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van der Aa HPA, Garcia-Piña F, van Nispen RMA, Hoogland J, Roberts C, Seiple W. Performance on clinical outcomes, activities of daily living and user experience on head-mounted displays for people with vision impairment. Ophthalmic Physiol Opt 2024; 44:840-853. [PMID: 38757445 DOI: 10.1111/opo.13329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 04/24/2024] [Accepted: 04/25/2024] [Indexed: 05/18/2024]
Abstract
PURPOSE To compare the objective performance, acceptance and usability of head-mounted displays (HMDs) to provide evidence-based data that could be used to increase the efficiency of device referrals based upon a person's vision loss and functional needs. METHODS A cross-sectional, counterbalanced, individually controlled crossover study was performed on 15 adults with various eye conditions. Performance was measured when using four HMDs: eSight4, Eyedaptic EYE3, Eyedaptic EYE4 and IrisVision Inspire. Performance on clinical visual acuity tests and contrast were assessed, as well as vision-related activities of daily living (ADL) which were divided into three categories: Reading, Searching & Identifying and Eye-hand Coordination. User-experience was also assessed. Logistic regression analyses, Friedman one-way repeated measure analyses of variance by ranks and multivariate permutation testing were used for analysis. RESULTS There was a significant improvement in visual acuity when using all devices. For contrast tasks, only the eSight4 and Eyedaptic EYE3 improved performance relative to baseline. For most Reading and Searching & Identifying tasks, the odds of being able to perform the tasks were significantly higher while using the devices. However, the actual performance with most devices (e.g., number of words read or reading speed) did not improve significantly over baseline for most tasks. For the Eye-hand Coordination tasks, participants performed equivalent to or significantly poorer than baseline when using the devices. No demographic or clinical predictors of outcomes were identified. Participants expressed dissatisfaction with the devices' effectiveness, acceptability and usability. CONCLUSIONS While performance on clinical tests was better when using the devices, performance on most real-world ADLs was equal to or worse than baseline. No single device improved performance on all tasks, and performance on any one task was not improved with all the devices. The overall dissatisfaction with the devices paralleled the lack of objective improvement in the performance of real-world tasks.
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Affiliation(s)
- Hilde P A van der Aa
- Lighthouse Guild, New York, New York, USA
- Ophthalmology, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
- Program Quality of Care, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Fernanda Garcia-Piña
- Lighthouse Guild, New York, New York, USA
- Ophthalmology, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
- Program Quality of Care, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Ruth M A van Nispen
- Ophthalmology, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
- Program Quality of Care, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Jeroen Hoogland
- Epidemiology and Biostatistics, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands
| | | | - William Seiple
- Lighthouse Guild, New York, New York, USA
- Department of Ophthalmology, New York University Grossman School of Medicine, New York, New York, USA
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Zawistowska J, Powierza K, Sawicka-Powierza J, Macdonald J, Czerniawska M, Macdonald A, Przystupa Z, Bakunowicz-Łazarczyk A. Health-Related Quality of Life Using the KIDSCREEN-27 Questionnaire among Adolescents with High Myopia. J Clin Med 2024; 13:3676. [PMID: 38999242 PMCID: PMC11242397 DOI: 10.3390/jcm13133676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2024] [Revised: 06/06/2024] [Accepted: 06/13/2024] [Indexed: 07/14/2024] Open
Abstract
Background/Objectives: The aim of the study was to explore Health-Related Quality of Life (HRQoL) using the KIDSCREEN-27 questionnaire among adolescents with high myopia (HM). Methods: Sixty-nine adolescents with HM and 71 healthy participants aged 12-17 years and their parents or legal guardians were enrolled in the study. Results: Adolescents with HM showed significantly lower scores on the Physical Well-Being dimension in comparison with controls (p = 0.003), particularly girls with HM in comparison with girls from the control group (p = 0.008), and 15-17-year-old adolescents in comparison with same-aged controls (p = 0.020). Girls with HM were characterised by significantly worse scores on the Psychological Well-Being dimension compared with boys with HM (p < 0.042). Sociodemographic factors and refractive error, its duration, and acceptance of disease had no impact on HRQoL. Conclusions: HM may have a negative impact on the HRQoL of children, affecting particularly the physical and psychological well-being of girls. It is important that a holistic approach to the treatment of HM in adolescents is taken by measuring their HRQoL as part of the routine diagnostic process. Use of the KIDSCREEN-27 questionnaire seems justified as it allows for determination of the type of intervention required to improve the HRQoL of individuals affected by the disease.
