devices such as tablet computers or mobile phones. 156 Reminder • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 44 GP44 Need for eye exams It’s important that children have a check-up with an eye health professional often. Eye health professionals can answer any questions you have about myopia. 156 Support 5 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 17 Week ID Theme Message Count Type Notes Suggested Multimedia ID 45 GP45 Myopia misconceptions [hi] [name]. Myopia can be prevented and is treatable! By taking care of their eyes you are helping your child see clearly today and into the future. 149 Motivation • Add local motivations. • Change “your child” to “children” or “a child” depending on end- user type. 46 GP46 General knowledge about myopia [hi] [name]. Setting your child up for a healthy future involves taking care of their vision. An eye health professional here to support and help you. 151 Support • Change “your child” to “children” or “a child” depending on end- user type. 5 47 GP47 Behaviour change/ lifestyle factors [hi] [name]. Encouraging more time spent outdoors can help prevent myopia – remind your child to spend time outside every day! 126 Motivation • Add reference to sun protection if appropriate. • Change “your child” to “children” or “a child” depending on end- user type. 2, 12 48 GP48 Need for eye exams Early detection of myopia is important. Taking your child to an eye health professional to get their eyes checked regularly will help prevent or delay myopia. 158 Motivation • Change “your child” to “children” or “a child” depending on end- user type. 3 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 18 Week ID Theme Message Count Type Notes Suggested Multimedia ID 49 GP49 Behaviour change/ lifestyle factors It can be useful to monitor the time a child spends on near activities e.g. reading, using a computer. Support them to take breaks often to protect their eyes. 159 Reminder 9, 12 50 GP50 General knowledge about myopia The messages will end soon but remember that your child could develop myopia as they get older. Regular eye tests will be important to detect myopia early. 155 Reminder • Change “your child” to “children” or “a child” depending on end- user type. 3 Admin [hi] [name]. You have now finished the MyopiaEd program, thanks for taking part. We hope you have found the messages useful. 123 Admin • Change “MyopiaEd program” to local program name. x BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 19 Parents of children with myopia This message library contains messages designed to be delivered to parents of pre-school or primary-level children who have myopia. The messages are designed to encourage regular eye examinations to ensure optimal correction and access to the most up-to-date care; address common myopia related misconceptions; raise awareness of the importance of spectacle compliance; and increase awareness of strategies to delay progression of myopia. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [child name] If possible, insert the child’s name (the child with myopia) if not available use “your child” [name] If possible, insert recipients name (the parent). If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello, Kia ora. If not possible then remove. [activity] Add contact information for local parks/sports clubs etc. [he/she/they] If possible, use child’s correct pronoun. If not available use “they”. [him/her/them] If possible, use child’s correct pronoun. If not available use “them”. [his/her/their] If possible, use child’s correct pronoun. If not available use “their”. [role model] Insert locally relevant role model or celebrity who wears glasses. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 20 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 0 0 Admin [hi] [name]. Welcome to the MyopiaEd program. We will be sending you messages about myopia (short/near sightedness) to support you to care for [child name]. 155 Admin • Change “MyopiaEd message program” to local program name. 1 1 PM1 General knowledge about myopia Did you know that 'short- sightedness' or 'near- sightedness' are other names for myopia? They mean that a person can see clearly up close, but not well far away. 160 Information 10 4 PM2 General knowledge about myopia [hi] [name]. Prescription glasses will help [child name] see clearly. Encourage [him/ her/them] to wear [his/her/ their] glasses as instructed by [his/her/their] eye health professional. 184 Motivation • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 14, 37 2 8 PM3 Behaviour change/ lifestyle factors When [child name] is reading a book, or working on a computer, remind [him/her/ them] to hold the book or device at least 30cms from [his/her/their] eyes. 153 Information • Replace activities with common local activities. 36 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 21 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 11 PM4 Myopia misconceptions [hi] [name]. Myopia has different causes (e.g. genetics, lifestyle) but there are things you can do to help prevent myopia getting worse for [child name]. 154 Information 3 15 PM5 Behaviour change/ lifestyle factors Time outdoors can help slow the development of myopia. Encourage [child name] to play outside regularly and spend at least 90 minutes of their day outside. 155 Information • Add reference to sun protection if appropriate. 2, 12 18 PM6 Compliance with correction Is [child name] worried about wearing glasses? Remind them that glasses are important for their eyesight. Point out inspiring role models who wear glasses. 155 Motivation • Add name of local celebrity or aspirational figure who wears glasses. 