The feasibility and acceptability of a low vision self-management programme for older Singaporeans: a pilot study

Abstract

Background: The self-management needs of patients suffering from vision impairment are often overlooked during routine clinical care. Aim: The primary aim of this study was to develop a socially and culturally acceptable self-management programme for people with low vision in Singapore. Method: This mixed method study was conducted in two phases. Phase 1 gathered information from community groups and phase 2 involved integrating these suggestions with an Australian programme which was modified for delivery in Singapore. A pre- and post-test design using standardized instruments was used. Narrative data were integrated with the quantitative results to provide a rich description of patients' experiences. Results: Participants reported using more low vision aids, being able to perform activities of daily living with more ease and improved self efficacy. All participants attended every session demonstrating that the programme was both feasible and acceptable. Conclusion: Despite the small sample size, the programme was well received by the participants demonstrating that acceptance of the programme was high and supporting its feasibility. The experiential format of the sessions and the recommended activities appeared enjoyable with participants reporting that it enabled them to practice what was learned in the sessions. The qualitative findings suggest that the programme was effective in improving functional ability especially in relation to activities of daily living. Participants evaluated the programme positively and felt the session time and number of sessions was acceptable. These findings support the further development and evaluation of the programme.