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    Vision self-management for older adults: a randomised controlled trial

    133999_15484_Br J Ophthalmol-2010-Girdler-223-8.pdf (151.1Kb)
    Access Status
    Open access
    Authors
    Girdler, Sonya
    Boldy, Duncan
    Dhaliwal, Satvinder
    Crowley, Margaret
    Packer, Tanya
    Date
    2010
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Girdler, Sonya and Boldy, Duncan and Dhaliwal, Satvinder and Crowley, Margaret and Packer, Tanya. 2010. Vision self-management for older adults: a randomised controlled trial. British Journal of Opthalmology. 94 (2): pp. 223-228.
    Source Title
    British Journal of Opthalmology
    DOI
    10.1136/bjo.2008.147538
    ISSN
    00071161
    Faculty
    Faculty of Health Sciences
    Occupational Therapy and Social Work
    Centre for Research into Disability and Society
    School
    Centre for Research into Disability and Society (Curtin Research Centre)
    Remarks

    First published as cited above © BMJ Publishing Group Ltd

    URI
    http://hdl.handle.net/20.500.11937/23289
    Collection
    • Curtin Research Publications
    Abstract

    Background/aims: Ageing of the population will result in unprecedented numbers of older adults living with age-related vision loss (ARVL). Self-management models improve health outcomes and reduce healthcare costs; however, the principles have rarely been applied in low vision services. Methods: A two-armed randomised controlled trial of older adults (n=77) with ARVL compared ‘usual care’ provided by a not-for-profit community agency with an extended model of care (usual care+self-management group intervention). The primary outcome variable (participation in life situations) was measured using the Activity Card Sort. Secondary outcome measures examined general health and vision-specific domains.Results: The intention-to-treat analysis demonstrated that the extended model produced significantly better participation in life situations at post-test when compared with the usual care only group. Gains were made regardless of whether participants were, or were not, depressed at baseline. The addition of the self-management group was also successful in significantly reducing depression, increasing physical and mental health, generalised and domain-specific self-efficacy, and adjustment to ARVL. With the exception of adjustment and mental health, differences were still apparent at 12 weeks' follow-up. Conclusion: Addition of self-management significantly improved general health and vision-specific rehabilitation outcomes for older adults with ARVL.

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