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Components of Service Delivery Models of Care for the Detection, Care and Management of Visual Impairment for
Lauren R Hepworth1, Ffion Curtis2, Michelle Maden2
1Institute of Population Health, University of Liverpool, UK.
Insights
Cerebral visual impairment (CVI) is a leading cause of vision loss in children. This review identifies key components of CVI service delivery models to improve detection and care for affected children.
Area of Science:
- Pediatric ophthalmology
- Neuroscience
- Public health
Background:
- Cerebral visual impairment (CVI) is the most common cause of vision impairment in developed countries.
- Early assessment and management are crucial to prevent long-term negative outcomes.
- Current lack of international guidelines leads to service inequities.
Purpose of the Study:
- To conduct a scoping review of existing service delivery models for children with CVI.
- To identify and describe components related to CVI detection, care, and management.
Main Methods:
- Searched multiple databases (MEDLINE, CINAHL, Embase, PsycINFO, Cochrane).
- Included English-language publications from OECD countries and grey literature.
- Focused on studies describing service delivery for children (0-17 years) in health, social care, and education settings.
Main Results:
- This section is to be populated upon completion of the review.
- The review will synthesize findings on current CVI service delivery models.
- Key components for effective CVI care will be identified.
Conclusions:
- This section is to be populated upon completion of the review.
- Findings will inform the development of standardized CVI care guidelines.
- Improved service delivery can reduce health inequities for children with CVI.
Introduction:
Cerebral visual impairment (CVI) is an umbrella term that describes a broad range of brain related visual problems and it is now the most common cause of visual impairment (VI) in children in the developed world. Early assessment, management and support are essential to minimise the risk of lifelong negative consequences. Currently there are no internationally agreed clinical guidelines for the investigation and diagnosis of CVI, with variation in existing models of care resulting in potential service health inequities for this population.
Objective:
The objective of this scoping review is to identify and describe the components of existing service delivery models of care in relation to the detection, care, and management of children with CVI.
Methods:
We will search multiple databases to include MEDLINE, CINAHL, Embase, APA PsycINFO, and The Cochrane Library for English language publications from OECD countries. Supplementary searches will also be conducted to locate grey literature. We will include any study that describes or assesses service delivery for children (0-17 years) with CVI in health and social care, and education settings.
Stakeholder Engagement:
We consulted with a broad range of stakeholders including subject experts and patient and public representatives during the planning and will continue during the conduct, reporting and dissemination of this scoping review.
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