The impact of low vision on activities, participation, and goals among older adults: a scoping review

Boey, Debbie; Tse, Tamara; Lim, Yi Jia; Chan, Mei Leng; Fitzmaurice, Kerry

doi:10.1080/09638288.2021.1937340

Cited by 6 publications

(4 citation statements)

References 61 publications

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“…The activities selected for observed evaluation using the PQRS-OD approach were identified in a scoping review (Boey et al, 2021) designed to identify functional difficulties that are commonly experienced by older adults with different types of visual loss such as loss of center vision, peripheral field loss, and visual field loss from a cortical event (Boey et al, 2022) and deemed suitable to be tested in an outpatient clinic setting. The following activities were selected:…”

Section: Methodsmentioning

confidence: 99%

“…This framework guides our understanding of how visual impairment affects function at different levels of body functions and structures, activities, and participation. A recent scoping review found that older adults with visual impairment experience significant difficulties completing activities (e.g., reading and mobility); and participation (e.g., leisure, social interaction, activities of daily living [ADL]) (Boey et al, 2021). Assessing how visual impairment affects function is important for planning and providing rehabilitation to enhance occupational performance in older adults…”

Section: Introductionmentioning

confidence: 99%

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Assessing Older Adults’ Functional Visual Performance Using the Performance Quality Rating Scale

Boey,

Tse,

Fitzmaurice

et al. 2023

OTJR: Occupational Therapy Journal of Research

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Visual impairment has distinct impacts on the activities of older adults. Quantifying the functional impact of visual loss would facilitate targeted rehabilitation. The objectives of this study were to: (1) develop an observational assessment of the functional visual performance of older adults using the Performance Quality Rating Scale (PQRS); (2) test the feasibility and inter-rater agreement in a pilot sample of older adults with visual impairment. A convenience sample of older adults with vision loss ( N = 20) performed seven pre-selected activities. Performance was videoed ( N = 126 videos) and rated by two raters using specific operational definitions. All participants completed the seven activities with the given resources and 90% of videos were successfully rated using the developed PQRS. Inter-rater agreement was substantial (weighted Kappa = 0.71; 95% confidence interval [CI] = [0.64, 0.79]) for all activities. The developed PQRS for functional vision is feasible, with substantial inter-rater agreement, to assess functional vision of older adults in an outpatient setting.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessing Older Adults’ Functional Visual Performance Using the Performance Quality Rating Scale

Boey,

Tse,

Fitzmaurice

et al. 2023

OTJR: Occupational Therapy Journal of Research

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“…A substantial body of literature has demonstrated a strong linear relationship between low vision and the inability to perform activities of daily living (ADL) and instrumental activities of daily living (IADL) in older adults (Mitchell, 2018; Nael, 2017; Servat et al, 2011; Taylor, 2016). The elderly with low vision struggle to maintain participation in important occupations; ultimately, the declining vision compels them to forgo meaningful occupations, reduce physical and social life functions and lose valuable occupational roles (Boey, 2021).…”

Section: Background Of Low Vision Rehabilitation In Singaporementioning

confidence: 99%

Low vision home therapy service by occupational therapists: The effectiveness of the Seniors’ Eye Rehabilitation programme, a pilot study

Tan

Hui

et al. 2023

British Journal of Occupational Therapy

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Introduction: This study aims to explore the effectiveness of the Seniors’ Eye Rehabilitation (SEER) pilot programme, a visual rehabilitation home therapy by specialised low vision occupational therapists (LVOT). Method: This was an interventional, longitudinal cohort study. Participants were recruited from Singapore National Eye Centre Low Vision Clinic. The occupational therapy interventions include activities of daily living retraining, activities/home modifications, functional/community mobility training and patient/family education. Each participant set two individualised goals (Priority Goal 1 and Priority Goal 2). The Wilcoxon signed-rank test was used to compare baseline and 6-month follow-up scores for Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) and the Goal Attainment Scale (GAS) ( p < 0.05). Results: Forty-one participants (mean age: 67, 48.8% male) completed SEER. There was statistically significant reduction in activity limitations (1 median point change (MPC), Z = −4.21, p < 0.01), participation restrictions (1 MPC, Z = −3.951, p < 0.01) and improved well-being (0.5 MPC, Z = −3.668, p < 0.01) for Priority Goal 1 using AUSTOM-OT. With GAS, there was a statistically significant improvement in Priority Goal 1 (1 MPC, Z = −3.886, p < 0.01). Conclusion: The SEER programme was found to be effective in improving all domains of the AusTOMs-OT and GAS for Priority Goal 1. This provides evidence that visual rehabilitation home therapy by specialised LVOT is beneficial to older adults with visual impairment.

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“…The consequences of vision loss on daily life can be far-reaching and wide-ranging, including, but not limited to, problems with social participation (Berger, 2012; Boey et al, 2021; Vu et al, 2005), communicating one’s needs (Bertschi et al, 2021; Heine et al, 2002; Wang & Boerner, 2008), community mobility (Berger, 2012; Justiss, 2013; Rudman & Durdle, 2008), as well as paid employment (Demmin & Silverstein, 2020; Mojon-Azzi et al, 2010). As such, it is not surprising this type of impairment might also affect those around the individuals with vision loss, including their family and friends.…”

Section: Introductionmentioning

confidence: 99%

When one partner can no longer see: Exploring the lived experiences of romantic partners in the context of vision loss

Bertrand

Vrkljan

Kühne³

et al. 2022

British Journal of Visual Impairment

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This qualitative descriptive study aims to explore the lived experience of the adjustment process of couples who face vision loss, investigating the impact of such loss on daily life and the adjustments and adaptations that ensue. To undertake such an exploration, the application of an occupational perspective is relevant where the meaning and purpose partners ascribe to their everyday activities can be investigated. A total of 16 couples living in Western Switzerland were interviewed between January and June 2020. Data collection was carried out with semi-structured face-to-face interview. Three themes emerge from the thematic analysis of transcripts. The first theme emphasizes that either separate or joint everyday activities of partners can be shared within couples, which all give sense to the partnership; the second one shows that vision loss disrupts the engagement of partners in such shared everyday activities. The third theme highlights partners’ efforts to reshape their engagement in their shared everyday activities in order to maintain a sense of couple’s we-ness. While navigating vision loss requires both partners to jointly engage in this process of reshaping, couples described tension that arises because of the partners with vision loss’ growing dependence on the other partner. One’s sense of control when navigating vision loss is critical to adjust to a changing and changed daily life. Further research is needed that focuses on how romantic partners ascribe a shared meaning and purpose to their engagement in everyday activities, separate or joint, and how such meaning and purpose are impacted by the onset or aggravation of one partner’s vision loss.

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The impact of low vision on activities, participation, and goals among older adults: a scoping review

Cited by 6 publications

References 61 publications

Assessing Older Adults’ Functional Visual Performance Using the Performance Quality Rating Scale

Assessing Older Adults’ Functional Visual Performance Using the Performance Quality Rating Scale

Low vision home therapy service by occupational therapists: The effectiveness of the Seniors’ Eye Rehabilitation programme, a pilot study

When one partner can no longer see: Exploring the lived experiences of romantic partners in the context of vision loss

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