Vision self-management for older adults: a randomised controlled trial
MetadataShow full item record
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.
First published as cited above © BMJ Publishing Group Ltd
Showing items related by title, author, creator and subject.
Factors affecting the self-management practices of people with type 2 diabetes in Almadinah, Saudi ArabiaAljohani, Khalid A. (2011)In the Middle Eastern Gulf Cooperation Countries, the prevalence of type 2 diabetes mellitus (T2DM) is increasing steadily. It has recently been estimated that up to 23% of the Saudi Arabian population meet the diagnostic ...
Doorey, Juanita; Douglas, S.; Viska, L.; Packer, Tanya (2009)Care for the Carers is a self-management program for carers of people with a vision impairment. The Care for the Carers manual includes all the materials necessary for a health professional to initiate and facilitate a ...
Millard, T.; Elliott, J.; Girdler, Sonya (2013)The effectiveness of self-management programs to improve physical, psychosocial, health knowledge, and behavioral outcomes for adults living with HIV has not been well established. This article reviews the effectiveness ...