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Published on: May 31, 2021
Vision self-management for older adults: a randomised controlled trial.
Sonya J Girdler1, Duncan P Boldy, Satvinder S Dhaliwal
1Centre for Research into Disability and Society within the Curtin Health Innovation Research Institute, Curtin University of Technology, Perth, Australia.
The British Journal of Ophthalmology
|February 9, 2010
Summary
Adding self-management support to usual care significantly improved life participation and reduced depression for older adults with age-related vision loss (ARVL). These benefits persisted at follow-up.
Area of Science:
- Gerontology
- Ophthalmology
- Rehabilitation Science
Background:
- The global population is aging, leading to an increased prevalence of age-related vision loss (ARVL).
- Self-management principles, proven effective in other health domains, are underutilized in low vision services.
- Effective interventions are needed to improve health outcomes and reduce healthcare costs for older adults with ARVL.
Purpose of the Study:
- To evaluate the effectiveness of an extended care model incorporating self-management support for older adults with ARVL.
- To compare outcomes of an extended model versus usual care in a randomized controlled trial.
Main Methods:
- A two-armed randomized controlled trial involving 77 older adults with ARVL.
- Intervention group received usual care plus a self-management group intervention.
- Primary outcome: participation in life situations (Activity Card Sort); Secondary outcomes: general health, vision-specific domains, depression, self-efficacy, and adjustment to ARVL.
Main Results:
- The extended model significantly improved participation in life situations compared to usual care alone.
- The self-management intervention significantly reduced depression, improved physical and mental health, and enhanced self-efficacy and adjustment to ARVL.
- Benefits, except for adjustment and mental health, were maintained at 12-week follow-up.
Conclusions:
- Integrating self-management support into low vision services significantly enhances rehabilitation outcomes for older adults with ARVL.
- The extended model demonstrates a viable approach to improving the quality of life and well-being for this population.
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