Pub Date : 2022-10-01DOI: 10.1097/TGR.0000000000000371
H. Stants
Driving an automobile is an important option for community mobility. Functional vision is a major consideration for safe driving, and age-related vision impairment may result in the loss of driving independence. Clinicians and older drivers would benefit from understanding current options for driving with low vision, including state laws, use of adaptive equipment, low-vision rehabilitation, and driver rehabilitation. This article reviews the concept of a bioptic telescopic lens system for driving with low vision, including an example of a collaborative interdisciplinary bioptic driving training program developed by the Pennsylvania Department of Transportation in conjunction with clinical experts.
{"title":"Low Vision and Driving","authors":"H. Stants","doi":"10.1097/TGR.0000000000000371","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000371","url":null,"abstract":"Driving an automobile is an important option for community mobility. Functional vision is a major consideration for safe driving, and age-related vision impairment may result in the loss of driving independence. Clinicians and older drivers would benefit from understanding current options for driving with low vision, including state laws, use of adaptive equipment, low-vision rehabilitation, and driver rehabilitation. This article reviews the concept of a bioptic telescopic lens system for driving with low vision, including an example of a collaborative interdisciplinary bioptic driving training program developed by the Pennsylvania Department of Transportation in conjunction with clinical experts.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 1","pages":"246 - 253"},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44147152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/TGR.0000000000000376
C. Fernández-Baizán, M. P. F. García, E. Diaz-Caceres, M. Menéndez-González, J. Arias, M. Méndez
Objective: This study aimed to assess activities of daily living (ADLs) through questionnaires and performance-based tasks in Parkinson disease (PD) and to relate their execution with memory and visuospatial abilities. Methods: A cross-sectional descriptive study was conducted with 85 participants (55 PD and 30 controls). Results: Parkinson disease achieved a significant lower performance in Assessment of Motor and Process Skills (AMPS) tasks. Those with PD spent less time in ADLS. In PD with lower cognitive level, visuospatial functions were significantly related with performance-based ADLs. Conclusion: Our results underline the clinical value of using performance-based task for the assessment of cognitive deficits associated with neurological disease in the elderly.
{"title":"Activities of Daily Living in Parkinson Disease","authors":"C. Fernández-Baizán, M. P. F. García, E. Diaz-Caceres, M. Menéndez-González, J. Arias, M. Méndez","doi":"10.1097/TGR.0000000000000376","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000376","url":null,"abstract":"Objective: This study aimed to assess activities of daily living (ADLs) through questionnaires and performance-based tasks in Parkinson disease (PD) and to relate their execution with memory and visuospatial abilities. Methods: A cross-sectional descriptive study was conducted with 85 participants (55 PD and 30 controls). Results: Parkinson disease achieved a significant lower performance in Assessment of Motor and Process Skills (AMPS) tasks. Those with PD spent less time in ADLS. In PD with lower cognitive level, visuospatial functions were significantly related with performance-based ADLs. Conclusion: Our results underline the clinical value of using performance-based task for the assessment of cognitive deficits associated with neurological disease in the elderly.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 1","pages":"285 - 295"},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43839876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1097/TGR.0000000000000362
Kimberly Bryant, L. Wengerd, C. Smith
Objective: To analyze the literature to increase understanding and awareness of how the social determinants of health can impact visual impairment in the elderly population. Methods: The authors used secondary and tertiary data sources on the subject area. Results: Although there has been minimal data collected on the effect of social determinants of health on visual impairment for older adults, more evidence is needed to show the influence of the social inequalities involved in the onset of low vision for the elderly population and to increase education on the resources available to improve function impacted by visual impairment.