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Affiliation(s)
- Joanna Zawistowska
- Department of Paediatric Ophthalmology and Strabismus, Medical University of Bialystok, ul. Waszyngtona 17, 15-274 Bialystok, Poland;
| | - Katarzyna Powierza
- Department of Diabetology and Internal Medicine, Medical University of Warsaw, ul. S. Banacha 1A, 02-097 Warsaw, Poland
| | - Jolanta Sawicka-Powierza
- Department of Family Medicine, Medical University of Bialystok, ul Mieszka I 4B, 15-054 Bialystok, Poland
| | - Justyna Macdonald
- Department of Foreign Languages, Medical University of Bialystok, ul. Mickiewicza 2C, 15-222 Bialystok, Poland
| | - Mirosława Czerniawska
- Faculty of Engineering Management, Bialystok University of Technology, ul. Ojca Tarasiuka 2, 16-001 Kleosin, Poland
| | - Alexandra Macdonald
- School of Human Sciences, University of Economics and Human Sciences in Warsaw, ul. Okopowa 59, 01-043 Warsaw, Poland;
| | - Zuzanna Przystupa
- Non-Public Specialist Medical Practice Adrian Wojciech Przystupa, ul. Aleja Józefa Piłsudskiego 31, 17-100 Bielsk Podlaski, Poland
| | - Alina Bakunowicz-Łazarczyk
- Department of Paediatric Ophthalmology and Strabismus, Medical University of Bialystok, ul. Waszyngtona 17, 15-274 Bialystok, Poland;
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Karadima V, Pezaris EA, Pezaris JS. Attitudes of potential recipients toward emerging visual prosthesis technologies. Sci Rep 2023; 13:10963. [PMID: 37414798 PMCID: PMC10325978 DOI: 10.1038/s41598-023-36913-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 06/12/2023] [Indexed: 07/08/2023] Open
Abstract
With the advent of multiple visual prosthesis devices to treat blindness, the question of how potential patients view such interventions becomes important in order to understand the levels of expectation and acceptance, and the perceived risk-reward balance across the different device approaches. Building on previous work on single device approaches done with blind individuals in Chicago and Detroit, USA, Melbourne, Australia, and Bejing, China, we investigated attitudes in blind individuals in Athens, Greece with coverage expanded to three of the contemporary approaches, Retinal, Thalamic, and Cortical. We presented an informational lecture on the approaches, had potential participants fill out a preliminary Questionnaire 1, then organized selected subjects into focus groups for guided discussion on visual prostheses, and finally had these subjects fill out a more detailed Questionnaire 2. We report here the first quantitative data that compares multiple prosthesis approaches. Our primary findings are that for these potential patients, perceived risk continues to outweigh perceived benefits, with the Retinal approach having the least negative overall impression and the Cortical approach the most negative. Concerns about the quality of restored vision were primary. Factors that drove the choice of hypothetical participation in a clinical trial were age and years of blindness. Secondary factors focused on positive clinical outcomes. The focus groups served to swing the impressions of each approach from neutrality toward the extremes of a Likert scale, and shifted the overall willingness to participate in a clinical trial from neutral to negative. These results, coupled with informal assessment of audience questions after the informational lecture, suggest that a substantial improvement in performance over currently available devices will be necessary before visual prostheses gain wide acceptance.
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Affiliation(s)
- Vicky Karadima
- Multisensory and Temporal Processing Lab (MultiTimeLab), Department of Psychology, Panteion University of Social and Political Sciences, Athens, Greece
| | | | - John S Pezaris
- Department of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA.
- Department of Neurosurgery, Harvard Medical School, Boston, MA, USA.
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Yeshanew YT, Xu T, Yuan W. Perceptions on Their Own Social Participation: A Qualitative Exploration of Ethiopian Secondary Students with Visual Impairments. Healthcare (Basel) 2023; 11:healthcare11040605. [PMID: 36833141 PMCID: PMC9956288 DOI: 10.3390/healthcare11040605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 02/15/2023] [Accepted: 02/15/2023] [Indexed: 02/22/2023] Open
Abstract
Social participation is a vital part of life and has multifaceted positive outcomes on personal health and wellbeing. Social participation or the lack thereof might have more profound psychological impacts on individuals in a collectivist culture than its counterpart. The current study explored personal and environmental barriers that have hindered the effective social participation of secondary students with visual impairments. Exploration addressed various activities in and outside school settings in Ethiopia and discussed findings in relation to the prevailing cultural orientation. In-depth semi-structured interviews were conducted to gather qualitative data on barriers to social participation of 17 secondary students with visual impairments in Addis Ababa, Ethiopia. The qualitative data were analysed thematically, yielding four major themes and identifying twenty sub-themes that limited the social participation of students with visual impairments, such as personal, attitudinal, sociocultural, and practical barriers. The study showed a range of barriers that participants experienced related to social participation, the criticality of cultural orientation in providing context to understand the impacts of social participation, and the need for future research in the area.
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Heppe ECM, van Klaveren C, Cornelisz I, Schuengel C, Kef S. Heterogeneity in social participation among young people with vision impairment. BRITISH JOURNAL OF VISUAL IMPAIRMENT 2023. [DOI: 10.1177/02646196231152340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Young people may adapt to vision impairment (VI) in a variety of ways. To explore heterogeneity in social participation, data were mined for distinct patterns. Existing data from 258 young people with VI, aged between 26 and 44 years ( M = 35.3 years; SD = 5.07), were clustered. Social participation was measured by four closed-ended questions and the Social Network Map. Loneliness was measured by the De Jong Gierveld Loneliness scale. K-medoids clustering with the Partitioning Around Medoids (PAM) algorithm was used to cluster social participation variables and age.Eight clusters were identified, with participants in the two largest clusters, clusters 1 ( n = 84) and 2 ( n = 50), scoring high on almost all social participation outcomes. Participants in cluster 8 ( n = 14) had the lowest social participation scores. However, also over half of the participants in clusters 4, 5, 6, and 7 experienced feelings of loneliness. Findings demonstrate considerable heterogeneity in social participation among young people with VI, which however does not link to loneliness. These variations in social participation underline the need for a differentiated approach to address needs of young people with VI.
