title: Assessing the iPad as a tool for low-vision rehabilitation.
abstract: OBJECTIVE
  It has been demonstrated consistently that patients with poor vision have a reduced quality of life and functional status and higher rates of psychologic distress. This study aims to assess whether the iPad has potential as a visual aid in patients with low vision.
  
  
  METHODS
  Qualitative study with key-informant interviews.
  
  
  METHODS
  Patients who identified as having impaired vision were recruited from a low vision ophthalmology clinic.
  
  
  METHODS
  Patients participated in a 4-session iPad training course. The goal of the course was to teach patients with low vision how to operate an iPad, with a particular emphasis on how to optimize iPad settings and accessibility features in response to some of the challenges faced by patients with low vision. Three interviews were conducted with each participant: before the course, immediately after the course, and 3 months after the course. The purpose of the interviews was to gain an understanding of their experience with low vision and to assess if and how the iPad had influenced this experience. A grounded theory qualitative approach was used for analysis.
  
  
  RESULTS
  Six patients took part in the study and were divided into 2 separate courses to minimize course size. Participants had favorable views regarding the course. Five of the 6 participants were using the iPad on a daily basis 3 months after the course. Thematic analysis revealed that use of the iPad led to both a heightened sense of independence and improved social connectivity. It is theorized that use of the iPad as a low-vision aid may enhance a patient's sense of self-worth.
  
  
  CONCLUSIONS
  With proper training, the iPad has the potential to be a valuable tool for low-vision patients. Its features help patients to gain independence and to stay connected within their social circles. Further research with a larger patient population and quantifiable endpoints should focus on these themes.
authors.affiliation: Department of Ophthalmology.
authors.forename: Zale
authors.initials: Z
authors.lastname: Mednick
authors.affiliation: School of Medicine, Queen's University.
authors.forename: Atul
authors.initials: A
authors.lastname: Jaidka
authors.affiliation: Department of Ophthalmology.
authors.forename: Robert
authors.initials: R
authors.lastname: Nesdole
authors.affiliation: Department of Ophthalmology. Electronic address: bonamark01@gmail.com.
authors.forename: Mark
authors.initials: M
authors.lastname: Bona
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D034201:Computers, Handheld; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D013997:Time Factors; D015354:Vision, Low / Q000503:physiopathology / Q000534:rehabilitation*; D014792:Visual Acuity