Factors Affecting Readiness for Low Vision Interventions in Older Adults

Mohler, Amanda; Neufeld, Peggy Strecker; Perlmutter, Monica S.

doi:10.5014/ajot.2015.014241

Cited by 11 publications

(8 citation statements)

References 26 publications

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“…In addition, many participants receiving care from their Commission for the Blind discussed the lack of individualization of the services received. Occupational therapy practitioners should be aware of the individual’s readiness to receive services, including factors that facilitate or inhibit willingness to participate, such as having a positive attitude, having formal supports, or community resources (Mohler et al., 2015). Service provision should include client-centered, evidenced-based interventions that integrate the individual’s priorities for care and readiness to receive services.…”

Section: Discussionmentioning

confidence: 99%

Low vision rehabilitation services: Perceived barriers and facilitators to access for older adults with visual impairment

Kaldenberg

2019

British Journal of Occupational Therapy

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Introduction The aim of this study is to describe the barriers and facilitators to accessing low vision rehabilitation services in Massachusetts, USA, and determine differences between communities with and without existing low vision rehabilitation services for older adults with visual impairment. Method A sample of older adults with visual impairment ( n = 64) from both communities participated in the study. Barriers and facilitators to accessing the services were explored through focus groups and prioritized during one-on-one interviews, which allowed for comparison between communities. Results Twelve themes were identified: (a) bureaucracy and funding (public policy); (b) public awareness and stigma (community); (c) services available, knowledge of providers, care coordination, transportation (organizational); (d) people and lack of awareness of family/friends (interpersonal); and (e) income, health status, knowledge, self-advocacy, and time (individual). Conclusion This study provides insights into the perceived barriers and facilitators of accessing low vision rehabilitation services for older adults with vision impairment living in Massachusetts, USA. Key findings indicate the need for improved awareness of these services at the provider and consumer level, coordinated care, increased education on the efficacy of occupational therapy low vision rehabilitation services, client-centered care provided when the client is ready to accept services, and service provision that addresses sociodemographic factors.

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Section: Discussionmentioning

confidence: 99%

Low vision rehabilitation services: Perceived barriers and facilitators to access for older adults with visual impairment

Kaldenberg

2019

British Journal of Occupational Therapy

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“…In an effort to portray a desired self-image, older adults with ARVL frequently discussed the importance of ascribing to the cultural norm of maintaining independence, competence, and self-reliance (Brennan et al, 2001; Burton et al, 2015; Girdler et al, 2008; Kleinschmidt, 1999; Laliberte Rudman et al, 2010, 2016; Lee & Brennan, 2002; MacLachlan et al, 2007; Mangus & Vik, 2016; Moher, Neufeld, & Perlmutter, 2015; Moore, 2000; Moore & Miller, 2003; Spafford et al, 2010; Teitelman & Copolillo, 2005; Thetford et al, 2015; Weber & Wong, 2010; Wong et al, 2004). In fact, the participants in Laliberte Rudman et al (2010) described the loss of independence as the “most dreaded outcome of declining vision” (p. 92).…”

Section: Resultsmentioning

confidence: 99%

“…Many participants had resolved to maintain their independence by continuing to participate in various activities of daily living, such as cooking and volunteering (Kleinschmidt, 1999; Moher et al, 2015; Moore, 2000; Moore & Miller, 2003; Teitelman & Copolillo, 2005; Wong et al, 2004). In order to continue engaging in these occupations while simultaneously trying to remain independent, they focused on finding new ways of doing valued occupations (Weber & Wong, 2010).…”

Section: Resultsmentioning

confidence: 99%

“…In order to continue engaging in these occupations while simultaneously trying to remain independent, they focused on finding new ways of doing valued occupations (Weber & Wong, 2010). For example, a participant in Moher et al (2015) stated that he was prepared to make changes if it meant living independently when he said, “If I want to continue to live by myself…I am going to have to do what I have done [make changes]…I see as necessary” (p. 5). In addition, a male participant in Lee and Brennan (2002) highlighted an example of a tangible change related to giving himself more time to complete a task when he stated, “Like buttoning a button, I’ll spend some minutes doing it because I want to do it by myself” (p. 397).…”

Section: Resultsmentioning

confidence: 99%

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Adaptations to support occupational engagement with age-related vision loss: A metasynthesis study