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Affiliation(s)
- Eline CM Heppe
- VU Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, The Netherlands
| | | | - Ilja Cornelisz
- VU Amsterdam, The Netherlands; Amsterdam Center for Learning Analytics, The Netherlands
| | | | - Sabina Kef
- VU Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, The Netherlands
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Jeon B, Koo H, Lee HJ, Han E. Effect of the age of visual impairment onset on employment outcomes in South Korea: analysis of the national survey on persons with disabilities data. BMC Public Health 2022; 22:1613. [PMID: 36008802 PMCID: PMC9404557 DOI: 10.1186/s12889-022-13747-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Accepted: 07/06/2022] [Indexed: 11/28/2022] Open
Abstract
Background Opportunities for paid employment provide meaningful ways for those with disabilities to participate in society and achieve financial independence. Although the onset age of disabilities can alter individuals’ attitudes toward accepting their disabilities and their desire for work, the lack of data limits relevant empirical research. The purpose of this study is to examine the effect of the onset age on employment, job security (permanent vs. temporary), and wage level among visually impaired adults in South Korea. Methods We used three years of the National Survey on Persons with Disabilities data, 2011, 2014, and 2017, and included 583 participants in this study. We used a logistic regression model for the employment status and a multinomial logistic regression model for job security. We analyzed log monthly wage by a multivariate linear regression model, which subdivided the age groups, with 20–49 years old denoting prime-aged (n = 245) and 50–64 years old denoting late-middle-aged (n = 338). For each age group, we conducted a sub-analysis by sex. Results For prime-aged adults, the employment probability decreased as the age of visual impartment onset increased, and women in particular experienced a lower employment rate for both permanent and temporary jobs when their disability onset age was above 25. However, among permanent employees, monthly wages were higher if the onset age was 25 + compared to when the onset age was 0–5 years old. In late middle-aged adults, adult onset disabilities were associated with higher odds of employment and higher wages for temporary jobs, implying these individuals worked unskilled or manual jobs. Conclusions In prime-aged adults, higher monthly wages among permanent employees showed that they were more likely to continue their original work, whereas in late-middle-aged adults, adult-onset disabilities were associated with a higher employment rate and higher wages for temporary jobs, suggesting the need for further investigation into job quality. These findings indicate a need for differentiated policy approaches considering the onset age of visual impairment to improve labor market outcomes throughout individuals’ lifespans. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13747-z.
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Affiliation(s)
- Boyoung Jeon
- Department of Health and Medical Information, Myongji College, Seoul, 03656, Republic of Korea
| | - Heejo Koo
- College of Pharmacy, Yonsei Institute of Pharmaceutical Sciences, Yonsei University, Incheon, 21983, Republic of Korea
| | - Hye-Jae Lee
- Department of Environment Health, Korea National Open University, Seoul, 03087, Republic of Korea
| | - Euna Han
- College of Pharmacy, Yonsei Institute of Pharmaceutical Sciences, Yonsei University, Incheon, 21983, Republic of Korea.
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Švajger A, Šuc L, Vidmar G. Occupational priorities and needs of blind and partially sighted people entering the labor market in Slovenia. Work 2022; 72:587-594. [DOI: 10.3233/wor-210039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: People with vision impairment are a growing group of clients for occupational therapists, particularly those working in vocational rehabilitation. OBJECTIVE: To examine the occupational priorities and performance issues of blind and partially sighted people entering vocational rehabilitation in Slovenia. Possible differences between priorities and issues among diagnostic groups and in relation to the rehabilitation outcome were explored. METHODS: Records of 42 clients referred to vocational rehabilitation at the University Rehabilitation Institute in Ljubljana between 2007 and 2019 were reviewed. Information on self-perceived occupational priorities and issues was obtained from the Canadian Occupational Performance Measure (COPM). RESULTS: Household and other unpaid work was identified the most frequently (20%) as a priority, followed by job-seeking (19%) and community mobility (15%). Job-seeking was the top performance issue (43%), followed by community mobility (21%) and household management (19%). On the 1–10 scale, the average occupational performance and satisfaction scores were 6.7 and 6.5, respectively; no statistically significant differences in relation to the diagnosis or the rehabilitation outcome were observed. CONCLUSION: The results highlight the client-identified occupational priorities and issues beside job-seeking that need to be considered in planning occupational therapy and supporting the persons with visual impairments entering the labor market.
