Preliminary Investigation of the Responsiveness of the Melbourne Low Vision ADL Index to Low-Vision Rehabilitation

Johnston, Alan; Heyes, and Anthony D.

doi:10.1097/00006324-200106000-00008

Cited by 23 publications

(33 citation statements)

References 32 publications

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“…Frequently encountered service types in studies included in this review included standard hospital-based services (provided by optometrists or trained low vision therapists, although these services now also often offer a high level of integration, including strong links to the social services); 36,154 integrated or multi-disciplinary services (including extra elements such as counselling, group activity, occupational therapy, orientation and mobility training); 66,91,102,143 and services with an emphasis on the psychological needs of patients. 105 Services could be inpatient 51,105 or outpatient, 110,143 and could be designed to cater for the needs of a particular patient group, for example children, 121 older adults, 73 or veterans.…”

Section: B Vision Rehabilitation Servicesmentioning

confidence: 99%

“…C In some services, this wider-reaching approach to low vision service provision has culminated in the development of multidisciplinary/interdisciplinary or integrated low vision services. 43,66,70,91,102,104,140,143 The exact nature of the multidisciplinary approach, however, is often poorly defined. Multidisciplinary models vary widely in their composition, but often include a mixture of healthcare professionals, including those described by the AHRQ, as well as psychologists and/or counsellors, combined in an integrated service.…”

Section: B Vision Rehabilitation Servicesmentioning

confidence: 99%

“…the Melbourne Low Vision ADL Index (MLVAI). 66 Another type of tool is the proxy-based assessment, which relies on the judgement of a family member, or someone close to the patient. This approach has been used more commonly in assessing outcomes of children or those with learning disabilities.…”

Section: Outcome Measures For Assessing the Effectiveness Of A Sermentioning

confidence: 99%

“…Outcomes have included participation levels in ADLs, 60 confidence in performance of ADLs, 116 dependence or independence in performing ADLs, 48 activity levels, 102 and perceived security/insecurity in performing ADLs, 41,49 as well as assessing basic ability in performance. 55,66,68,72,75,104,110,118,129,137,138,143,144 Despite the disparity in evaluation tools used, there is very good evidence that low vision service provision improves functional ability.…”

Section: Effect Of Rehabilitation On Visual Function and Activitiementioning

confidence: 99%

See 3 more Smart Citations

How Effective is Low Vision Service Provision? A Systematic Review

Binns

Bunce

Dickinson

et al. 2012

Survey of Ophthalmology

202

209

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This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent repository link Abstract.Visual impairment is a large and growing socioeconomic problem. Good evidence on rehabilitation outcomes is required to guide service development and improve the lives of people with sight loss.Of the 478 potentially relevant articles identified, only 58 studies met our liberal inclusion criteria, and of these only 7 were randomized controlled trials. Although the literature is sufficient to confirm that rehabilitation services result in improved clinical and functional ability outcomes, the effects on mood, vision-related quality of life (QoL) and health-related QoL are less clear. There are some good data on the performance of particular types of intervention, but almost no useful data about outcomes in children, those of working age and other minority groups. There were no reports on cost effectiveness. Overall, the number of well designed and adequately reported studies is pitifully small; visual rehabilitation research needs higher quality research. We highlight study design and reporting considerations and suggest a future research agenda.

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Section: B Vision Rehabilitation Servicesmentioning

confidence: 99%

Section: B Vision Rehabilitation Servicesmentioning

confidence: 99%

Section: Outcome Measures For Assessing the Effectiveness Of A Sermentioning

confidence: 99%

Section: Effect Of Rehabilitation On Visual Function and Activitiementioning

confidence: 99%

See 2 more Smart Citations

How Effective is Low Vision Service Provision? A Systematic Review

Binns

Bunce

Dickinson

et al. 2012

Survey of Ophthalmology

202

209

View full text Add to dashboard Cite

show abstract

“…The results of these studies have demonstrated that performance-based measures (PBMs) of visual function are valid and reliable measures of visual health. [7][8][9][10][11] In the same tradition of research, the investigation presented here is intended to validate a thirdgeneration PBM of visual function titled the "Assessment of Disability Related to Vision" (ADREV) in a population of individuals with diabetic retinopathy.…”

Section: Introductionmentioning

confidence: 99%

The Assessment of Disability Related to Vision Performance-Based Measure in Diabetic Retinopathy

Warrian

Lorenzana

Lankaranian

et al. 2010

American Journal of Ophthalmology

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Patient-Centered Outcome Measures to Assess Functioning in Randomized Controlled Trials of Low-Vision Rehabilitation: A Review

Ehrlich

Spaeth

Carlozzi

et al. 2016

Patient

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Low-vision rehabilitation (LVR) aims to improve the functioning of patients with chronic uncorrectable visual impairment. LVR is inherently a patient-centered intervention since its approach and goals are dictated by the needs and abilities of each individual patient. Accordingly, it is essential to have patient-centered outcome (PCO) measures to assess and compare the efficacy and effectiveness of low-vision interventions; however, there is a lack of evidence on the effectiveness of LVR interventions. We reviewed the literature in order to identify randomized controlled trials (RCTs) in the field of LVR and the outcome measures used to assess patient functioning in these trials. We identified 15 RCTs of LVR that employed nine unique patient-reported, five unique performance-based, and one hybrid (combined patient-reported and performance) outcome measures. Since these trials used distinct tools to assess patient functioning, it is difficult to compare the effectiveness of competing rehabilitation interventions across studies. Selecting valid outcome measures that are both relevant to LVR goals of specific patient populations and that measure functioning across a range of visually demanding tasks could improve the ability to detect the effect of LVR and to compare rehabilitation strategies. There are advantages and limitations to the use of both patient-reported and performance-based outcome measures, and additional work should be undertaken to explore the relationship between these modes of assessment, as well as strategies for optimally integrating these approaches. Careful selection of outcome measures in the design of future RCTs in LVR may lead to improved understanding of the effectiveness of LVR and, ultimately, to improved functioning of patients with low vision.

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Preliminary Investigation of the Responsiveness of the Melbourne Low Vision ADL Index to Low-Vision Rehabilitation

Cited by 23 publications

References 32 publications

How Effective is Low Vision Service Provision? A Systematic Review

How Effective is Low Vision Service Provision? A Systematic Review

The Assessment of Disability Related to Vision Performance-Based Measure in Diabetic Retinopathy

Patient-Centered Outcome Measures to Assess Functioning in Randomized Controlled Trials of Low-Vision Rehabilitation: A Review

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