15 4 22 PM7 Behaviour change/ lifestyle factors Try to monitor the time [child name] spends doing near activities e.g. reading, using a computer. Encourage [him/ her/them] to take breaks often to protect [his/her/their] eyes. 176 Reminder • Change examples to common local activity. 7, 9 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 22 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 25 PM8 General knowledge about myopia People with myopia see far away things as blurry, so [child name] may not be able to see things far away. Wearing [his/ her/their] glasses will help with this. 158 Information • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 10 5 29 PM9 Need for eye exams Children need regular comprehensive eye exams even after they start wearing glasses. An eye health professional is the best person to care for their eyes! 154 Support • Include local guidelines on regularity of eye exams. 3, 5 32 PM10 General knowledge about myopia Good vision makes it easier to do so many things e.g. read books, play sport. Caring for [child name]'s eye health will help them to see well in the future. 156 Motivation • Add motivators relevant to local target population. 4, 37 6 36 PM11 General knowledge about myopia Did you know that having myopia can increase the risk of [child name] developing other eye conditions later on? That is why protecting [his/her/their] eyes now is key. 167 Motivation 3, 5, 16 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 23 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 39 PM12 Myopia misconceptions It isn't true that glasses make your vision worse! They will not only help [child name] to see clearly but help prevent [his/ her/their] eyes from straining to see things. 170 Information 35, 14 7 43 PM13 General knowledge about myopia Teach [child name] the 20- 20-20 rule: take a 20-second break to view something 20 feet away every 20 minutes of doing near activities e.g. reading a book. 154 Information • Change unit of measurement based on population norms. 46 PM14 General knowledge about myopia [hi]. Do you have questions about [child name]'s myopia? Chat to your eye health professional about this next time you see them – they’re here to support you! 158 Support • Add link to local end-user facing professional association or government websites if available and appropriate e.g. www.nhs.uk/ conditions/short- sightedness/ 5 8 50 PM15 Need for eye exams [hi] [name]. Early treatment of myopia gives [child name] the best chance of having healthy eyes long term. Has your child had an eye check recently? 149 Motivation 3 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 24 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 53 PM16 Myopia misconceptions Everyone’s eyes are different! So it’s important [child name] wears the glasses prescribed to [him/her/them] by an eye health professional rather than someone else’s. 166 Information 14 9 57 PM17 General knowledge about myopia [child name] isn’t alone, around the world 1 in 5 people have myopia and even more wear glasses. Remind [him/ her/them] that even famous people need glasses. 156 Support • Add local statistics if available. • Add name of local celebrity or role model who wears glasses. 15 60 PM18 Behaviour change/ lifestyle factors [hi] [name]. Research shows spending more time outdoors is good for your eyes as well as your wellbeing. Encourage [child name] to go outside and play! 152 Reminder • Add reference to sun protection if appropriate. 2, 12 10 64 PM19 General knowledge about myopia [hi]. Seeing clearly will help [child name] succeed. It is important for achieving at school and on the sports field, as well as for [his/her/their] general wellbeing. 167 Motivation • Change motivations to align with local population. 4, 37 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 25 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 67 PM20 General knowledge about myopia When [child name] is doing near activities like reading, or using a computer, encourage breaks every 20 minutes to help prevent [his/her/their] myopia getting worse. 165 Reminder 7, 9, 12 11 71 PM21 Need for eye exams There are special glasses and other treatments to help prevent myopia getting worse. Book [child name] for an eye exam to find out what is best for their eyes. 159 Information 3 74 PM22 Compliance with correction [hi] [name]. Songs can be a great way to help children understand about wearing glasses. Why not make up a song together? 121 Information • Add link to song from local culture if available. 12 78 PM23 Myopia misconceptions [child name]’s myopia may change over time. Visit an eye health professional regularly to check if [his/her/their] glasses prescription needs updating. 151 Information • Include local guidelines on regularity of eye exams. • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 14, 16 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 26 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 81 PM24 Behaviour change/ lifestyle factors Reducing time on devices (e.g. computer) can help prevent a range of eye problems. Encourage [child name] to spend time off devices after school/weekends. 154 Reminder 2, 7, 12 13 85 PM25 General knowledge about myopia [hi]. Is [child name] complaining of headaches, or sore or tired eyes? It may be a sign [his/her/their] glasses need updating. Visit an eye health professional to check. 169 Information 6, 16 88 PM26 Behaviour change/ lifestyle factors [hi] [name]. Looking for ideas to get [child name] outside? Find a local park to explore or join a local sports team. Go to [activity] for ideas. 145 Support • Add local website for parks/ activities/ sports clubs. • Add reference to sun protection if appropriate. 2 14 92 PM27 Need for eye exams [hi] [name]. See taking [child name] to an eye health professional as an essential part of their healthcare, just like visiting the dentist. 