{"title":"Social Determinants of Health for Older Adults With Low Vision","authors":"Kimberly Bryant, L. Wengerd, C. Smith","doi":"10.1097/TGR.0000000000000362","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000362","url":null,"abstract":"Objective: To analyze the literature to increase understanding and awareness of how the social determinants of health can impact visual impairment in the elderly population. Methods: The authors used secondary and tertiary data sources on the subject area. Results: Although there has been minimal data collected on the effect of social determinants of health on visual impairment for older adults, more evidence is needed to show the influence of the social inequalities involved in the onset of low vision for the elderly population and to increase education on the resources available to improve function impacted by visual impairment.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 1","pages":"195 - 202"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47940303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1097/tgr.0000000000000364
S. Blaylock, M. Warren, D. Lein, C. Brown
This study modified the educational content of an evidence-based fall prevention intervention to make it visually accessible for older adults with low vision. We piloted the intervention on 9 older adults receiving low vision rehabilitation services. Following the intervention, participants demonstrated increased comprehension of the content, perceived a greater understanding of fall prevention strategies, and reported high satisfaction with the intervention's accessibility. Individuals with low vision may have difficulty reading and comprehending printed educational materials. Modifying print materials to improve readability may result in greater understanding of the educational content.
{"title":"Providing Accessible Fall Prevention Education for Older Adults With Low Vision","authors":"S. Blaylock, M. Warren, D. Lein, C. Brown","doi":"10.1097/tgr.0000000000000364","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000364","url":null,"abstract":"This study modified the educational content of an evidence-based fall prevention intervention to make it visually accessible for older adults with low vision. We piloted the intervention on 9 older adults receiving low vision rehabilitation services. Following the intervention, participants demonstrated increased comprehension of the content, perceived a greater understanding of fall prevention strategies, and reported high satisfaction with the intervention's accessibility. Individuals with low vision may have difficulty reading and comprehending printed educational materials. Modifying print materials to improve readability may result in greater understanding of the educational content.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 1","pages":"208 - 214"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43613859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1097/TGR.0000000000000367
Yu-Pin Hsu, I. Babaeva
The purpose of this study is to describe the etiology and effects of acquired monocular vision in older adults and how it can affect clients' daily activities and functional mobility. This study will describe how occupational therapy interventions facilitate functional visual skills, in order to support occupational performance of a client with acquired monocular vision. This case illustrates the potential benefit of providing occupational therapy through low vision evaluation, occupational therapy and intervention specific to this condition, and to incorporate compensatory strategies to facilitate client's occupational performances. It was found that after occupational therapy services, the client had benefitted intervention to address acquired monocular vision condition.
{"title":"Acquired Monocular Vision","authors":"Yu-Pin Hsu, I. Babaeva","doi":"10.1097/TGR.0000000000000367","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000367","url":null,"abstract":"The purpose of this study is to describe the etiology and effects of acquired monocular vision in older adults and how it can affect clients' daily activities and functional mobility. This study will describe how occupational therapy interventions facilitate functional visual skills, in order to support occupational performance of a client with acquired monocular vision. This case illustrates the potential benefit of providing occupational therapy through low vision evaluation, occupational therapy and intervention specific to this condition, and to incorporate compensatory strategies to facilitate client's occupational performances. It was found that after occupational therapy services, the client had benefitted intervention to address acquired monocular vision condition.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 1","pages":"231 - 235"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41814307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1097/tgr.0000000000000361
Theresa M Smith
Background: Goal setting is done in collaboration with the patient, but patient identified (PID) goals are not always addressed. The purpose of this study was to determine reasons PID goals are not set in low vision rehabilitation and for which tasks.
Methods: Occupational therapists completed an individualized survey to determine from 15 probable reasons why they did not set a PID for specific tasks.
Results and conclusion: PID goals were not set for 3 ADL, 13 IADL, 4 Social Participation, and 10 Leisure tasks. Further research is needed to understand how prioritization of PID goals differ between therapist and patient.
{"title":"Reasons Affecting the Choice of Patient-Identified Goals Set by Occupational Therapists in Low Vision Rehabilitation.","authors":"Theresa M Smith","doi":"10.1097/tgr.0000000000000361","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000361","url":null,"abstract":"<p><strong>Background: </strong>Goal setting is done in collaboration with the patient, but patient identified (PID) goals are not always addressed. The purpose of this study was to determine reasons PID goals are not set in low vision rehabilitation and for which tasks.</p><p><strong>Methods: </strong>Occupational therapists completed an individualized survey to determine from 15 probable reasons why they did not set a PID for specific tasks.</p><p><strong>Results and conclusion: </strong>PID goals were not set for 3 ADL, 13 IADL, 4 Social Participation, and 10 Leisure tasks. Further research is needed to understand how prioritization of PID goals differ between therapist and patient.</p>","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 3","pages":"187-194"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518756/pdf/nihms-1792704.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9729680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1097/tgr.0000000000000368
Kris Chang
{"title":"Dual Sensory Impairment and Ways to Enhance Therapy Services","authors":"Kris Chang","doi":"10.1097/tgr.0000000000000368","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000368","url":null,"abstract":"","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"66 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41283604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1097/tgr.0000000000000363
Deborah Budash
Today many occupations are done using technology. This not only provides opportunities for continued occupational engagement for many but can also hinder participation for those with low vision. This article reviews the literature on digital literacy for individuals with low vision and found that it is in its infancy. Currently, occupational therapy practice is informed by core principles, relies on education research on students with low vision, and the basic low-vision principles related to occupational performance. This article assembles practical recommendations to enable occupational therapy practitioners to advance in this area and build a body of evidence. This article also provides recommendations for the interdisciplinary team to support digital literacy for patients with low vision.
