Driving and Low Vision: An Evidence-based Review of Rehabilitation

Strong, Jenny; Jutai, Jeffrey; Russell-Minda, Elizabeth; Evans, Mal

doi:10.1177/0145482x0810200704

Cited by 17 publications

(7 citation statements)

References 17 publications

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“…The articles were divided into five categories on the basis of type of intervention: occupation based and client centered, functional activities, performance skills, home modification and assistive technology, and driving. Because driving has been well covered in several other recent systematic reviews (Arbesman & Pellerito, 2008; Hunt & Arbesman, 2008; Kua, Korner-Bitensky, Desrosiers, Man-Son-Hing, & Marshall, 2007; Stav, 2008; Strong, Jutai, Russell-Minda, & Evans, 2008), those findings are not included in this article. Supplemental Table 1 (available online at http://ajot.aotapress.net [navigate to this article, and click on “supplemental materials”]) lists selected articles from this systematic review and provides the objectives, design, a description of the interventions and outcome measures, and summaries of the results and limitations for each study.…”

Section: Resultsmentioning

confidence: 99%

Effect of Occupation- and Activity-Based Interventions on Instrumental Activities of Daily Living Performance Among Community-Dwelling Older Adults: A Systematic Review

Orellano

Colon

Arbesman

2012

The American Journal of Occupational Therapy

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This systematic review examines the effectiveness of occupation- and activity-based interventions on community-dwelling older adults’ performance of instrumental activities of daily living (IADLs). It was conducted as part of the American Occupational Therapy Association’s Evidence-Based Practice Project. Forty studies met the inclusion criteria and were critically appraised and synthesized. Within occupation-based and client-centered interventions, the evidence that multicomponent interventions improve and maintain IADL performance in community-dwelling older adults is strong. The results also indicate that client-centered, occupation-based interventions can be effective in improving and maintaining IADL performance. The evidence is moderate for functional task exercise programs and limited for simulated IADL interventions to improve IADL performance. In the area of performance skills, the evidence related to physical activity and cognitive skills training is mixed, and the evidence that vision rehabilitation interventions improve IADL performance in older adults with low vision is moderate. Implications for practice, education, and research are also discussed.

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Section: Resultsmentioning

confidence: 99%

Effect of Occupation- and Activity-Based Interventions on Instrumental Activities of Daily Living Performance Among Community-Dwelling Older Adults: A Systematic Review

Orellano

Colon

Arbesman

2012

The American Journal of Occupational Therapy

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“…The criteria are represented by 26 dichotomous and one six-point rating scales (for sample size) that assess how findings are reported, as well as issues of internal and external validity and power. Consistent with the practice of Strong et al, 25 we scored all items dichotomously, and particular scoring ranges were assigned the quality designations of excellent (26–27), good (20–25), fair (15–19), and poor (0–14).…”

Section: Methodsmentioning

confidence: 99%

How Assistive Technology Use by Individuals with Disabilities Impacts Their Caregivers

Mortenson

Demers²,

Fuhrer³

et al. 2012

American Journal of Physical Medicine &Amp; Rehabilitation

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Informal caregivers are a critical, yet frequently unacknowledged part of the healthcare system. It is commonly presumed that providing assistive technology (AT) will decrease the burden of their care provision; however, no review has evaluated the evidence behind this assumption. Therefore, a systematic reviews was undertaken to evaluate evidence of the impact of AT use by care-recipients on their informal caregivers. Data Sources included Embase, Medline, Cumulative Index to Nursing and Allied Health Literature, Web of Science, PsychINFO, and active researchers in this area. Twenty-two studies met the specified inclusion criteria. Collectively, the findings suggest that AT use helps caregivers by diminishing some of the physical and emotional effort entailed in supporting individuals with a disability. However, confidence in this causal connection is limited because of the relatively weak study designs that were used. This undermines our understanding of the impacts of AT use on users’ informal caregivers.

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“…Accordingly, licensing standards worldwide include a legal visual requirement for driving eligibility, which most commonly includes high contrast visual acuity (VA), despite evidence that high contrast VA may not be a strong predictor of driving performance and safety . Other measures, such as contrast sensitivity and the useful field of view demonstrate a strong relationship with driving performance and have been recommended to supplement high contrast VA screening tests for driving but are not typically included in driving licensure standards.…”

mentioning

confidence: 99%

Views and practices of Australian optometrists regarding driving for patients with central visual impairment

Oberstein

Boon

Chu

et al. 2016

Clinical and Experimental Optometry

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Background Eye‐care practitioners are often required to make recommendations regarding their patients' visual fitness for driving, including patients with visual impairment. This study aimed to understand the perspectives and management strategies adopted by optometrists regarding driving for their patients with central visual impairment. Method Optometrists were invited to participate in an online survey (from April to June 2012). Items were designed to explore the views and practices adopted by optometrists regarding driving for patients with central visual impairment (visual acuity [VA] poorer than 6/12, normal visual fields, cognitive and physical health), including conditional driver's licences and bioptic telescopes. Closed‐ and open‐ended questions were used. Results The response rate was 14 per cent (n = 300 valid responses were received). Most respondents (83 per cent) reported that they advised their patients with visual impairment to ‘always’ or ‘sometimes’ stop driving. Most were confident in interpreting the visual licensing standards (78 per cent) and advising on legal responsibilities concerning driving (99 per cent). Respondents were familiar with VA requirements for unconditional licensing (98 per cent); however, the median response VA of 6/15 as the poorest VA suggested for conditional licences differed from international practice and Australian medical guidelines released a month prior to the survey's launch. Few respondents reported prescribing bioptic telescopes (two per cent). While 97 per cent of respondents stated that they discussed conditional licences with their patients with visual impairment, relatively few (28 per cent) reported having completed conditional licence applications for such individuals in the previous year. Those who had completed applications were more experienced in years of practice (p = 0.02) and spent more time practising in rural locations (p = 0.03) than those who had not. Conclusion The majority of Australian optometrists were receptive to the possibilities of driving options for individuals with central visual impairment, although management approaches varied with respect to conditional licensing.

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Driving and Low Vision: An Evidence-based Review of Rehabilitation

Cited by 17 publications

References 17 publications

Effect of Occupation- and Activity-Based Interventions on Instrumental Activities of Daily Living Performance Among Community-Dwelling Older Adults: A Systematic Review

Effect of Occupation- and Activity-Based Interventions on Instrumental Activities of Daily Living Performance Among Community-Dwelling Older Adults: A Systematic Review

How Assistive Technology Use by Individuals with Disabilities Impacts Their Caregivers

Views and practices of Australian optometrists regarding driving for patients with central visual impairment

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