Packer Tanya Leigh, Girdler Sonya, Boldy Duncan P, Dhaliwal Satvinder S, Crowley Margaret
Centre for Research into Disability and Society, School of Occupational Therapy, Curtin University of Technology, Perth, Australia.
Disabil Rehabil. 2009;31(16):1353-61. doi: 10.1080/09638280802572999.
The aim of this study was to pilot test the vision self-management programme (VSM) a newly developed, 8-week self-management intervention. The programme is a structured, repeatable and theoretically derived programme for older adults with age-related vision loss (ARVL).
A pre-and post-test design was used, and involved 12 older adults with ARVL. The activity card sort, a measure of participation in life situations, was the primary outcome measure. Secondary outcome measures examining general health and vision specific domains were also used.
Participants reported a statistically significant increase in participation in life situations immediately following the VSM programme. However, whilst an increase in such participation was still present at 12-week follow-up, this was no longer statistically significant. In addition, the participants demonstrated statistically significant gains in both general health and vision specific domains. Although these findings are exploratory they suggest that the VSM may have both short and longer term benefits for older adults living with ARVL.
Overall findings indicate that the participation in the self-management programme resulted in improved participation and health outcomes and support the need for further study using more rigorous designs.
本研究旨在对一项新开发的为期8周的自我管理干预措施——视力自我管理计划（VSM）进行试点测试。该计划是一项针对患有年龄相关性视力丧失（ARVL）的老年人的结构化、可重复且基于理论推导的计划。
采用前后测试设计，纳入了12名患有ARVL的老年人。活动卡片分类法是衡量生活情境参与度的主要指标，同时还使用了考察总体健康和视力特定领域的次要指标。
参与者报告称，在完成VSM计划后，他们在生活情境中的参与度立即有了统计学上的显著提高。然而，虽然在12周随访时这种参与度仍有所提高，但已不再具有统计学显著性。此外，参与者在总体健康和视力特定领域均取得了统计学上的显著进步。尽管这些发现具有探索性，但它们表明VSM可能对患有ARVL的老年人具有短期和长期益处。
总体研究结果表明，参与自我管理计划可改善参与度和健康状况，并支持采用更严谨设计进行进一步研究的必要性。
