Gn. Shuttleworth et al., HOW EFFECTIVE IS AN INTEGRATED APPROACH TO LOW-VISION REHABILITATION - 2-YEAR FOLLOW-UP RESULTS FROM SOUTH DEVON, British journal of ophthalmology, 79(8), 1995, pp. 719-723
Aims-A survey was undertaken to assess the effectiveness of an integra
ted approach to the provision of low visual aids (LVAs) in south Devon
over a 2 year follow up period. This integrated approach includes the
assessment of patient needs by low vision therapists, followed by the
provision of suitable LVAs, with particular emphasis on training in t
heir use. Methods-A total of 125 patients were selected at random from
the 445 patients seen in the low vision clinic at Torbay Hospital in
the year 1991. These patients were sent questionnaires relating to the
service over a 2 year period. Questionnaires from 111 patients were a
nalysed at 1 year and 75 questionnaires together with 46 clinical reas
sessments, after 2 years. Results-Using a similar questionnaire to one
used in a previous study in the UK from a unit where LVA training was
not provided, not only was a higher rate of satisfaction found with t
he services provided, but also the LVAs dispensed were used more frequ
ently. The majority of the LVAs provided were of the simple, inexpensi
ve variety and wastage was very low. Conclusions-It was concluded that
this integrated approach to low vision rehabilitation with emphasis o
n training in the use of less complex LVAs exceeds the performance of
other types of service that rely on the dispensing of more complex LVA
s.