Vision self-management for older adults: a randomised controlled trial
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 t...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Published: |
British Medical Assoc
2010
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| Online Access: | http://hdl.handle.net/20.500.11937/23289 |
| _version_ | 1848751109118623744 |
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| author | Girdler, Sonya Boldy, Duncan Dhaliwal, Satvinder Crowley, Margaret Packer, Tanya |
| author_facet | Girdler, Sonya Boldy, Duncan Dhaliwal, Satvinder Crowley, Margaret Packer, Tanya |
| author_sort | Girdler, Sonya |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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_indexed | 2025-11-14T07:47:30Z |
| format | Journal Article |
| id | curtin-20.500.11937-23289 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:47:30Z |
| publishDate | 2010 |
| publisher | British Medical Assoc |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-232892017-09-13T15:58:58Z Vision self-management for older adults: a randomised controlled trial Girdler, Sonya Boldy, Duncan Dhaliwal, Satvinder Crowley, Margaret Packer, Tanya 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. 2010 Journal Article http://hdl.handle.net/20.500.11937/23289 10.1136/bjo.2008.147538 British Medical Assoc fulltext |
| spellingShingle | Girdler, Sonya Boldy, Duncan Dhaliwal, Satvinder Crowley, Margaret Packer, Tanya Vision self-management for older adults: a randomised controlled trial |
| title | Vision self-management for older adults: a randomised controlled trial |
| title_full | Vision self-management for older adults: a randomised controlled trial |
| title_fullStr | Vision self-management for older adults: a randomised controlled trial |
| title_full_unstemmed | Vision self-management for older adults: a randomised controlled trial |
| title_short | Vision self-management for older adults: a randomised controlled trial |
| title_sort | vision self-management for older adults: a randomised controlled trial |
| url | http://hdl.handle.net/20.500.11937/23289 |