140 Support • Use a locally relevant example of routine health care e.g. vaccination, infection care. 5 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 27 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 95 PM28 General knowledge about myopia [child name] may have big dreams of becoming an athlete or actor. These things are easier when you can see clearly so encourage them to take care of their eyes. 160 Motivation • Change careers for common local options. 4, 15 15 99 PM29 Need for eye exams Under-performing at school, moving closer to the TV, headaches and squinting are signs [child name] should visit an eye health professional for a check-up. 155 Information 8, 16 102 PM30 Compliance with correction Is [child name] worried about how they look wearing glasses? Remind them that there are many beautiful and successful people who wear glasses such as [role model]. 163 Reminder • Add name of local celebrity or role model who wears glasses. 15 16 106 PM31 Behaviour change/ lifestyle factors [hi]. Spending 90 minutes outdoors during daylight hours is important to prevent myopia from getting worse. Encourage [child name] to go outside and play! 154 Reminder • Add reference to sun protection if appropriate. 2, 12 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 28 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 109 PM32 General knowledge about myopia Sitting too close to the TV or holding a book too close may indicate [child name] needs new glasses. Visit an eye health professional to get their eyes checked. 160 Information 11 17 113 PM33 Compliance with correction If [child name] needs glasses to see well, make sure [he/ she/they] is wearing them as instructed by an eye health professional to help the health of [his/her/their] eyes. 170 Reminder • Can also refer to contact lenses or other forms of refractive correction if suitable. • Add motivators relevant to local target population. 14, 37 116 PM34 Behaviour change/ lifestyle factors When [child name] is spending long periods of time doing near activities remind them to look up at something in the distance (e.g. out a window) regularly. 156 Information • Replace activities with common local activities. 9 18 120 PM35 Need for eye exams If [child name] complains about [his/her/their] eyes or vision it's a good idea to visit an eye health professional to check if [his/her/their] glasses need updating. 166 Information • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 5, 16 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 29 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 123 PM36 Compliance with correction When [child name] wears the correct type of glasses for [him/her/them] it will help to protect [his/her/their] eyes and prevent future eye problems. 148 Information • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 3, 5, 16, 35 19 127 PM37 Myopia misconceptions [hi] [name]. It isn’t true that nothing can stop myopia getting worse! Spending time outside will help [child name]. 116 Reminder • Add reference to sun protection if appropriate. 2, 33 20 134 PM38 General knowledge about myopia [hi] [name]. Setting [child name] up for a healthy future involves taking care of their eyes. An eye health professional is here to support and help you. 154 Support 3, 5 21 141 PM39 General knowledge about myopia As [child name] grows [his/her/ their] eyes will also grow which may increase [his/her/their] level of myopia. [He/She/They] may need to change [his/her/ their] glasses as [he/she/they] gets older. 195 Information • Can also refer to contact lenses if suitable, or other treatment options if relevant to local context. 16, 35 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 30 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 22 148 PM40 Need for eye exams It is not always easy to tell if [child name] is having trouble seeing. Remember an eye health professional is here to help you identify if there is an issue. 158 Support 3, 5 23 155 PM41 Behaviour change/ lifestyle factors Does [child name] love reading? Remember, spending lots of time doing close up activities can be hard on their eyes. Remind [him/her/them] to take breaks often. 160 Reminder 6, 7 24 162 PM42 Need for eye exams When did [child name] last have a check-up with eye health professional? Remember regular eye exams for children are important to treat myopia effectively. 155 Reminder 3, 5, 16, 34 168 Admin [hi] [name]. You have now finished the MyopiaEd message program, thanks for taking part [name]. We hope you have found the messages useful. 138 Admin • Change “MyopiaEd message program” to local program name. x BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 31 Adolescents with myopia This message library contains messages designed to be delivered to adolescents who have myopia. The messages are designed to target the importance of compliance with refractive error correction; common myopia-related misconceptions; and raise awareness of the importance of regular eye examinations to ensure optimal correction and awareness of management options to delay progression of myopia. These messages should be adapted to the local population and context following consultation with local adolescents, particularly in relation to barriers to wearing glasses, myopia misconceptions, motivations for good eye health, and role models. