Impact of the severity of distance and near-vision impairment on depression and vision-specific quality of life in older people living in residential care
PURPOSE. To determine the relationship between the severity of distance and near-vision impairment on vision-specific quality of life (QoL) and depression in residential care residents. METHODS. Residents from three low-level residential care facilities in Victoria (Australia) were recruited. All pa...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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Association for Research in Vision and Ophthalmology
2009
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| Online Access: | http://hdl.handle.net/20.500.11937/42062 |
| _version_ | 1848756315470430208 |
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| author | Lamoureux, E. Fenwick, E. Moore, K. Klaic, M. Borschmann, K. Hill, Keith |
| author_facet | Lamoureux, E. Fenwick, E. Moore, K. Klaic, M. Borschmann, K. Hill, Keith |
| author_sort | Lamoureux, E. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | PURPOSE. To determine the relationship between the severity of distance and near-vision impairment on vision-specific quality of life (QoL) and depression in residential care residents. METHODS. Residents from three low-level residential care facilities in Victoria (Australia) were recruited. All participants were assessed for cognitive impairment, distance and near-vision impairment (VI), and depression. Sociodemographic and other clinical data were also collected. The subscales of the Nursing Home Vision-Targeted Health-Related Quality-of-Life questionnaire (NHVQoL) were the main outcome measures and were validated by Rasch Analysis. RESULTS. Seventy-six residents were enrolled. The mean ± SD of the participants' age was 83.9 plusmn; 9.9 years, and most were women (n = 44; 60%); 46.4% (n = 35) had binocular presenting VI (<6/12), and 59% (n = 44) had at least mild near VI (worse than N8); 16% (n = 14) recorded depression symptoms, although depression was not associated with VI (P > 0.05). In linear regression models, distance and near VI was independently associated with poorer QoL on seven of the eight subscales of the NHVQoL scale (P < 0.05). The ß coefficients ranged from -12.3 to -80.2, which suggests that, on average, people with vision loss had poorer QoL, ranging between 12 and 80 points (scale range: 0-100) than did those with no VI. The QoL aspects most affected by vision loss were related to general vision, reading, hobbies, emotional wellbeing, and social interaction. CONCLUSIONS. VI remains a major form of disability in individuals living in residential care facilities and affects vision-specific functioning and socioemotional aspects of daily living. A larger study is needed to confirm these findings. © Association for Research in Vision and Ophthalmology. |
| first_indexed | 2025-11-14T09:10:15Z |
| format | Journal Article |
| id | curtin-20.500.11937-42062 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:10:15Z |
| publishDate | 2009 |
| publisher | Association for Research in Vision and Ophthalmology |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-420622017-09-13T14:21:31Z Impact of the severity of distance and near-vision impairment on depression and vision-specific quality of life in older people living in residential care Lamoureux, E. Fenwick, E. Moore, K. Klaic, M. Borschmann, K. Hill, Keith PURPOSE. To determine the relationship between the severity of distance and near-vision impairment on vision-specific quality of life (QoL) and depression in residential care residents. METHODS. Residents from three low-level residential care facilities in Victoria (Australia) were recruited. All participants were assessed for cognitive impairment, distance and near-vision impairment (VI), and depression. Sociodemographic and other clinical data were also collected. The subscales of the Nursing Home Vision-Targeted Health-Related Quality-of-Life questionnaire (NHVQoL) were the main outcome measures and were validated by Rasch Analysis. RESULTS. Seventy-six residents were enrolled. The mean ± SD of the participants' age was 83.9 plusmn; 9.9 years, and most were women (n = 44; 60%); 46.4% (n = 35) had binocular presenting VI (<6/12), and 59% (n = 44) had at least mild near VI (worse than N8); 16% (n = 14) recorded depression symptoms, although depression was not associated with VI (P > 0.05). In linear regression models, distance and near VI was independently associated with poorer QoL on seven of the eight subscales of the NHVQoL scale (P < 0.05). The ß coefficients ranged from -12.3 to -80.2, which suggests that, on average, people with vision loss had poorer QoL, ranging between 12 and 80 points (scale range: 0-100) than did those with no VI. The QoL aspects most affected by vision loss were related to general vision, reading, hobbies, emotional wellbeing, and social interaction. CONCLUSIONS. VI remains a major form of disability in individuals living in residential care facilities and affects vision-specific functioning and socioemotional aspects of daily living. A larger study is needed to confirm these findings. © Association for Research in Vision and Ophthalmology. 2009 Journal Article http://hdl.handle.net/20.500.11937/42062 10.1167/iovs.08-3294 Association for Research in Vision and Ophthalmology unknown |
| spellingShingle | Lamoureux, E. Fenwick, E. Moore, K. Klaic, M. Borschmann, K. Hill, Keith Impact of the severity of distance and near-vision impairment on depression and vision-specific quality of life in older people living in residential care |
| title | Impact of the severity of distance and near-vision impairment on depression and vision-specific quality of life in older people living in residential care |
| title_full | Impact of the severity of distance and near-vision impairment on depression and vision-specific quality of life in older people living in residential care |
| title_fullStr | Impact of the severity of distance and near-vision impairment on depression and vision-specific quality of life in older people living in residential care |
| title_full_unstemmed | Impact of the severity of distance and near-vision impairment on depression and vision-specific quality of life in older people living in residential care |
| title_short | Impact of the severity of distance and near-vision impairment on depression and vision-specific quality of life in older people living in residential care |
| title_sort | impact of the severity of distance and near-vision impairment on depression and vision-specific quality of life in older people living in residential care |
| url | http://hdl.handle.net/20.500.11937/42062 |