Head-mounted Visual Assistive Technology–related Quality of Life Changes after Telerehabilitation

Lorenzini, Marie-Céline; Wittich, Walter

doi:10.1097/opx.0000000000001705

Cited by 18 publications

(32 citation statements)

References 42 publications

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“…Two articles feature in more than one section as the outcomes were translatable across multiple domains. Four studies (33.3%) addressed patient satisfaction, [30][31][32][33] two studies (16.6%) related to objective visual function, 34 35 four studies (33.3%) measured patient-reported outcomes, activities of daily living and well-being, 33 34 36 37 one study (8.3%) addressed knowledge relating to ocular symptoms, 38 and a further one study (8.3%) was an analysis of cost-effectiveness. 39 Six studies used a synchronous modality whereas four studies were asynchronous in nature.…”

Section: Resultsmentioning

confidence: 99%

“…Rehabilitation is, by nature, highly repetitive and often requires engagement over long periods of time before measurable improvements in areas such as functional vision can be observed. Although studies in this review yielded good patient satisfaction ratings 33 and high retention rates, 32 it is difficult to predict the sustainability of telerehabilitation outside the context of a research study. For example, devices risk becoming a nuisance if required long term, and while acceptable within research, patients may resist such commitments becoming the standard of care.…”

Section: Measuring Benefits and Acceptability Of Interventionsmentioning

confidence: 88%

“…33 34 36 37 In addition, there is generally a high level of acceptability from patients for this shift in service delivery. [31][32][33] However, there remain certain distinct challenges associated with telerehabilitation which may curtail the extent to which this approach is adopted and retained more widely.…”

Section: Discussionmentioning

confidence: 99%

“…Four articles explored patients' satisfaction with telerehabilitation which led to recommendations for key features to improve uptake of services. Three of these articles reported the findings of feasibility studies, [31][32][33] and one was a qualitative analysis of patient experiences. 30 All of these studies included participants with a visual impairment caused by a range of pathologies including agerelated macular degeneration, optic nerve disease, retinitis pigmentosa, and stroke-related visual field deficit.…”

Section: Patient Satisfactionmentioning

confidence: 99%

“…33 34 36 37 The studies use patient-reported outcome measures and behavioural measurements to examine the benefits of remote interventions in people with vision impairment. Two articles are case reports, 36 37 and two articles describe the quality-of-life outcomes from the eSight eyewear, 33 and vision restoration training programmes, 34 described in an earlier section.…”

Section: Open Accessmentioning

confidence: 99%

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Scoping review of remote rehabilitation (telerehabilitation) services to support people with vision impairment

Jones¹,

Lee

Castle³

et al. 2022

BMJ Open

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ObjectiveTelerehabilitation for individuals with vision impairment aims to maintain maximum physical and/or psychological functioning through remote service delivery. This review aims to describe the type of telerehabilitation services available to people with vision impairment and summarise evidence on health-related outcomes, well-being and cost-effectiveness.DesignScoping review.Data sourcesCINAHL Plus, MEDLINE, PsycARTICLES, PsychINFO, Embase, PubMed, HMIC and Ovid Emcare were searched, without date restrictions up to 24 May 2021. Charity and government websites, conference proceedings and clinical trial databases were also examined.Eligibility criteriaEligible studies evaluated benefits of telerehabilitation services for adults with vision impairment. Studies were excluded if they were not available in English, or focused on distance learning of visually impaired students.Data extraction and synthesisTwo independent reviewers screened articles and extracted data. A risk of bias analysis was performed.Outcome measuresMeasures of benefit included performance-based assessment, patient-reported outcomes and cost-effectiveness.ResultsOf 4472 articles, 10 eligible studies were included. Outcomes addressed patient satisfaction (n=4;33.3%), quality-of-life, activities of daily living and well-being (n=4;33.3%), objective visual function (n=2;16.6%) and knowledge relating to ocular symptoms (n=1;8.3%). Two studies addressed multiple outcomes. Cost-effectiveness was addressed in one article (8.3%). Patients were generally satisfied with their experiences, which had a range of positive benefits on functional and quality-of-life outcomes in areas relating to daily activities (eg, reading, making phone calls). Telerehabilitation allowed patients to undertake vision optimisation training to prevent vision deterioration. Grey literature indicated that there are no completed clinical trials relating to low vision telerehabilitation. Charity services had implemented digital skills training to help beneficiaries communicate remotely.ConclusionWhile acceptability of telerehabilitation was mostly high, limited real-world data are available which raises questions around the long-term desirability of this approach. Further trials are needed to evaluate telerehabilitation using a robust set of outcome measures.PROSPERO registration numberCRD42021254825.

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Section: Resultsmentioning

confidence: 99%

Section: Measuring Benefits and Acceptability Of Interventionsmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Patient Satisfactionmentioning

confidence: 99%

Section: Open Accessmentioning

confidence: 99%

See 3 more Smart Citations

Scoping review of remote rehabilitation (telerehabilitation) services to support people with vision impairment

Jones¹,

Lee

Castle³

et al. 2022

BMJ Open

View full text Add to dashboard Cite

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Telerehabilitation for people with low vision

Bittner¹,

Yoshinaga

Rittiphairoj

et al. 2023

Cochrane Database of Systematic Reviews

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The effects of an electronic head-mounted display in vision rehabilitation for patients with tunnel vision

Xu,

Yu,

Zheng

et al. 2024

Int Ophthalmol

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Purpose To investigate the effect of a new head-mounted electronic visual aid-Acesight on improving visual function and daily activities in patients with tunnel vision. Methods 57 patients with tunnel vision participated in this study. The visual field (VF), visual acuity (VA), search ability, time of finding people from the side (TFPS), walking ability, and the subjective feelings of patients with and without Acesight were measured. Results 15 (36%) patients thought Acesight was “helpful”, 16 (28%) thought it was “a little help”, and 26 (46%) believed that it was “not helpful.” The proportion of people aged < 60 years found Acesight helpful was higher. When wearing Acesight, the average horizontal VF diameter (°) (35.54[8.72]) and vertical VF diameter (°) (26.63[5.38]) were larger than those without visual aids (20.61[9.22], 18.19[6.67]) (P all < 0.001). The average TFPS before and while wearing the Acesight was 1.77s(0.32) and 1.19s(0.29), respectively (t = 14.28, P < 0.001). The average search times, number of collisions, walking speeds when wearing the Acesight were not statistically different from those without visual aids (P all > 0.05). Conclusion More than half of patients with tunnel vision found the Acesight helpful, and a higher proportion of those aged < 60 years old found it helpful. Acesight can expand the horizontal and vertical VF of patients with tunnel vision and can enable patients to detect objects coming from the side earlier. Trial registration ChiCTR2000028859; Date of registration: 2020/1/5; URL: http://www.chictr.org.cn/showproj.aspx?proj=47129

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Head-mounted Visual Assistive Technology–related Quality of Life Changes after Telerehabilitation

Abstract: Supplemental digital content is available in the text.

Cited by 18 publications

References 42 publications

Scoping review of remote rehabilitation (telerehabilitation) services to support people with vision impairment

Scoping review of remote rehabilitation (telerehabilitation) services to support people with vision impairment

Telerehabilitation for people with low vision

The effects of an electronic head-mounted display in vision rehabilitation for patients with tunnel vision

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