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hey, Hello. This should be appropriate to the adolescent age group. If not possible then remove. [role model] Add name of local celebrity or role model who wears glasses BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 32 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 0 0 Admin [hi] [name]. Welcome to the MyopiaEd message program. We will be sending you messages over the next 6 months to support you to care for your eyes. 145 Admin • Change “MyopiaEd message program” to local program name. 1 1 A1 General knowledge about myopia You might hear people refer to myopia as 'short-sightedness' or 'near-sightedness'. Both mean that you can see clearly up close, but not so well far away. 154 Information 10, 13 4 A2 Behaviour change/ lifestyle factors Spending less time on devices (e.g. smartphone, computer) is good for your eye health. Try to take breaks often if using devices for long periods. 146 Information 20 2 8 A3 General knowledge about myopia [hi]. Remember you are not alone, over 20% of the world’s population has myopia and even more wear glasses. Many famous people wear glasses like [role model]. 158 Support • Add name of local celebrity or role model who wears glasses. 15, 19 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 33 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 11 A4 Behaviour change/ lifestyle factors [hi] [name]. Time spent outdoors can help protect your eyes. Aim to spend at least 90 minutes of your day outside – try going for a bike ride with your friends! 160 Reminder • Change activity to suit local population. • Add reference to sun protection if appropriate. 18 3 15 A5 Compliance with correction [hi] [name]. People with myopia usually see far away things as blurry; wearing your glasses will help you see things in the distance more clearly. 146 Information • Add reference to contact lenses if an accessible option in local population. 10 18 A6 Need for eye exams Regular eye exams are a vital part of keeping your eyes healthy and preventing your myopia getting worse. Don't let your eyesight get in the way of your dreams. 160 Motivation • Add motivators relevant to local target population. 17 4 22 A7 General knowledge about myopia [hi] [name]. Myopia is caused by changes in the shape of the eye, which impacts vision. Glasses will help you to see clearly. 125 Information • Add reference to contact lenses if an accessible option in local population. • Add link to more information if local appropriate resource is available. 35 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 34 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 25 A8 Compliance with correction [hi] [name]. Remember to wear your glasses every day at school. This will help you see things clearly in your classroom. 121 Reminder • Add reference to contact lenses if an accessible option in local population. 19 5 29 A9 Compliance with correction Worried about what you look like when wearing glasses? Try not to let glasses get you down. There are many amazing people who wear glasses like [role model]. 157 Support • Add name of local celebrity or role model who wears glasses. • Add reference to contact lenses if an accessible option in local population. 15 32 A10 Behaviour change/ lifestyle factors When doing near activities such as reading a book, using a smartphone, or working on a computer try to hold the book or device at least 30 cm from your eyes. 157 Information • Change unit of measurement to match what is used in the local population. 36 6 36 A11 Myopia misconceptions It is not true that glasses make your vision worse. They not only help you see clearly but also prevent your eyes from straining to see things in the distance. 159 Reminder • Add reference to contact lenses if an accessible option in local population. 10 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 35 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 39 A12 General knowledge about myopia [hi]. Everyone’s eyes are different. So it’s important to wear your own glasses as prescribed by your eye health professional rather than using someone else’s. 159 Information 17, 21 7 43 A13 Need for eye exams [hi]. Are you struggling to see things at school, moving closer to TV, or squinting? These are signs you should visit an eye health professional for a check-up. 160 Information 23 46 A14 General knowledge about myopia [hi]. Got goals for the future [name]? Want to go to uni, have kids, travel? Don't let your eyesight get in the way of your goals. Take care of your eyes today! 160 Motivation • Add motivators relevant to local target population. 4 8 50 A15 General knowledge about myopia [hi] [name]. Did you know that myopia can increase your risk of developing other eye conditions in the future? Regular eye checks will help to prevent this. 156 Motivation 17 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 36 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 53 A16 General knowledge about myopia [hi] [name]. Do you ever get worried about your eyesight? Remember your eye health professional is here to help and support you. 128 Support • Add link to local end-user facing professional association or government website if available/ appropriate e.g. www.nhs.uk/ conditions/short- sightedness/ 21 9 57 A17 General knowledge about myopia [hi]. No one wants to have issues with their eyes when they are older. Taking care of your eyes now helps you see clearly and can prevent future eye conditions. 160 Motivation 60 A18 Compliance with correction [hi]. Find wearing glasses annoying? They can be frustrating but remember you are not alone – millions of people worldwide wear glasses including [role model]. 159 Motivation • Add names of local role models/ celebrities who wear glasses. • Add ways to overcome local barriers to wearing glasses. • Add reference to contact lenses if an accessible option in local population. 