Chiung-Ju Liu, Melodie A. Brost, Vanessa E. Horton, Sarah B. Kenyon, Kristen E. Mears; Occupational Therapy Interventions to Improve Performance of Daily Activities at Home for Older Adults With Low Vision: A Systematic Review. Am J Occup Ther 2013;67(3):279-287. doi: 10.5014/ajot.2013.005512.
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© 2016 American Occupational Therapy Association
Strong evidence of effectiveness exists for a multicomponent approach that involves teaching knowledge and skills to help older adults with low vision improve performance in activities of daily living.
The impact of age-related vision loss on older adults’ independence at home is profound. The purpose of this systematic review was to identify the effectiveness of interventions within the scope of occupational therapy practice to maintain, restore, and improve performance in daily activities at home for older adults with low vision. We searched and screened abstracts from multiple electronic databases and identified 17 studies that fulfilled our inclusion and exclusion criteria. Three themes in intervention approaches emerged: multicomponent intervention, single-component intervention, and multidisciplinary intervention. Strong evidence of effectiveness was found in studies that applied a multicomponent approach; these interventions involved teaching knowledge and skills that older adults with low vision need to help overcome the disablement process. Evidence also suggests that multiple sessions of training with low vision devices and special viewing skills to compensate for vision loss are necessary to have a positive effect on daily activities. Finally, multidisciplinary intervention that focused on personal goals yielded greater positive outcomes than interventions that were not personalized.
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