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Affiliation(s)
| | - Lea Šuc
- University Rehabilitation Institute, Ljubljana, Slovenia
| | - Gaj Vidmar
- University Rehabilitation Institute, Ljubljana, Slovenia
- Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
- FAMNIT, University of Primorska, Koper, Slovenia
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Binder-Olibrowska KW, Wrzesińska MA, Godycki-Ćwirko M. Is Telemedicine in Primary Care a Good Option for Polish Patients with Visual Impairments Outside of a Pandemic? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116357. [PMID: 35681942 PMCID: PMC9180207 DOI: 10.3390/ijerph19116357] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 05/18/2022] [Accepted: 05/20/2022] [Indexed: 02/04/2023]
Abstract
With the proliferation of telemedicine during the COVID-19 pandemic, attention began to turn to the risk of health disparities associated with its use among people with disabilities. Therefore, the present study investigates the level of interest in using teleconsultations (TCs) in primary healthcare among people with visual impairments (PVIs) and identifies their motivations and needs. A total of 219 Polish PVIs were surveyed using a combination of closed and open questions. About 50% of the respondents expressed interest in using TCs. The factor most closely related to the willingness to use TCs was age. The predominant reason for using TCs was to obtain a prescription or referral, and the most highlighted need was the possibility to choose between a TC and an in-person visit. The blind and poor-sighted participants differed in some regards. Our study indicates that TCs, under some conditions, may be a beneficial option for PVIs, and provides some directions for its effective implementation.
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Affiliation(s)
- Katarzyna Weronika Binder-Olibrowska
- Department of Psychosocial Rehabilitation, Faculty of Health Sciences, Medical University of Lodz, Lindleya 6, 90-131 Lodz, Poland;
- Correspondence:
| | - Magdalena Agnieszka Wrzesińska
- Department of Psychosocial Rehabilitation, Faculty of Health Sciences, Medical University of Lodz, Lindleya 6, 90-131 Lodz, Poland;
| | - Maciek Godycki-Ćwirko
- Centre for Family and Community Medicine, Faculty of Medical Sciences, Medical University of Lodz, Kopcińskiego 20, 90-153 Lodz, Poland;
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Smith L, Pardhan S, Gorely T, Barnett Y, Jacob L, López-Sánchez GF, Tully MA, Il Shin J, Koyanagi A. Physical activity and visual difficulties in 36 low- and middle-income countries. Eye (Lond) 2022; 36:585-593. [PMID: 33767410 PMCID: PMC8873357 DOI: 10.1038/s41433-021-01439-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Revised: 01/04/2021] [Accepted: 01/27/2021] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND Data on the association between visual difficulty and physical activity (PA) from low- and middle-income countries (LMICs) are scarce. Thus, the aim of the study was to investigate the association between visual difficulty and PA among adults from 36 LMICs, and to assess the mediators in this association. METHODS Cross-sectional, community-based, predominantly nationally representative data from the World Health Survey were analysed. The final sample included 199,110 individuals aged ≥18 years [mean (SD) age 38.6 (16.1) years; 49.4% males]. Visual difficulty referred to having severe/extreme difficulties in seeing and recognizing a person that the participant knows across the road. Low PA was defined as not complying with PA recommendations of 150 min of moderate-vigorous PA per week. Multivariable logistic regression, meta-analysis, and mediation analysis were conducted to assess associations. RESULTS Meta-analysis based on country-wise multivariable logistic regression analysis showed that overall, visual difficulty is associated with a 1.53 (95% CI = 1.38-1.71) times higher odds for low PA. Particularly strong associations were observed in males (OR = 1.72; 95% CI = 1.45-2.05) and adults aged ≥65 years (OR = 1.95; 95% CI = 1.67-2.29). Interpersonal activities, cognition, and sleep/energy explained >10% of the association between visual difficulty and low PA. CONCLUSIONS In conclusion, we found evidence that especially in the case of males and older adults with visual difficulties in LMICs, there were low levels of engagement with PA. Addressing issues such as interpersonal activities, cognition, and sleep/energy in people with visual difficulties may increase levels of PA.
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Affiliation(s)
- Lee Smith
- The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK.
| | - Shahina Pardhan
- grid.5115.00000 0001 2299 5510Vision and Eye Research Institute, School of Medicine, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University-Cambridge Campus, Cambridge, UK
| | - Trish Gorely
- grid.23378.3d0000 0001 2189 1357Department of Nursing and Midwifery, University of the Highlands and Islands, Inverness, UK
| | - Yvonne Barnett
- grid.5115.00000 0001 2299 5510Anglia Ruskin University, Cambridge, UK
| | - Louis Jacob
- grid.12832.3a0000 0001 2323 0229Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France ,grid.425902.80000 0000 9601 989XICREA, Pg. Lluis Companys 23, Barcelona, Spain
| | - Guillermo F. López-Sánchez
- grid.5115.00000 0001 2299 5510Vision and Eye Research Institute, School of Medicine, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University-Cambridge Campus, Cambridge, UK
| | - Mark A. Tully
- grid.12641.300000000105519715Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey, UK
| | - Jae Il Shin
- grid.15444.300000 0004 0470 5454Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Ai Koyanagi
- grid.425902.80000 0000 9601 989XICREA, Pg. Lluis Companys 23, Barcelona, Spain ,grid.466982.70000 0004 1771 0789Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, Spain
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Elsman EBM, Koel M, van Nispen RMA, van Rens GHMB. Quality of Life and Participation of Children With Visual Impairment: Comparison With Population Reference Scores. Invest Ophthalmol Vis Sci 2021; 62:14. [PMID: 34115092 PMCID: PMC8196425 DOI: 10.1167/iovs.62.7.14] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Purpose The purpose of this study was to investigate quality of life and participation in children aged 3 to 17 years with visual impairment (VI) compared to reference groups and between subgroups with increasing severity levels of VI. Methods Parents of children aged 3 to 17 years (n = 500) and children aged 13 to 17 years (n = 75) completed the Child and Adolescent Scale of Participation (CASP). Children aged 7 to 17 years (n = 263) and their parents (n = 255) completed the KIDSCREEN-27 questionnaire to assess quality of life. Scores were compared to age and/or gender-appropriate population-based samples. For the CASP, a comparison was also made with children with chronic conditions or disabilities. The association between severity of VI and quality of life or participation was analyzed with linear regression models. Results Children reported significantly worse on Physical Wellbeing and Social Support & Peers, but better on the School Environment KIDSCREEN-27 subscales compared to reference groups. Parents additionally reported worse on Autonomy & Parent Relation. Children's participation was significantly worse compared to a population-based sample, but significantly better compared to children with chronic conditions and disabilities. Having moderate or severe VI/blindness was significantly associated with worse participation, as reported by parents relative to those with no VI. Conclusions Quality of life of children with VI is affected especially regarding Physical Wellbeing and Social Support & Peers compared to a reference population, and their participation is considerably worse. Participation was more affected in children with more severe VI. These results contribute to the understanding of the impact of VI. Interventions targeting physical health, social skills, and participation are warranted.