15, 19 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 37 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 10 64 A19 General knowledge about myopia [hi] [name]. Just like the rest of your body your eyes change as you get older. As a result of your eyes changing, you may need to change your glasses. 151 Information • Add reference to contact lenses if an accessible option in local population. 35 67 A20 Behaviour change/ lifestyle factors [hi] [name]. Do you spend a lot of time using screens e.g. social media, video games, watching movies? Don't forget to take breaks often to protect your eyes. 158 Reminder • Change screen use examples to local common ones. 20 11 71 A21 General knowledge about myopia Do you want to learn more about myopia? Check in with your eye health professional and ask them any questions you might have – they are here to support you! 156 Support • Add link to local end-user facing professional association or government websites if available and appropriate e.g. www.nhs.uk/ conditions/short- sightedness/ 21 74 A22 Compliance with correction Can you still see clearly through your glasses? It's important to keep your prescription up to date so visit eye health professional if things look blurry. 155 Support • Add reference to contact lenses if an accessible option in local population. 17, 21, 23 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 38 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 12 78 A23 Behaviour change/ lifestyle factors [hi]. Spending time outside is good for your eyes and also good for your mental and physical health. Spend time outside today, your future self will thank you! 159 Motivation • Add reference to sun protection if appropriate. 18 81 A24 General knowledge about myopia Good vision and eye health makes it easier to do so many things e.g. play sport, learn to drive. Caring for your eyes will help you to see well in the future. 158 Motivation • Add motivators relevant to local target population. 18 13 85 A25 Myopia misconceptions Carrots are good for your health but it’s not true that they improve your vision or keep you from needing glasses. Wearing your glasses as prescribed is key. 157 Information • Change to a common local misconception. • Add reference to contact lenses if an accessible option in local population. 35 14 92 A26 General knowledge about myopia [hi] [name]. Do you get headaches or tired eyes? This may be a sign your glasses need updating. Visit an eye health professional to check. 138 Information • Add reference to contact lenses if an accessible option in local population. 22 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 39 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 15 99 A27 General knowledge about myopia Myopia can affect more than just vision. Visit an eye health professional to keep your eyes healthy and stop myopia from impacting other areas of your health. 158 Information • Add reference to most up-to- date treatments available. 17, 21 16 106 A28 Need for eye exams Early and regular treatment of myopia gives you the best chance of healthy eyes and good vision long term. When was your last eye check? Book one in today. 155 Reminder • Add reference to contact lenses if an accessible option in local population. • Add reference to most up-to- date treatments available. 17 17 113 A29 General knowledge about myopia What do you want to be when you are older? An athlete or a doctor? Achieving your goals will be easier if you can see clearly so remember to care for your eyes. 160 Motivation • Change careers for common local options. 4, 15 18 120 A30 General knowledge about myopia [hi] [name]. If your vision seems blurrier than usual it might be time to update your glasses prescription. Visit an eye health professional to check. 151 Reminder • Add reference to contact lenses prescription if accessible option in local population. • Add reference to most up-to-date treatments available. 13, 22, 23 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 40 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 19 127 A31 Behaviour change/ lifestyle factors [hi] [name]. Help keep your eyes healthy. Balance the time you spend watching TV or movies with time outdoors having fun with friends. 134 Reminder • Add reference to sun protection if appropriate. • Change near activity types to common local examples. 18 20 134 A32 General knowledge about myopia If you have trouble seeing the whiteboard at school, you don't have to put up with it! Visit an eye health professional to check if your glasses need updating. 159 Reminder • Replace ‘whiteboard’ with chalkboard or other middle- distance object suitable for local context. 23 21 141 A33 Myopia misconceptions [hi] [name]. It is important to wear your glasses whenever you have been told to. It is not true that wearing glasses will make your vision worse! 147 Information • Add reference to contact lenses if an accessible option in local population. 19, 35 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 41 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 22 148 A34 Compliance with correction [hi] [name]. Dislike wearing glasses? Talk to your eye health professional about other options. 95 Information • Add contact lenses as an example of an alternative option to glasses if they accessible in local context. • Add names of role models who wear glasses. • Add tips to address common barriers to wearing glasses. 24 23 155 A35 Need for eye exams [hi] [name]. The best way to help your myopia is to go for regular eye exams and ensure that you are wearing the correct glasses prescription. 142 Information • Add motivators relevant to local target population. • Add reference to contact lenses if an accessible option in local population. 17 24 162 A36 Myopia misconceptions [hi] [name]. Remember myopia is treatable! By taking care of your eyes you are helping yourself to see clearly now and into the future. 