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Vision-related tasks in children with visual impairment: a multi-method study
Fatemeh Ghasemi Fard1, Hooshang Mirzaie1, Seyed Ali Hosseini1
1Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Frontiers in Psychology
|July 31, 2023
Summary
This study developed a comprehensive list of vision-related tasks for children with visual impairment, categorized by difficulty and age. This resource aids in creating better functional vision assessments for this population.
Area of Science:
- Ophthalmology and Vision Science
- Pediatric Occupational Therapy
- Rehabilitation Medicine
Background:
- Functional vision (FV) is crucial for the development of children with visual impairment.
- Existing methods for measuring FV in this population are not well-established.
- A need exists for a structured approach to assessing FV considering age and task difficulty.
Purpose of the Study:
- To establish a comprehensive set of vision-related tasks for assessing functional vision in children with visual impairment.
- To categorize these tasks by difficulty level and age appropriateness.
- To inform the development of standardized FV assessment tools.
Main Methods:
- A sequential multi-method design was employed, including a scoping review and qualitative content analysis.
- A focus group was used to categorize identified tasks by difficulty and dependency.
- The Occupational Therapy Practice Framework (OTPF-4) guided the categorization process.
Main Results:
- A total of 180 vision-related tasks were identified across 22 studies and 16 participants.
- Tasks were categorized into 17 activities and five occupations (ADL, IADL, education, play, social participation).
- Activities of daily living (ADL) were found to be the easiest, while social participation was the most challenging.
Conclusions:
- A comprehensive, difficulty-level-based list of vision-related tasks for children with visual impairment was developed.
- This list provides a foundation for creating standardized instruments to assess functional vision.
- The findings support tailored interventions and assessments for children with visual impairment.