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Affiliation(s)
- Ellen B M Elsman
- Department of Ophthalmology, Amsterdam UMC, Vrije Universiteit Amsterdam, the Amsterdam Public Health Research Institute, MB Amsterdam, The Netherlands
| | - Mitchel Koel
- Department of Ophthalmology, Amsterdam UMC, Vrije Universiteit Amsterdam, the Amsterdam Public Health Research Institute, MB Amsterdam, The Netherlands
| | - Ruth M A van Nispen
- Department of Ophthalmology, Amsterdam UMC, Vrije Universiteit Amsterdam, the Amsterdam Public Health Research Institute, MB Amsterdam, The Netherlands
| | - Ger H M B van Rens
- Department of Ophthalmology, Amsterdam UMC, Vrije Universiteit Amsterdam, the Amsterdam Public Health Research Institute, MB Amsterdam, The Netherlands
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Wrzesińska MA, Tabała K, Stecz P. Gaming Behaviors among Polish Students with Visual Impairment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:1545. [PMID: 33561942 PMCID: PMC7914894 DOI: 10.3390/ijerph18041545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 02/02/2021] [Indexed: 11/16/2022]
Abstract
The access of people with disabilities to digital solutions promotes their inclusion and participation in many aspects of life. Computer games based on hearing or haptic devices have been gaining popularity among persons with visual impairment (VI), and players tend to display improved spatial and abstract reasoning skills, as well as better social interaction and self-confidence, after playing these games. However, a recent survey suggested that excessive gaming could represent a public health concern as a harmful form of behavior in young people associated with risk factors of negative psychosomatic and physical complaints. Young persons with VI are regular users of various technologies, but little is still known about their media patterns. This study aimed to determine the characteristics of the variables associated with gaming for adolescents with VI. The participants were 490 students, aged 13-24 years, from special schools for students with VI. Data was collected using a self-administered questionnaire. The current survey indicated a tendency towards excessive gaming in a significant proportion of young persons with VI. Sociodemographic variables are important in predicting gaming prevalence or screen time, but further research focused on establishing possible mediators (such as parental attitudes towards media) are necessary for identifying problematic gaming behaviors among students with VI.
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Affiliation(s)
| | - Klaudia Tabała
- Department of Psychosocial Rehabilitation, Medical University of Lodz, 90-419 Lodz, Poland;
| | - Patryk Stecz
- Department of Clinical Psychology and Psychopathology, Faculty of Educational Sciences, Institute of Psychology, University of Lodz, 91-433 Lodz, Poland;
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Salminen AL, Heiskanen T, Suomela-Markkanen T. A Multiform, Group-Based Rehabilitation Program for Visually Impaired Young People to Promote Activity and Participation. A Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E3682. [PMID: 31574986 PMCID: PMC6801900 DOI: 10.3390/ijerph16193682] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Revised: 09/19/2019] [Accepted: 09/26/2019] [Indexed: 11/16/2022]
Abstract
Young people with visual impairment (YPWVI) face several challenges in their everyday lives. However, little is known about interventions that focus on promoting their participation that contributes to health and well-being and is considered the most relevant outcome in rehabilitation. OBJECTIVES This study investigated the clinical outcomes and acceptability of a new one-year, multiform, group-based rehabilitation program for YPWVI. The aim of the pilot program was to support them becoming more independent and to promote their participation. Rehabilitation consisted of group-meetings in an institutional setting, online group meetings, individually tailored one-on-one guidance, individual online discussions and parents' group meetings. Fifteen young persons with visual impairment were recruited and 14 completed the intervention, six of whom were blind or had severe visual impairment and eight had mild visual loss. METHODOLOGY The study utilized a mixed methods triangulation design. Clinical outcome measures were goal attainment scaling (GAS) and occupational performance (COPM) completed with qualitative interview data. Focus group interviews with participants and parents were used to evaluate the acceptability of the program. RESULTS GAS-rated personal goals were widely achieved and the scores of both performance and satisfaction scales of COPM improved. Overall, the rehabilitation program proved to be acceptable. Group-based rehabilitation was deemed very important and it enabled peer support. However, two-day periods of inpatient rehabilitation, proved to be too short, whereas five-day periods were considered to disturb schoolwork. CONCLUSIONS Group-based multi-form rehabilitation for YPWVI can have a positive impact on activity and participation of the participants. The program can support independence and the achievement of rehabilitation goals. The group format was applauded for providing social support and company. The program required some structural modifications.