135 Motivation • Add motivators relevant to local target population. 17, 21 168 Admin [hi] [name]. You have now finished the MyopiaEd program, thanks for taking part. We hope you have found the messages useful. 123 Admin • Change “MyopiaEd program” to local program name. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 42 Adults with myopia This message library contains messages designed to be delivered to adults who have been diagnosed with myopia. The messages are designed to target the importance of regular eye examinations due to the higher risk of other sight-threatening complications in adulthood. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello, Kia ora. If not possible then remove. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 43 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 0 0 Admin [hi] [name]. Welcome to the MyopiaEd program. We will be sending you messages over the next 6 months to support you to care for your vision and eye health. 154 Admin • Change “MyopiaEd message program” to local program name. 1 1 O1 General knowledge about myopia You might hear people refer to myopia as 'short-sightedness' or 'near-sightedness'. They both mean that you can see clearly up close, but not so well far away. 159 Information 10, 13 4 O2 Behaviour change/ lifestyle factors Near work activities are things like reading or using a computer. Look up often when doing these to reduce eye strain and help keep your eyes healthy. 150 Information • Add activities relevant to local target population. 30 2 8 O3 General knowledge about myopia Did you know that myopia increases the risk of some eye conditions and future vision loss? Taking care of your eyes will help reduce the risk of this. 150 Motivation • Add specific conditions common in local target population. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 44 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 11 O4 Compliance with correction [hi] [name]. Remember to wear your glasses every day. This will help you see things clearly and make sure your vision doesn’t hold you back. 140 Reminder • Add motivators relevant to local target population. • Add reference to contact lenses if accessible in local population. 29, 35 3 15 O5 General knowledge about myopia [hi] [name]. People with myopia usually see far away things as blurry; wearing your glasses helps you see things in the distance more clearly. 142 Information • Add reference to contact lenses if an accessible option in local population. 10 18 O6 Need for eye exams Eye exams are a key part of managing myopia and maintaining your eye health. Make visits to an eye health professional a regular thing like seeing the dentist. 159 Motivation • Add motivators relevant to local target population. • Change dentist to other health care professional/ regular health service appropriate to local population. 27 4 22 O7 General knowledge about myopia Good eyesight makes it easier to do many things e.g. drive safely, do work, read a book. Caring for your eyes will help you to see well now and in the future. 158 Motivation • Add activities relevant to local target population. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 45 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 25 O8 General knowledge about myopia [hi] [name]. Do you get worried about your eyesight or your myopia? Remember an eye health professional is here to help and support you. 137 Support • Add link to local end-user facing professional association or government website if available and appropriate e.g. www.nhs.uk/ conditions/short- sightedness/ 28 5 29 O9 Behaviour change/ lifestyle factors [hi] [name]. When doing near activities such as reading a book, doing a crossword or working on a computer try to take regular breaks. 134 Information • Add activities relevant to local target population. 30 32 O10 Myopia misconceptions It is not true that glasses make your vision worse. They not only help you see clearly but also prevent your eyes from straining to see things in the distance. 159 Reminder • Add reference to contact lenses if an accessible option in local population. 26, 29, 35 6 36 O11 Compliance with correction [hi] [name]. Do you enjoy watching movies or tv? Having the correct glasses will help you see clearly while doing these things. 127 Motivation • Change behaviours to suit audience. • Add reference to contact lenses if an accessible option in local population. 38 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 46 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 39 O12 Need for eye exams Just like the rest of your body, your eyes will change as you age. It’s important to have regular eye exams to detect any issues with your eyes or vision early. 160 Information 27, 28 7 43 O13 Myopia misconceptions Even if you have had myopia for a while there may be things you can do to help prevent your eyesight from worsening. Talk to a eye health professional today. 157 Information 29 46 O14 Compliance with correction [hi]. Everyone’s eyes are different so it’s important to wear your own glasses as prescribed by your eye health professional, rather than using someone else’s. 159 Information 26, 27, 35 8 50 O15 General knowledge about myopia Myopia can cause changes at the back of your eye that may affect your future eyesight if not treated. Regular eye exams will pick up changes early. 147 Motivation • Add specific conditions common in local target population. 27 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 47 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 53 O16 Myopia misconceptions Carrots are good for your health, but it is not true that they improve your vision or keep you from needing glasses. Wearing your glasses as prescribed is key. 159 Information • Change to a common local misconception. • Can also refer to contact lenses or other forms of refractive correction if suitable. 