Mild Visual Impairment and Its Impact on Self-Care Among Older Adults

O’Conor, Rachel; Smith, Samuel G.; Curtis, Laura M.; Benavente, Julia Yoshino; Vicencio, Daniel P.; Wolf, Michael S.

doi:10.1177/0898264316676406

Cited by 32 publications

(23 citation statements)

References 50 publications

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“…Functionally, the threshold of 0.5 in distance VA is relevant; as with current visual correction, it serves as the requirement for standard driving license in many states in the United States of America [41] and the countries of the European Union (directive 2006/126/EC), thereby affecting individual’s activities of daily living. Moreover, previous publication reports differences in self-care when VA is near the threshold of 0.5 (from 0.4 to 0.63) [42]. Our results point out that low vision correlates with low HRQoL.…”

Section: Discussionsupporting

confidence: 66%

Low vision status and declining vision decrease Health-Related Quality of Life: Results from a nationwide 11-year follow-up study

Taipale¹,

Mikhailova

Ojamo

et al. 2019

Qual Life Res

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PurposeThe impact of visual acuity (VA) on Health-Related Quality of Life (HRQoL) and the cross-sectional and longitudinal differences in HRQoL during the 11-year follow-up were investigated. The aim was to examine the impact declining vision has on HRQoL and to provide comparable data to facilitate the allocation of health-care resources.MethodsWe utilized nationwide health examination surveys carried out by the National Institute for Health and Welfare in 2000 and 2011, providing a representative sampling of the Finnish adult population aged 30 and older. VA was assessed through Snellen E test, and HRQoL scores were evaluated using EQ-5D and 15D questionnaires. Multiple imputations with Markov chain Monte Carlo method was used to utilize the data more effectively. Regression analyses were conducted to assess the impact of declining VA on HRQoL, adjusted for incident comorbidities.ResultsLower VA status was associated with significantly lower HRQoL at both time points, most clearly observable below the VA level of 0.5. Declining VA resulted in statistically significant decline in HRQoL during the follow-up, greater with distance than near VA. 15D impairment associated with decline in the distance VA was also clinically meaningful and greater than that associated with any of the examined comorbidities.ConclusionsHRQoL was significantly and meaningfully impaired even before the threshold of severe vision loss or blindness was reached. The results encourage the improvement of available treatment options aiming to postpone the onset of visual impairment or declining VA, to maintain better quality of life among the population.Electronic supplementary materialThe online version of this article (10.1007/s11136-019-02260-3) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 66%

Low vision status and declining vision decrease Health-Related Quality of Life: Results from a nationwide 11-year follow-up study

Taipale¹,

Mikhailova

Ojamo

et al. 2019

Qual Life Res

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“…Lack of self-care behaviors and presence of depression are common among older adults. 11 , 40 , 41 Our study found that depression was prevalent before the intervention. After the intervention, depression was reduced at both follow-ups.…”

Section: Discussionmentioning

confidence: 54%

Effects of the Older Family Network Program on Improving Quality of Life Among Older Adults in Thailand

Yodmai¹,

Somrongthong²,

Nanthamongkolchai³

et al. 2021

JMDH

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Background The evidence of promoting family members’ health care for older adults by applying family networks and theory of planned behavior will lead to mental health and lower the quality of life among older adults in rural community in Thailand is unclear. Objective The study aimed to assess the effects of health promotion among older adults using an aging family network program to reduce depression and improve quality of life (QOL) among older adults. Patients and Methods This quasi-experimental study was enrolled on one hundred and ten older adults and their family members. Fifty-five older adult participants joined the health promoting program using family member involvement. This program trained them to change health behaviors such as eating healthy food, exercising, emotion management and disability preventive activities to reduce dementia, stroke and falls. The program was conducted in a rural community for 12 months. A comparison group program conducted usual health promoting activities by health personnel. They evaluated quality of life (QOL) using WHOQOL-OLD measurement, and 30-item geriatric depression scale before implementing interventions and after interventions at 9th and 12th months. Data were analyzed using general linear mixed model analysis. Results After the intervention, social support and perception of health care from family members were significantly improved at the 9th month. At the 12th month, overall QOL, sensory ability, social participation, intimacy, social support, and perception of health care from family members significantly improved. Depression was also reduced at the 12th month. Conclusion These findings demonstrated that health promotion using family members improved QOL and reduced depression long term. Policymakers should implement programs to improve QOL among older adults. They need to improve the involvement of family members when conducting health promotion among older adults and support funding due to conduct on weekends or in the evening.

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“…Falls among visually impaired adults can occur due to multifaceted intrinsic and extrinsic factors. In LMICs people with visual impairment are confronting a different set of challenges like accessibility barriers, navigator barriers, unemployment, health care utility challenges, and societal stigma [16,17]. Though, population-based studies had reported that old age and related-poor vision as a frequent risk factor for fall, yet the knowledge about visual-related clinical characteristics in falls among adults living in LMICs is sparse.…”

Section: Introductionmentioning

confidence: 99%

Self-reported fall and associated factors among adult people with visual impairment in Gondar, Ethiopia: a cross-sectional study

et al. 2020

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Background: Fall is a major public health problem and potentially disabling issue. A vast burden of visually impaired live in low-middle income countries particularly in Sub-Saharan Africa. Limited ability to detect environmental hazards puts visually impaired at a greater risk of falls and unintentional injuries. Falls among visually impaired is associated with considerable disability, health care cost, loss of independence, and socioeconomic consequences. Ethiopia lacked estimates of fall among any vulnerable population, particularly among visually impaired people. Therefore, this study aimed to estimate the prevalence of falls and factors associated among adult people with medically diagnosed visual impairment in Ethiopia. Methods: An institutional-based cross-sectional study was conducted among visually impaired adults who attended the ophthalmology clinic at the University of Gondar comprehensive specialized hospital during the study period. Data were collected by interview method using structured questionnaires, patient medical record reviews, and physical measurements. Bivariate and multivariable binary logistic regression model analysis was used to identify factors associated with falls. Adjusted odds ratio with corresponding 95% confidence intervals were computed to show the strength of association. Results: A total of 328 adults medically diagnosed with visual impairment participated in the study (97.3% response rate). The age of the participants ranged from 25 to 89 years with a mean age of (56.46 ± 14.2 years). The overall cumulative prevalence of self-reported falls among adults with visual impairment was 26.8% with 95%CI (22.7, 32.4%). The major associated factors of fall identified by multivariate analysis were; visual impairment in both eye (

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Mild Visual Impairment and Its Impact on Self-Care Among Older Adults

Cited by 32 publications

References 50 publications

Low vision status and declining vision decrease Health-Related Quality of Life: Results from a nationwide 11-year follow-up study

Low vision status and declining vision decrease Health-Related Quality of Life: Results from a nationwide 11-year follow-up study

Effects of the Older Family Network Program on Improving Quality of Life Among Older Adults in Thailand

Self-reported fall and associated factors among adult people with visual impairment in Gondar, Ethiopia: a cross-sectional study

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