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Affiliation(s)
- Anna-Liisa Salminen
- Research department, The Social Insurance Institution of Finland, FI-00250 Helsinki, Finland.
| | - Tuija Heiskanen
- Research department, The Social Insurance Institution of Finland, FI-00250 Helsinki, Finland.
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Heppe ECM, Willemen AM, Kef S, Schuengel C. Improving social participation of adolescents with a visual impairment with community-based mentoring: results from a randomized controlled trial. Disabil Rehabil 2019; 42:3215-3226. [PMID: 31066313 DOI: 10.1080/09638288.2019.1589587] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Purpose: The efficacy of a community-based mentoring program for adolescents with a visual impairment vs. care-as-usual was tested on social participation including satisfaction with social support.Materials and methods: Adolescents (15-22 years; 46% boys) were randomized to an intervention group with mentors with visual impairment (N = 25), an intervention group with mentors without visual impairment (N = 26), or care-as-usual (N = 25). One-on-one mentoring activities regarded school/work, leisure activities, and social relationships.Results and conclusions: Multilevel growth modelling revealed no effect of mentoring on changes in social participation compared to the care-as-usual group (participation [95% CI -0.30, 0.21, d = 0.1]; social participation composite [95% CI -0.24, 0.26, d = 0.24]). Mentees matched to mentors with visual impairments increased more on satisfaction with their social support compared to mentees matched to mentors without impairments and the care-as-usual group [95% CI 0.02, 0.49, d = 0.38]. Age, characteristics of the impairment, and number of match meetings were not associated with change in social participation during the mentoring program. This evaluation showed no benefit of mentoring for social participation of adolescents with a visual impairment. The value of mentors and mentees sharing the same disability needs further investigation. This trial is registered in the Netherlands Trial Register NTR4768.Implications for rehabilitationA community-based mentoring program resulted in no benefits for adolescents with a visual impairment on their social participation.A community-based mentoring program should not replace care-as-usual provided to young people with a visual impairment in the Netherlands. It could only be thought of as an additional service within rehabilitation.Matching mentees and mentors based on sharing the same disability could strengthen the effect of a community-based mentoring program. However, these benefits are rather small.Providing additional support for the social participation of young people with a visual impairment might be especially helpful for those with a progressive impairment and with comorbid problems.
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Affiliation(s)
- Eline C M Heppe
- Faculty of Behavioural and Movement Sciences, Section of Clinical Child and Family Studies, Vrije Unviersiteit Amsterdam, Amsterdam, The Netherlands
| | - Agnes M Willemen
- Faculty of Behavioural and Movement Sciences, Section of Clinical Child and Family Studies, Vrije Unviersiteit Amsterdam, Amsterdam, The Netherlands
| | - Sabina Kef
- Faculty of Behavioural and Movement Sciences, Section of Clinical Child and Family Studies, Vrije Unviersiteit Amsterdam, Amsterdam, The Netherlands.,Bartimeus, Rehabilitation Centre for People with Visual Impairments, Zeist, The Netherlands
| | - Carlo Schuengel
- Faculty of Behavioural and Movement Sciences, Section of Clinical Child and Family Studies, Vrije Unviersiteit Amsterdam, Amsterdam, The Netherlands
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Using the ICF to Identify Contextual Factors That Influence Participation of Persons With Deafblindness. Arch Phys Med Rehabil 2019; 100:2324-2333. [PMID: 30986411 DOI: 10.1016/j.apmr.2019.03.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Revised: 02/04/2019] [Accepted: 03/02/2019] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To identify and describe the contextual factors that influence the participation of people with deafblindness in India. DESIGN Qualitative study, using directed content analysis approach and the International Classification of Functioning, Disability and Health (ICF) as a framework to analyze the data. SETTING Community and social participation settings. PARTICIPANTS Community-dwelling individuals with deafblindness (N=16). Age ranges from 18-45 years. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Personal and environmental factors that influence the participation of individuals with deafblindness using the ICF framework. RESULTS Results indicate that the age of onset and nature of impairment (deafblindness) and willingness to explain the condition (functional consequences of deafblindness) emerged as important personal factors. Access to resources such as assistive technology, social support, and deafblind-specific services were found to be enablers of participation. Lack of services, systems, and policies specific to deafblindness along with negative societal attitude toward disability were highly perceived environmental barriers that influence participation of people with deafblindness in India. CONCLUSIONS Professionals must acknowledge aspects of the environment in conducting assessments and delivering interventions and understand the dynamic interactions between environment of the individual and his/her concurrent vision and hearing impairments. Approaches to enable participation require rehabilitation professionals to work with those with deafblindness to advocate for removal of environmental barriers and ensure provision of appropriate resources from the government to facilitate their participation. Social policy and government must ensure emphasis on awareness about deafblindness, access to deafblind-specific services, positive societal attitude, and opportunities for full participation for people with deafblindness in society.
