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Rehabilitation, vision, comorbidity

Alexis G Malkin, Judith E Goldstein, Robert W Massof
PURPOSE: To understand the source of between-person variance in baseline health utilities estimated from EuroQol 5-dimension questionnaire (EQ-5D) responses of a representative sample of the US low vision outpatient population prior to rehabilitation. METHODS: A prospective, observational study of 779 new low vision patients at 28 clinic centers in the US. The EQ-5D, Activity Inventory (AI), Telephone Interview for Cognitive Status (TICS), Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) physical functioning component, and Geriatric Depression Scale (GDS) were administered by telephone interview prior to rehabilitation...
June 2017: Ophthalmic Epidemiology
Jennifer H Acton, Bablin Molik, Helen Court, Tom H Margrain
Purpose: To examine the effect of a home visit-based visual rehabilitation intervention on: (1) self-reported visual function and (2) depression, wellbeing, loneliness, adjustment to visual loss, and generic health-related quality of life. Methods: In an exploratory, assessor-masked, individually randomized, single-center controlled trial, 67 participants (age: 75.22 ± 16.21 years) with low vision were allocated either to receive the home visit-based visual rehabilitation intervention (n = 35) or to a waiting list control arm (n = 32)...
December 1, 2016: Investigative Ophthalmology & Visual Science
Edith Holloway, Bonnie Sturrock, Ecosse Lamoureux, Jill Keeffe, Mark Hegel, Robin Casten, David Mellor, Gwyneth Rees
PURPOSE: Low vision rehabilitation (LVR) is a pertinent context for integrating early, evidence-based psychological interventions given the high prevalence of untreated depression in adults with vision impairment. This study aims to identify the perceived barriers and facilitators to staff-delivered telephone-based problem-solving treatment for primary care (PST-PC) offered as an integrated component of LVR. METHODS: Qualitative semi-structured interviews, developed using the theoretical domains framework (TDF) and Consolidated Framework for Implementation Research (CFIR), were conducted with 21 LVR professionals and a clinical psychologist involved in the delivery of PST-PC...
February 2018: Disability and Rehabilitation
Lisette M van Leeuwen, Linda Rainey, Sabina Kef, Ger H M B van Rens, Ruth M A van Nispen
PURPOSE: To gain qualitative insight into the rehabilitation needs of visually impaired young adults (18-25 years) and how these needs relate to the International Classification of Functioning, Disability and Health (ICF) and patient characteristics. METHODS: Rehabilitation needs and patient characteristics of young adults (N = 392) who applied for multidisciplinary services in 2012 and 2013 were obtained from structured and semi-structured intake records. Linking rules were used to assess how the needs related to Environmental Factors, Body Functions, Body Structures, and Activity and Participation (A&P) ICF components...
November 2015: Acta Ophthalmologica
Norris Lam, Susan J Leat
OBJECTIVE: To review the literature regarding barriers that hinder access to low-vision (LV) care from the perspective of individuals with vision impairment. DESIGN: Literature review. METHODS: PubMed and Scopus were used to identify relevant cross-sectional studies of awareness of, and barriers to, LV rehabilitation. Studies were included if they met the following criteria: (i) year of publication within the past 20 years (between 1992 and 2012), and (ii) participants of the study included individuals with vision impairment...
June 2015: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
Gera A de Haan, Joost Heutink, Bart J M Melis-Dankers, Wiebo H Brouwer, Oliver Tucha
BACKGROUND: Homonymous visual field defects (HVFD) are common after postchiasmatic acquired brain injury and may have a significant impact on independent living and participation in society. Vision-related difficulties experienced in daily life are usually assessed using questionnaires. The current study 1) links the content of 3 of these questionnaires to the International Classification of Functioning, Disability and Health (ICF) and 2) provides analyses of vision-related difficulties reported by patients with HVFD and minimal comorbidities...
September 2015: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
Helen Court, Gary McLean, Bruce Guthrie, Stewart W Mercer, Daniel J Smith
BACKGROUND: Visual impairment is common in older people and the presence of additional health conditions can compromise health and rehabilitation outcomes. A small number of studies have suggested that comorbities are common in visual impairment; however, those studies have relied on self-report and have assessed a relatively limited number of comorbid conditions. METHODS: We conducted a cross-sectional analysis of a dataset of 291,169 registered patients (65-years-old and over) within 314 primary care practices in Scotland, UK...