McGrath¹,

Corrado²

2019

Can J Occup Ther

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Background. Age-related vision loss (ARVL) is a progressive process that adversely affects older adults' occupational engagement. As such, older adults often employ a variety of psychological adaptation strategies. Purpose. The purpose of this study was to identify those psychological adaptation strategies employed by older adults aging with ARVL. Method. This metasynthesis searched and identified 21 qualitative articles that described a link between psychological adaptation strategies and occupational engagement. Findings. The psychological strategies identified were categorized into five themes. The strategies of persisting with hope, positivity, and acceptance and portraying a self-image consistent with independence, competence, and selfreliance were well established in the literature, while other themes were more emerging, such as using humour, relying on religious/spiritual beliefs, and comparing the self to others. Implications. By understanding the psychological adaptation strategies employed by older adults with ARVL, occupational therapists will be better positioned to guide their clients toward positive adaptive patterns. Abré gé Description. La perte de vision liée à l'âge (PVLA) est un processus progressif ayant une incidence défavorable sur l'engagement occupationnel des aînés. Les personnes âgées ayant une PVLA emploient souvent une gamme de stratégies d'adaptation. But. Cette étude visait à identifier les stratégies d'adaptation psychologiques employées par les personnes âgées ayant une PVLA. Mé thodologie. Cette métasynthèse a permis de faire une recension des écrits et de repérer 21 articles qualitatifs décrivant un lien entre les stratégies d'adaptation psychologiques et l'engagement occupationnel. Ré sultats. Les stratégies psychologiques identifiées ont été catégorisées en fonction de cinq thèmes. Les stratégies consistant à persister avec espoir, positivisme et acceptation et à projeter une image de soi fondé e sur l'autonomie, la compé tence et l'indépendance étaient bien établies dans la littérature, alors que d'autres thèmes, comme avoir recours à l'humour, s'en remettre aux croyances religieuses/spirituelles, et se comparer aux autres, é taient é mergents. Consé quences. En comprenant mieux les stratégies d'adaptation psychologiques employées par les personnes âgées ayant une PVLA, les ergothérapeutes seront en mesure d'orienter leurs clients vers des stratégies d'adaptation positives.

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“…Previous research indicates that the utilization of low-vision rehabilitation (LVR) services is low, 1,2 and interventions intended to increase service uptake are mixed. 3–6 An important limitation of these efforts is the difficulty in identifying the source population for these interventions, which are patients with low-vision (LV) in ophthalmic care settings. Since the majority of patients who access LVR services are already under ophthalmic care, estimating the magnitude and characteristics of these patients is essential for tailoring interventions aimed at increasing LVR services utilization.…”

Section: Introductionmentioning

confidence: 99%

Leveraging Electronic Health Records to Identify and Characterize Patients with Low Vision

Swenor

Guo

Boland

et al. 2018

Ophthalmic Epidemiology

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Purpose: To use electronic health record (EHR) data to estimate the prevalence and characteristics of low-vision (LV) patients. Methods: EHR data were obtained for all patients at the nine clinical locations of the Wilmer Eye Institute in 2014. LV status at each visit was defined as visual acuity (VA) worse than 20/40 in the better-seeing eye. Prevalence and incidence estimates were determined over a 12-month period. Demographic and clinical data were used to compare the characteristics of patients with and without LV. Logistic regression analyses were used to determine prevalence and incidence estimates adjusted for age, sex, race, and ethnicity. Results: A total of 100,755 patients were included in the analysis. There were 7752 (7.7%) prevalent and 1962 (2.1%) incident cases of LV. Among patients with LV, 55% had VA between 20/40 and 20/60. Outside of LV clinics, retina and glaucoma clinics had the highest prevalence (18% and 14%, respectively) and incidence (5% and 4%, respectively) of LV. The urban hospital center had twice the prevalence of LV than suburban clinics (11.5% vs. 5.6%). The odds of prevalent LV was greatest among patients 80 years and older (odds ratio = 6.18; 95% confidence interval: 5.62–6.80) as compared to those 20–39 years old. Conclusions: EHR can be used to estimate the prevalence and describe the characteristics of patients with LV seeking ophthalmic care. The highest prevalence rates of LV are observed in the urban setting and among patients obtaining retina and glaucoma care.

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Factors Affecting Readiness for Low Vision Interventions in Older Adults

Cited by 11 publications

References 26 publications

Low vision rehabilitation services: Perceived barriers and facilitators to access for older adults with visual impairment

Low vision rehabilitation services: Perceived barriers and facilitators to access for older adults with visual impairment

Adaptations to support occupational engagement with age-related vision loss: A metasynthesis study

Leveraging Electronic Health Records to Identify and Characterize Patients with Low Vision

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