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Elsman EBM, van Nispen RMA, van Rens GHMB. Feasibility of the Participation and Activity Inventory for Children and Youth (PAI-CY) and Young Adults (PAI-YA) with a visual impairment: a pilot study. Health Qual Life Outcomes 2017; 15:98. [PMID: 28490332 PMCID: PMC5426000 DOI: 10.1186/s12955-017-0677-x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Accepted: 05/05/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Having a visual impairment affects quality of life, daily functioning and participation. To assess rehabilitation needs of visually impaired children and young adults, the Participation and Activity Inventory for Children and Youth (PAI-CY) and Young Adults (PAI-YA) were developed. The PAI-CY comprises four questionnaires for different age categories: 0-2 years, 3-6 years, 7-12 years and 13-17 years. This pilot study assesses the feasibility and acceptability of the PAI-CY and PAI-YA, and the relevance of the content of the questionnaires. METHODS In addition to the regular admission procedure, the PAI-CY and PAI-YA were completed by 30 participants (six per questionnaire). For the PAI-CY, parents completed the questionnaire online prior to admission. From age 7 years onwards, children completed the questionnaire face-to-face with a rehabilitation professional during the admission procedure. Young adults completed the PAI-YA online. Subsequently, participants and professionals administered an evaluation form. RESULTS Overall, 85% of the parents rated all aspects of the PAI-CY neutral to positive, whereas 100% of all children and young adults were neutral to positive on all aspects, except for the duration to complete. The main criticism of professionals was that they were unable to identify actual rehabilitation needs using the questionnaires. Minor adjustments were recommended for the content of questions. CONCLUSIONS Parents, children and young adults were mostly satisfied with the questionnaires, however, professionals suggested some changes. The adaptations made should improve satisfaction with content, clarification of questions, and satisfaction with the questionnaires in compiling a rehabilitation plan. Although face and content validity has been optimized, a larger field study is taking place to further develop and evaluate the questionnaires.
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Affiliation(s)
- Ellen Bernadette Maria Elsman
- Department of Ophthalmology, VU University Medical Centre and the Amsterdam Public Health research institute, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
| | - Ruth Marie Antoinette van Nispen
- Department of Ophthalmology, VU University Medical Centre and the Amsterdam Public Health research institute, PO Box 7057, 1007 MB, Amsterdam, The Netherlands
| | - Gerardus Hermanus Maria Bartholomeus van Rens
- Department of Ophthalmology, VU University Medical Centre and the Amsterdam Public Health research institute, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.,Department of Ophthalmology, Elkerliek Hospital, Wesselmanlaan 25, 5707 HA, Helmond, The Netherlands
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Elsman EBM, van Rens GHMB, van Nispen RMA. Impact of visual impairment on the lives of young adults in the Netherlands: a concept-mapping approach. Disabil Rehabil 2016; 39:2607-2618. [PMID: 27794635 DOI: 10.1080/09638288.2016.1236408] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
PURPOSE While the impact of visual impairments on specific aspects of young adults' lives is well recognised, a systematic understanding of its impact on all life aspects is lacking. This study aims to provide an overview of life aspects affected by visual impairment in young adults (aged 18-25 years) using a concept-mapping approach. METHOD Visually impaired young adults (n = 22) and rehabilitation professionals (n = 16) participated in online concept-mapping workshops (brainstorm procedure), to explore how having a visual impairment influences the lives of young adults. Statements were categorised based on similarity and importance. Using multidimensional scaling, concept maps were produced and interpreted. RESULTS A total of 59 and 260 statements were generated by young adults and professionals, respectively, resulting in 99 individual statements after checking and deduplication. The combined concept map revealed 11 clusters: work, study, information and regulations, social skills, living independently, computer, social relationships, sport and activities, mobility, leisure time, and hobby. CONCLUSIONS The concept maps provided useful insight into activities influenced by visual impairments in young adults, which can be used by rehabilitation centres to improve their services. This might help in goal setting, rehabilitation referral and successful transition to adult life, ultimately increasing participation and quality of life. Implications for rehabilitation Having a visual impairment affects various life-aspects related to participation, including activities related to work, study, social skills and relationships, activities of daily living, leisure time and mobility. Concept-mapping helped to identify the life aspects affected by low vision, and quantify these aspects in terms of importance according to young adults and low vision rehabilitation professionals. Low vision rehabilitation centres should focus on all life aspects found in this study when identifying the needs of young adults, as this might aid goal setting and rehabilitation referral, ultimately leading to more successful transitions, better participation and quality of life.
