Singapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Singapore Eye Research Institute, Singapore National Eye Centre, Singapore; Duke-NUS Medical School, Singapore.
Patient Educ Couns. 2019 Jun;102(6):1150-1156. doi: 10.1016/j.pec.2019.01.014. Epub 2019 Jan 21.
To determine the effectiveness of the "Living Successfully with Low Vision" (LSLV) self-management program to improve patient-reported outcomes in Singaporeans.
In this randomized controlled trial, 165 participants with low vision (LV) were recruited and assigned to usual care (LV aid training only; N = 82) or LSLV program (N = 83). The LSLV program focuses on problem solving, coping mechanism and anticipation/preparation for future needs. The primary outcome was vision-related quality of life (VRQoL; measured using the Impact of Vision Impairment [IVI] questionnaire), while secondary outcomes included health-related quality of life; mental health; and self-efficacy, assessed at baseline, 2-weeks and 6-months post-intervention. Within- and between-group comparisons were conducted using paired t-tests and repeated measures analysis of covariance, respectively.
A total of 128 individuals (77.6%) completed all assessments. At 2 weeks, LSLV participants alone experienced a significant within-group improvement in the mean IVI Emotional score (P = 0.05) but not at 6 months. No other within- or between-group effects were observed.
While SM programs have shown promising results in the management of many chronic diseases, our findings suggest that the LVSM program was not an effective approach for LV rehabilitation in Singapore.
Other evidence-based strategies to improve QoL in patients with LV may be warranted.
评估“成功应对低视力”（LSLV）自我管理计划在改善新加坡患者报告结局方面的有效性。
在这项随机对照试验中，招募了 165 名低视力（LV）患者，并将其随机分配至常规护理组（仅接受 LV 助视器培训；N=82）或 LSLV 计划组（N=83）。LSLV 计划侧重于解决问题、应对机制和对未来需求的预期/准备。主要结局是视力相关生活质量（VRQoL；使用视觉障碍影响量表 [IVI] 进行评估），次要结局包括健康相关生活质量、心理健康和自我效能，在基线、干预后 2 周和 6 个月进行评估。使用配对 t 检验和重复测量协方差分析分别进行组内和组间比较。
共有 128 人（77.6%）完成了所有评估。在 2 周时，仅 LSLV 组患者的 IVI 情绪评分的平均得分有显著的组内改善（P=0.05），但在 6 个月时没有。未观察到其他组内或组间效果。
虽然自我管理计划在许多慢性疾病的管理中显示出了有希望的结果，但我们的发现表明，LVSM 计划在新加坡的 LV 康复中并不是一种有效的方法。
可能需要其他基于证据的策略来改善 LV 患者的生活质量。