{"title":"Achieving Digital Competence for Adults With Low Vision","authors":"Deborah Budash","doi":"10.1097/tgr.0000000000000363","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000363","url":null,"abstract":"Today many occupations are done using technology. This not only provides opportunities for continued occupational engagement for many but can also hinder participation for those with low vision. This article reviews the literature on digital literacy for individuals with low vision and found that it is in its infancy. Currently, occupational therapy practice is informed by core principles, relies on education research on students with low vision, and the basic low-vision principles related to occupational performance. This article assembles practical recommendations to enable occupational therapy practitioners to advance in this area and build a body of evidence. This article also provides recommendations for the interdisciplinary team to support digital literacy for patients with low vision.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 1","pages":"203 - 207"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49506033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1097/TGR.0000000000000366
Dana Aravich, H. Stants
The University of Pittsburgh Medical Center Low Vision Occupational Therapy Department implemented a hybrid model of care that combined in-clinic care and telehealth services. Fifteen patients, aged 19 to 95 years, living with a variety of low-vision diagnoses used telehealth services and had access to a supplemental device lending library. This qualitative program evaluation describes the hybrid model, patient experiences with those services, and future steps. This program demonstrated a decrease in missed appointments and a general acceptance by those using these services.
{"title":"Exploring the Impact of a Hybrid Telehealth Program for Adults Living With Low Vision","authors":"Dana Aravich, H. Stants","doi":"10.1097/TGR.0000000000000366","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000366","url":null,"abstract":"The University of Pittsburgh Medical Center Low Vision Occupational Therapy Department implemented a hybrid model of care that combined in-clinic care and telehealth services. Fifteen patients, aged 19 to 95 years, living with a variety of low-vision diagnoses used telehealth services and had access to a supplemental device lending library. This qualitative program evaluation describes the hybrid model, patient experiences with those services, and future steps. This program demonstrated a decrease in missed appointments and a general acceptance by those using these services.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 1","pages":"225 - 230"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49659060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Low vision creates challenges in completing vision-dependent tasks and activities. The purpose of this 3-round e-Delphi study was to determine a consensus for the evaluations and interventions commonly used in low-vision rehabilitation for older adults with low vision. Ten occupational therapists with at least 3 years of practice in low-vision rehabilitation participated in the study. The results of the study identified the most frequently used evaluations and interventions for older adults with low vision. Findings of this study coincided with the literature and can be integrated into current practice with this population.
{"title":"Low-Vision Evaluations and Interventions Used in Practice","authors":"Julie Nastasi, Rachel Blasland, Danielle Desseyn, Samantha Gaynor, Alexa Grieco, Emily Kelly, Brigid McMullen, Lauren Rice, Brianna Strassle","doi":"10.1097/TGR.0000000000000360","DOIUrl":"https://doi.org/10.1097/TGR.0000000000000360","url":null,"abstract":"Low vision creates challenges in completing vision-dependent tasks and activities. The purpose of this 3-round e-Delphi study was to determine a consensus for the evaluations and interventions commonly used in low-vision rehabilitation for older adults with low vision. Ten occupational therapists with at least 3 years of practice in low-vision rehabilitation participated in the study. The results of the study identified the most frequently used evaluations and interventions for older adults with low vision. Findings of this study coincided with the literature and can be integrated into current practice with this population.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"38 1","pages":"176 - 186"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45486725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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