Change in rehabilitation needs and activity limitations over time of adults with acquired visual impairment following entry to a low vision rehabilitation service in England

Macnaughton, Jane and Vianya-Estopa, Marta and Latham, Keziah (2022) Change in rehabilitation needs and activity limitations over time of adults with acquired visual impairment following entry to a low vision rehabilitation service in England. Ophthalmic and Physiological Optics, 42 (3). pp. 491-503. ISSN 1475-1313

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Official URL: http://dx.doi.org/10.1111/opo.12950

Abstract

Purpose: Longitudinal changes in priority rehabilitation needs, vision-related activity limitation and importance of visual goals were evaluated in a sample of people with a visual impairment over a year following entry to low vision rehabilitation services in England. Methods: Participants were adults with newly registered visual impairment within Leicestershire. Priority scores, indicating the level of rehabilitative need, were determined from the importance and difficulty scores of the 48 goals of the Participation and Activity Inventory (PAI). Rasch analysis of the difficulty and importance scores examined activity limitation and importance separately. PAI outcome measures were assessed on entry to rehabilitation services and at 4 and 12 months thereafter. Results: Forty-eight participants (mean age 74.2, SD 14.1 years) completed three visits. Overall, there was a statistically significant reduction in the perceived need for rehabilitation over time (p < 0.001, ηp2 = 0.29), driven by reduced perceived difficulty (p < 0.001, ηp2 = 0.32) but stable importance (p = 0.73) of goals, with most change occurring between baseline and 4 months. PAI goals with greatest rehabilitative need at study entry were reading, mobility and writing, and these remained of highest priority over time. The greatest priority score decrease was for the goal ‘Hobbies and crafts’. The largest decrease in importance was for ‘Mobility outdoors’, whereas ‘Relationship with loved ones’ increased most. Conclusions: Despite a decline in the perceived need for rehabilitation over the study period, there remains a need for continued support and intervention at 12 months following registration with rehabilitation services, particularly for the key goals of reading, writing and mobility. Early identification and support for individuals’ important but difficult goals could prevent such goals being relinquished. Goals concerning relationships and communication became more important over time, indicating that re-evaluation of needs at follow-up is necessary to inform ongoing service provision.

Item Type: Journal Article
Keywords: Ophthalmology, activities of daily living, low vision, participation and activity inventory, rehabilitation, visual impairment, quality of life, activity inventory, older adults, disability, outcomes, improve, Wales
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 26 Apr 2022 10:25
Last Modified: 31 May 2022 16:18
URI: https://arro.anglia.ac.uk/id/eprint/707531

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