A randomised controlled trial of a self-management programme for low vision implemented in low vision rehabilitation services

Gwyneth Rees, Jing Xie, Peggy P. Chiang, Melanie F. Larizza, Manjula Marella, Jennifer B. Hassell, Jill E. Keeffe, Ecosse L. Lamoureux

Research output: Contribution to journalArticleResearchpeer-review

24 Citations (Scopus)

Abstract

Objective: To investigate the effectiveness of a low vision self-management programme (LVSMP) in older adults. Methods: Participants (n= 153) were existing clients of a national low vision rehabilitation organisation randomly allocated to usual services (n= 60) or usual services plus LVSMP (n= 93). The LVSMP was an 8-week group programme facilitated by low vision counsellors. The primary outcome was vision-specific quality of life (QoL) measured using the Impact of Vision Impairment (IVI) questionnaire. Secondary outcomes emotional well-being, self-efficacy and adaptation to vision loss were measured using the depression, anxiety, stress scale (DASS), general self-efficacy scale (GSES), and short form adaptation to age-related vision loss scale (AVL12). Results: At one and six month follow-up assessments, no significant between-group differences were found for vision-specific QoL, emotional well-being, adaptation to vision loss or self-efficacy (p>. 0.05). Univariate and multivariate analyses revealed no impact of the intervention on outcome measures. Conclusions: In contrast to previous work, our study found limited benefit of a LVSM programme on QoL for older adults accessing low vision services. Practice implications: When implementing self-management programmes in low vision rehabilitation settings, issues of client interest, divergence of need, programme accessibility and fidelity of intervention delivery need to be addressed.

Original languageEnglish
Pages (from-to)174-181
Number of pages8
JournalPatient Education and Counseling
Volume98
Issue number2
DOIs
Publication statusPublished - Feb 2015
Externally publishedYes

Keywords

  • Low vision rehabilitation
  • Quality of life
  • Research translation
  • Self-management
  • Vision impairment

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