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Affiliation(s)
- Ellen Bernadette Maria Elsman
- a Department of Ophthalmology , VU University Medical Center, EMGO + Institute for Health and Care Research , Amsterdam , The Netherlands
| | - Gerardus Hermanus Maria Bartholomeus van Rens
- a Department of Ophthalmology , VU University Medical Center, EMGO + Institute for Health and Care Research , Amsterdam , The Netherlands.,b Department of Ophthalmology , Elkerliek Hospital , Helmond , The Netherlands
| | - Ruth Marie Antoinette van Nispen
- a Department of Ophthalmology , VU University Medical Center, EMGO + Institute for Health and Care Research , Amsterdam , The Netherlands
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Kronick B, John RM. Unseen Impairment: Pediatric Primary Care Management of Oculocutaneous Albinism 2. J Nurse Pract 2016. [DOI: 10.1016/j.nurpra.2016.07.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Wrzesińska M, Tabała K, Stecz P. The online behavior of pupils with visual impairment: A preliminary report. Disabil Health J 2016; 9:724-9. [PMID: 27174072 DOI: 10.1016/j.dhjo.2016.04.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2015] [Revised: 03/24/2016] [Accepted: 04/08/2016] [Indexed: 01/10/2023]
Abstract
BACKGROUND Young people with special educational needs are also users of new media. OBJECTIVE The aim of the study was to determine whether pupils with visual impairment spend more time on Internet use than pupils without visual impairment and whether youngsters from the study group are engaged in behaviors which could increase risk of problematic Internet use. METHODS The study is based on a total of 191 pupils: a study group of 66 partially-sighted pupils and a control group comprised 125 pupils who do not have visual impairment. A self-report questionnaire was constructed for the needs of this study. RESULTS Pupils with visual impairment spent significantly less time on Internet use than their peers from the reference groups. Twice as many pupils from the study group as controls reported no symptoms suggesting potentially problematic Internet use. In addition, the study group more frequently used online social networking services and e-mails or used the Internet for assignments. CONCLUSIONS Little difference exists between students with visual impairment and those without with regard to Internet use.
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Affiliation(s)
- Magdalena Wrzesińska
- Department of Psychosocial Rehabilitation, Medical University of Lodz, Lodz, Poland.
| | - Klaudia Tabała
- Department of Psychosocial Rehabilitation, Medical University of Lodz, Lodz, Poland
| | - Patryk Stecz
- Department of Psychological Research Methodology and Statistics, Institute of Psychology, Faculty of Educational Sciences, University of Lodz, Lodz, Poland
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Jenkins GR, Yuen HK, Vogtle LK. Experience of Multisensory Environments in Public Space among People with Visual Impairment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 12:8644-57. [PMID: 26213952 PMCID: PMC4555239 DOI: 10.3390/ijerph120808644] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/08/2015] [Revised: 06/11/2015] [Accepted: 07/17/2015] [Indexed: 11/17/2022]
Abstract
This qualitative study explored the role of sensory characteristics embedded in the built environment and whether they support or hinder people with visual impairment in their use of public spaces. An online survey link was e-mailed to the presidents and committee members of each state's chapters and associations of the National Federation of the Blind in the United States, resulting in 451 direct invitations to participate. Written responses of the survey questions from 48 respondents with visual impairment were analyzed. Three main themes: Barriers, Supporters, and Context-Dependence emerged from the respondents' experience of multisensory characteristics within the built environment. The four subthemes subsumed in Barriers were: (1) Population specific design, (2) Extreme sensory backgrounds, (3) Uneven ground surfaces and objects, and (4) Inconsistent lighting. For Supporters, respondents provided specific examples of various sensory characteristics in built environments, including audible cues and echoes, smells, tactile quality of the ground surface, and temperature. Context-Dependence referred to the effects of sensory characteristics embedded in public spaces depending on one's vision condition, the proximity to the sensory cues and the purpose of the activities one was performing at that moment. Findings provide occupational therapy practitioners an in-depth understanding of the transactional relationship between embedded sensory characteristics in the built environment, occupations, and people with visual impairment in order to make appropriate modifications or removal of barriers that affect occupational performance and engagement. Suggestions for occupational therapists as well as architects, designers, planners, policy makers/legislators related to functional sensory cues in the design of built environments were provided to increase accessibility in the use of public spaces by people with visual impairment.
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Affiliation(s)
- Gavin R Jenkins
- Department of Occupational Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
| | - Hon K Yuen
- Department of Occupational Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
| | - Laura K Vogtle
- Department of Occupational Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
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Piškur B, Meuser S, Jongmans MJ, Ketelaar M, Smeets RJEM, Casparie BM, Haarsma FA, Beurskens AJHM. The lived experience of parents enabling participation of their child with a physical disability at home, at school and in the community. Disabil Rehabil 2015; 38:803-812. [DOI: 10.3109/09638288.2015.1061612] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Thomas R, Crossland MD, Dahlmann-Noor AH. Multisource evaluation of multidisciplinary low-vision services for children and young people. BRITISH JOURNAL OF VISUAL IMPAIRMENT 2015. [DOI: 10.1177/0264619615576583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Professional bodies and healthcare commissioners recommend the provision of care for children and young people with sight impairment (SI) as a topic for quality improvement and service evaluation, but no unified evaluation tool is available. We aimed to develop and implement a tool to evaluate the quality of children’s low-vision services (LVS). We identified and reviewed available standards for LVS from government documents and surveys carried out by patient support organisations, developed a clinic proforma and six survey tools for families and professionals, and used these tools to carry out a first service evaluation of multidisciplinary LVS provided by children’s eye clinics, social services, and education teams for SI students in Bedfordshire and London, United Kingdom. The first service evaluation round showed that services provided are of high standard, but also identified specific areas for improvement such as provision of information in preferred format, formation of parent and young people support groups, and an unmet need for emotional support.
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Affiliation(s)
| | | | - Annegret H Dahlmann-Noor
- NIHR Biomedical Research Centre at Moorfields Eye Hospital and UCL Institute of Ophthalmology; Moorfields Eye Hospital at Bedford Hospital
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