Aged, Low Vision
Conditions
Keywords
low vision, ophthalmology, randomised controlled trial, mobility, orientation, cane, aged
Brief summary
The purpose of this study is: 1. to develop a standardised orientation and mobility training (O&M-training) in the use of an identification/symbol cane by older adults with low vision, and; 2. to evaluate this newly developed standardised O&M-training with respect to effectiveness and feasibility in a randomised controlled trial.
Interventions
OTHERorientation and mobility training
orientation and mobility training
Sponsors
ZonMw: The Netherlands Organisation for Health Research and Development
Maastricht University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged 55 years or over * Low vision * Living independently in the community or in a home for older people * Able to see large obstacles and to go outside for a short walk or doing groceries * One of the following: 1. experiencing difficulties with safely crossing a street 2. experiencing difficulties with recognising acquaintances outdoors 3. willing to become recognisable as being partially sighted by using the identification cane * Written informed consent * Orientation and Mobility training (O&M-training) in the use of an identification cane
Exclusion criteria
* Cognitive impairment (a score of less than 4 on the Abbreviated Mental Test 4) * Language or hearing problems that impede completing an interview by telephone * Confinement to bed or possible nursing home admission that impede completion of the O&M-training * Permanent use of a walking aid incompatible with the use of an identification cane * Having recently received an O&M-training in the use of an identification cane and permanent use of this cane
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| activities of daily life (subscale of the Groningen Activity Restriction Scale (GARS)) | 5 and 17 weeks |
| distance activities and mobility (subscales of the Visual Functioning Questionnaire (VFQ)) | 5 and 17 weeks |
Secondary
| Measure | Time frame |
|---|---|
| health-related quality of life (EuroQol 5D (EQ5D)) | 5 and 17 weeks |
| mental health and dependency (subscale of the Visual Functioning Questionnaire (VFQ)) | 5 and 17 weeks |
| activities index (Frenchay Activities Index (FAI)) | 5 and 17 weeks |
| symptoms of depression (depression subscale of the Hospital Anxiety and Depression Scale (HADS-D)) | 5 and 17 weeks |
| concerns about falling (falls efficacy scale international (FES-I)) | 5 and 17 weeks |
| feelings of anxiety (anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A)) | 5 and 17 weeks |
| social support interactions (Social Support List (SSL 12-I)) | 5 and 17 weeks |
Countries
Netherlands
Outcome results
None listed