October 17, 2014: BMC Medicine
Hilde P A van der Aa, Mirke Hoeben, Linda Rainey, Ger H M B van Rens, Hilde L Vreeken, Ruth M A van Nispen
PURPOSE: Older adults with a visual impairment are particularly vulnerable for increased depression and anxiety symptoms; however, they tend to underutilise mental health services. The present study aims to characterise the perceived need for and barriers to use mental health services in visually impaired older adults based on Andersen's behavioural model. METHODS: A cross-sectional study in 871 visually impaired older adults (mean age 73 years) from outpatient low vision rehabilitation services was conducted...
April 2015: Quality of Life Research
Sebastian Briesen, Helen Roberts, Robert P Finger
PURPOSE: To assess the impact of visual impairment (VI) on utility values in Sub-Saharan Africa and compare findings with other studies from low- and high-income countries. METHODS: Patients with normal vision and various levels of VI were recruited from a secondary eye clinic in rural Kenya and interviewed using time trade-off (TTO). VI was classified using the World Health Organization definition of (normal vision, visual acuity ≥20/60, VI 20/80-20/200, severe VI 20/240-20/400, and blindness <20/400)...
October 2014: Ophthalmic Epidemiology
Shih-Hsun Shen, Kuo-Chin Huang, Yao-Hung Tsai, Tien-Yu Yang, Mel S Lee, Steve W N Ueng, Robert W W Hsu
OBJECTIVES: The current treatment program for fragility hip fractures (HFx) emphasizes a combination of early surgery, rehabilitation, and tertiary prevention strategy for osteoporosis; however, the effect is unclear and little information is available on the risk factors predicting the occurrence of a second hip fracture (SHFx). The aim of this study was to explore the incidence, risk factors, and subsequent mortality of SHFx in patients after their first hip fracture surgery (HFxS)...
October 2014: Journal of the American Medical Directors Association
Barry W Rovner, Robin J Casten, Mark T Hegel, Robert W Massof, Benjamin E Leiby, Allen C Ho, William S Tasman
PURPOSE: To compare the efficacy of behavior activation (BA) + low vision rehabilitation (LVR) with supportive therapy (ST) + LVR to prevent depressive disorders in patients with age-related macular degeneration (AMD). DESIGN: Single-masked, attention-controlled, randomized, clinical trial with outcome assessment at 4 months. PARTICIPANTS: Patients with AMD and subsyndromal depressive symptoms attending retina practices (n = 188). INTERVENTIONS: Before randomization, all subjects had 2 outpatient LVR visits, and were then randomized to in-home BA+LVR or ST+LVR...
November 2014: Ophthalmology
Dawn K DeCarlo, Ellen Bowman, Cara Monroe, Robert Kline, Gerald McGwin, Cynthia Owsley
PURPOSE: To evaluate the prevalence of parent-reported attention-deficit/hyperactivity disorder (ADHD) in two clinics in Alabama serving children with vision impairment. METHODS: The medical records of children 4-17 years of age attending the Alabama School for the Blind (ASB) during the 2010-2011 school year or seen at the University of Alabama at Birmingham (UAB) Center for Low Vision Rehabilitation between 2006 and 2010 were retrospectively reviewed. Sociodemographics, ocular characteristics, and parental report of ADHD diagnosis were obtained...
February 2014: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Julie M Schneider, Catherine M McMahon, Bamini Gopinath, Annette Kifley, Rebecca Barton, Paul Mitchell, Stephen R Leeder, Jie Jin Wang
OBJECTIVE: To report the frequency of hearing impairment among vision rehabilitation clients, and to identify patterns of hearing service and aid use. METHOD: In the Vision-Hearing Project, 300 participants (65+ years) completed interviews and a hearing test at low-vision clinics. Visual impairment was defined as visual acuity <20/40 (better eye) wearing glasses if owned, and hearing impairment as average pure-tone air conduction threshold >25 dB hearing level (HL) over four frequencies (500, 1000, 2000, 4000 Hz, better ear)...
March 2014: Journal of Aging and Health
Norris Lam, Susan J Leat
OBJECTIVE: To review the literature regarding barriers that hinder access to low-vision (LV) care from the perspective of individuals with vision impairment. DESIGN: Literature review. METHODS: PubMed and Scopus were used to identify relevant cross-sectional studies of awareness of, and barriers to, LV rehabilitation. Studies were included if they met the following criteria: (i) year of publication within the past 20 years (between 1992 and 2012), and (ii) participants of the study included individuals with vision impairment...
