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Updated: May 8, 2026

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A Standardized Obstacle Course for Assessment of Visual Function in Ultra Low Vision and Artificial Vision
Published on: February 11, 2014
Engagement in occupation and adaptation to low vision
Theresa Marie Smith1, Ferol Ludwig, Lori T Andersen
1Occupational Therapy, Texas Woman's University, Houston, TX, 77030.
Occupational Therapy in Health Care
|August 17, 2013
Summary
Older women with visual impairment adapt by engaging in meaningful occupations. Finding ways to perform preferred activities and seeking support are key strategies for successful adaptation.
Area of Science:
- Gerontology
- Occupational Therapy
- Ophthalmology
Background:
- Visual impairment significantly impacts the daily lives and independence of older adults.
- Adaptation to vision loss presents unique challenges for this demographic.
- Understanding the role of occupation is crucial for supporting successful aging with visual impairment.
Purpose of the Study:
- To explore how engagement in occupation influences the adaptation process for older women experiencing visual impairment.
- To develop a theoretical model explaining adaptation in this population.
Main Methods:
- Grounded theory approach utilized for data collection and analysis.
- Constant comparative method applied to interview data from seven older women with visual impairment.
- Nine emergent categories were identified and integrated into a theoretical model.
Main Results:
- Adaptation emerged as the core category, influenced by interactions between visual impairment, concurrent issues, and perceived threats.
- Key factors facilitating adaptation included seeking and receiving support (getting help).
- Developing new methods for performing preferred occupations (methods of doing) was vital for successful adaptation.
Conclusions:
- Engagement in occupation is a critical factor in the adaptation journey of older women with visual impairment.
- Support systems and adaptive strategies for preferred activities enhance the adaptation process.
- This study provides a framework for occupational therapists and healthcare providers to support older adults with vision loss.
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