9 57 O17 Behaviour change/ lifestyle factors Do you spend a lot of time using screens e.g. working on a computer, doing video calls, watching movies? Don't forget to take breaks often to rest your eyes. 157 Reminder 30 60 O18 General knowledge about myopia [hi] [name]. Having myopia doesn't need to have a negative impact on your work, family or health. Caring for your eyes will help protect your eyesight. 151 Motivation 26 10 64 O19 General knowledge about myopia [hi] [name]. Are you struggling to see things, moving closer to TV, or squinting? These are signs you should visit an eye health professional for a check-up. 157 Information 31 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 48 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 67 O20 General knowledge about myopia Do you want to learn more about myopia? Check in with your eye health professional and ask them any questions you might have; they are here to support you! 155 Support • Add link to local end-user facing professional association or government website if available and appropriate e.g. www.nhs.uk/ conditions/short- sightedness/ 11 71 O21 General knowledge about myopia [hi] [name]. Do you get headaches, tired eyes or find you are straining to see things in the distance? This may be a sign that your glasses need updating. 154 Information • Add reference to contact lenses if an accessible option in local population. 32 74 O22 Myopia misconceptions [hi] [name]. Remember myopia is not just about wearing glasses! Having regular eye exams will help to prevent it impacting your long-term vision and eye health. 160 Reminder • Can also refer to contact lenses if suitable. 27, 28 12 78 O23 General knowledge about myopia Try to follow the 20-20-20 rule: take a 20-second break to view something 20 feet away every 20 minutes of doing near activities e.g. reading a book. 149 Information • May need to change unit of measurement based on population. 36 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 49 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 81 O24 Need for eye exams [hi] [name]. Regular eye examinations are important so that you can detect changes to your eyes and vision early to prevent vision loss in the future. 150 Information 27 13 85 O25 Need for eye exams [hi] [name]. Can't see the scoreboard when at a sports game or street signs in the distance when driving? It might be time to have your eyes checked again. 155 Support • Change behaviours relevant to target audience. 31 14 92 O26 Behaviour change/ lifestyle factors [hi] [name]. If you are spending long periods reading or using screens (e.g. computer, tablet, smartphone) remember to take breaks often to care for your eyes. 160 Reminder 30 15 99 O27 General knowledge about myopia [hi] [name]. If your vision seems more blurry than before, it might be time to visit an eye health professional to check. They are here to help and support you. 160 Reminder 13 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 50 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 16 106 O28 Need for eye exams [hi]. The best ways to look after your long-term eye health are to ensure that you are wearing the correct glasses prescription and to have regular eye exams. 158 Information • Add motivators relevant to local target population. • Add reference to contact lenses if an accessible option in local population. • Add reference to most up-to- date treatments available. 27, 28, 34 17 113 O29 Myopia misconceptions Treating myopia isn’t just about wearing glasses. Care from your eye health professional will help to stop it affecting other aspects of your eye health. 153 Information • Can also refer to contact lenses if suitable. 27, 28 18 120 O30 Need for eye exams When did you last have a check-up with an eye health professional? Regular eye exams are key to keep your eyes healthy. Book one today if it's been a while. 156 Reminder 27, 28 BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 51 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 19 127 O31 General knowledge about myopia Do you rub your eyes, squint, or close one eye to help you see? These are signs that your glasses may need updating. Visit an eye health professional to check. 159 Information 31, 32 20 134 O32 General knowledge about myopia Remember to talk to an eye health professional if you have any questions about your eyes. Protecting your eyes will allow you to keep doing the things you love. 160 Support 28 21 141 O33 Need for eye exams Myopia can affect more than just your vision. Your eye health professional will help you prevent myopia impacting other areas of your vision and eye health. 156 Reminder • Add reference to most up-to- date treatments available. 22 148 O34 General knowledge about myopia [hi]. Remember, myopia increases the risk of developing other eye conditions. Taking care of your eyes today will help to reduce your risk of these in future. 158 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 52 Week Day ID Theme Message Count Type Notes Suggested Multimedia ID 23 155 O35 Need for eye exams Are you struggling to see things when out and about or moving closer to the TV? These are signs you should visit an eye health professional for a check-up. 155 Information 31 24 162 O36 Myopia misconceptions [hi] [name]. Remember managing your myopia is not just about your vision. Regular eye exams will prevent it impacting other aspects of your life. 146 Reminder 27 168 Admin [hi] [name]. You have now finished the MyopiaEd program, thanks for taking part. We hope you have found the messages useful. 