December 2013: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
Kristen L Hollands, Trudy Pelton, Andrew Wimperis, Diane Whitham, Sue Jowett, Catherine Sackley, Wing Alan, Paulette van Vliet
BACKGROUND: Visual information comprises one of the most salient sources of information used to control walking and the dependence on vision to maintain dynamic stability increases following a stroke. We hypothesize, therefore, that rehabilitation efforts incorporating visual cues may be effective in triggering recovery and adaptability of gait following stroke. This feasibility trial aims to estimate probable recruitment rate, effect size, treatment adherence and response to gait training with visual cues in contrast to conventional overground walking practice following stroke...
September 3, 2013: Trials
Hilde L Vreeken, Ger H M B van Rens, Dirk L Knol, Nadja A van Reijen, Sophia E Kramer, Joost M Festen, Ruth M A van Nispen
AIM: Despite increasing interest in visual and hearing impairment in the older population, little attention has been paid to concurrent hearing and vision loss, also known as dual sensory loss. The aim of the present study was to investigate the prevalence of comorbid hearing disability and hearing aid ownership in visually impaired older adults. METHODS: In a cross-sectional survey, a self-report hearing disability screener was administered to 1396 visually impaired patients (aged ≥ 50 years) of outpatient low vision rehabilitation centers in the Netherlands and Belgium...
July 2014: Geriatrics & Gerontology International
Yuri Battaglia, Antonio Granata, Pasquale Zamboli, Tiziano Lusenti, Luca Di Lullo, Fulvio Floccari, Franco Logias, Alessandro D'Amelio, Fulvio Fiorini
In recent decades, the survival of dialysis patients has gradually increased thanks to the evolution of dialysis techniques and the availability of new drug therapies. These elements have led to an increased incidence of a series of dialysis-related diseases that might compromise the role of dialysis rehabilitation: vascular disease, skeletal muscle disease, infectious disease, cystic kidney disease and cancer. The nephrologist is therefore in charge of a patient group with complex characteristics including the presence of indwelling vascular and/or peritoneal catheters, conditions secondary to chronic renal failure (hyperparathyroidism, anemia, amyloid disease, etc...
November 2012: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
Kathrin Boerner, Shu-Wen Wang
PURPOSE: This study examined the role of assimilative and accommodative coping dimensions for the mental health of people with visual impairment, with the aim of informing rehabilitation planning. RESEARCH METHOD: Telephone interviews were conducted with 216 middle-aged adults with vision loss. Assimilative and accommodative coping were assessed both in terms of general coping tendencies and goal-specific coping. RESULTS: Assimilation was used more than accommodation in goal-specific coping...
November 2012: Rehabilitation Psychology
Giulia Renieri, Susanne Pitz, Norbert Pfeiffer, Manfred E Beutel, Rüdiger Zwerenz
The objective of the study was to assess the impact of low-vision aids on quality of life. Interviews included a modified version of the National Eye Institute Visual Functioning Questionnaire (Modified German NEI VFQ-25), the Hospital Anxiety and Depression Scale, the Mini-Mental State Examination Blind, and Indicators of the Rehabilitation Status. These were conducted before and 5 months after low-vision rehabilitation that involved recommendation of devices and instructing patients on how to use them. Of a total of 88 patients interviewed before low-vision rehabilitation, 50 patients could be reached for the follow-up interview...
March 2013: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
Heather E Whitson, Deidra Ansah, Linda L Sanders, Diane Whitaker, Guy G Potter, Scott W Cousins, David C Steffens, Lawrence R Landerman, Carl F Pieper, Harvey Jay Cohen
BACKGROUND AND AIMS: Comorbid cognitive impairment is common among visually impaired older adults. This study investigated whether baseline cognitive status predicts functional trajectories among older adults in low vision rehabilitation (LVR) for macular disease. METHODS: The Telephone Interview for Cognitive Status - modified (TICS-m) was administered to macular disease patients aged ≥ 65 years receiving outpatient LVR. Mixed models assessed the rate of change in instrumental activities of daily living and visual function measures over a mean follow-up of 115 days...
October 2011: Aging Clinical and Experimental Research
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