title: A randomised controlled trial of a self-management programme for low vision implemented in low vision rehabilitation services.
abstract: OBJECTIVE
  To investigate the effectiveness of a low vision self-management programme (LVSMP) in older adults.
  
  
  METHODS
  Participants (n=153) were existing clients of a national low vision rehabilitation organisation randomly allocated to usual services (n=60) or usual services plus LVSMP (n=93). The LVSMP was an 8-week group programme facilitated by low vision counsellors. The primary outcome was vision-specific quality of life (QoL) measured using the Impact of Vision Impairment (IVI) questionnaire. Secondary outcomes emotional well-being, self-efficacy and adaptation to vision loss were measured using the depression, anxiety, stress scale (DASS), general self-efficacy scale (GSES), and short form adaptation to age-related vision loss scale (AVL12).
  
  
  RESULTS
  At one and six month follow-up assessments, no significant between-group differences were found for vision-specific QoL, emotional well-being, adaptation to vision loss or self-efficacy (p>0.05). Univariate and multivariate analyses revealed no impact of the intervention on outcome measures.
  
  
  CONCLUSIONS
  In contrast to previous work, our study found limited benefit of a LVSM programme on QoL for older adults accessing low vision services.
  
  
  CONCLUSIONS
  When implementing self-management programmes in low vision rehabilitation settings, issues of client interest, divergence of need, programme accessibility and fidelity of intervention delivery need to be addressed.
authors.affiliation: Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Australia. Electronic address: grees@unimelb.edu.au.
authors.forename: Gwyneth
authors.initials: G
authors.lastname: Rees
authors.affiliation: Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
authors.forename: Jing
authors.initials: J
authors.lastname: Xie
authors.affiliation: Singapore Eye Research Institute, National University of Singapore, Singapore, Singapore.
authors.forename: Peggy P
authors.initials: PP
authors.lastname: Chiang
authors.affiliation: Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
authors.forename: Melanie F
authors.initials: MF
authors.lastname: Larizza
authors.affiliation: Nossal Institute for Global Health, University of Melbourne, Melbourne, Australia.
authors.forename: Manjula
authors.initials: M
authors.lastname: Marella
authors.affiliation: Office for Research Ethics and Integrity, University of Melbourne, Melbourne, Australia.
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: Hassell
authors.affiliation: Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Australia; Prasad Eye Institute, Hyderabad, India.
authors.forename: Jill E
authors.initials: JE
authors.lastname: Keeffe
authors.affiliation: Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Australia; Singapore Eye Research Institute, National University of Singapore, Singapore, Singapore; Duke-National University of Singapore Graduate Medical School, Singapore, Singapore.
authors.forename: Ecosse L
authors.initials: EL
authors.lastname: Lamoureux
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000517:prevention & control / Q000523:psychology*; D001315:Australia; D005260:Female; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014786:Vision Disorders / Q000523:psychology / Q000534:rehabilitation*
keywords: Low vision rehabilitation; Quality of life; Research translation; Self-management; Vision impairment