123 Admin • Change “MyopiaEd program” to local program name. BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 53 Suggested multimedia list The following is a list of multimedia descriptions to guide choice of multimedia to accompany messages in the MyopiaEd message libraries where they are to be delivered via a modality which allows for this (e.g. social media, app messaging). The descriptions provided are designed to guide the choice of multimedia by the local team. Actual multimedia chosen should include people that are relevant and relatable to the target audience considering aspects such as ethnicity, culture, and age. They should also include culturally relevant or age-appropriate settings and contexts depending on the target audience. For example, audiences who have access to contact lenses should include images of contact lenses and their use, for audiences whom sun-protection is a concern the images should include relevant sun-protection measures such as sunhats or sunglasses. ID Multimedia description 1 Image of smiling parent(s) and child, all/both with glasses 2 Image of child outside e.g. in a green space or urban space depending on what is relevant for the local population. Image could include a group of children playing together, parents playing with child, or child playing independently. Child wearing glasses when used for the 'Parents of children with Myopia' library. 3 Image of a smiling eye health professional conducting eye test with a child – include features such as equipment used in an eye test. 4 Image of a smiling child/adolescent wearing glasses graduating high school/receiving an award/wearing a sports medal. 5 Image of an eye health professional welcoming a parent and child into an eye clinic or looking friendly in front of shelves of glasses/eye testing equipment. 6 Image of a child using a screen or book, and rubbing their eyes (wearing glasses when used for 'Parents of child with Myopia’ library) 7 Image of child walking away from laptop/closing laptop (wearing glasses when used for 'Parents of child with Myopia’ library) BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 54 ID Multimedia description 8 Image of child squinting at board from the back of the class, TV, or something else in the middle distance. (wearing glasses when used for 'Parents of child with Myopia’ library) 9 Image of child looking away from screen or book i.e. out the window (wearing glasses when used for 'Parents of child with Myopia’ library) 10 Image of blurry background, clear through glasses (could be an outdoor setting, the whiteboard at school, or any relevant/ acceptable image, ideally a long-distance scene in line with what someone with myopia is like to experience) 11 Image of child sitting very close to the TV 12 Image of child/children leaving the house and heading outside (wearing glasses when used for 'Parents of child with Myopia’ library) 13 Image of blurry scene not in focus e.g. group of people 14 Image of child looking happy wearing glasses, with/without parent 15 Image of role model/local celebrity wearing glasses 16 Image of parents and child (wearing glasses) at the eye health professional/choosing glasses 17 Image of adolescent getting an eye exams/with friendly eye health professional 18 Image of adolescents wearing glasses outside e.g. playing sport, hanging out with friends – include activities and settings relevant to local audience e.g. urban, green, snow, beach 19 Image of happy adolescent wearing glasses at school or with friends 20 Image of adolescent wearing glasses walking away from laptop/closing laptop 21 Image of friendly eye health professional smiling in front of eye test equipment/shelves of glasses, or an adolescent talking to an eye health professional 22 Image of adolescent wearing glasses and rubbing eyes or holding/rubbing head indicating they have a headache, perhaps with a laptop in front of them (or holding their phone/a pair of glasses) BE HE@LTHY BE MOBILE A toolkit on how to implement MyopiaEd. Web Annex. MyopiaEd message libraries 55 ID Multimedia description 23 Image of adolescent squinting through glasses perhaps in the classroom, on the sports field, or in any relevant context 24 Image of glasses and contact lenses side by side 25 Image of adolescent with parent(s), both/all wearing glasses 26 Image of adult wearing glasses and looking happy 27 Image of adult getting an eye exam with an eye health professional and/or optometry equipment e.g. visual acuity test 28 Image of adult (wearing glasses) and eye health professional shaking hands/interacting in a friendly way 29 Image of happy adult wearing glasses in a context relevant to the local audience e.g. in a business meeting, in a car, at home, among friends 30 Image of adult wearing glasses and looking away from phone/screen, or shutting laptop lid/walking away 31 Image of adult wearing glasses and squinting in a locally relevant context e.g. at the TV, at their phone, in a car, into the distance, in the office 32 Image of adult wearing glasses and rubbing eyes, holding head, or rubbing head indicating a headache, while looking at/ holding a screen or phone 33 Image of family with some/all wearing glasses and spending time outside together 34 Image of Snellen chart 35 Image of glasses 36 Image of a child/adolescent/adult wearing glasses holding a book, tablet, or laptop at least 30cm away from their face 37 Image of child wearing glasses in the last row at school, while playing sport or crossing the road (or any locally relevant activities) 38 Image of adult(s) wearing glasses watching TV or looking at something in the middle distance World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland website: www.who.int/initiatives/behealthy e-mail: bhbm@who.in