Research, BRAVO VICTOR, London, UK.
Institute of Ophthalmology, UCL, London, UK.
BMJ Open. 2022 Aug 1;12(8):e059985. doi: 10.1136/bmjopen-2021-059985.
Telerehabilitation for individuals with vision impairment aims to maintain maximum physical and/or psychological functioning through remote service delivery. This review aims to describe the type of telerehabilitation services available to people with vision impairment and summarise evidence on health-related outcomes, well-being and cost-effectiveness.
Scoping review.
CINAHL Plus, MEDLINE, PsycARTICLES, PsychINFO, Embase, PubMed, HMIC and Ovid Emcare were searched, without date restrictions up to 24 May 2021. Charity and government websites, conference proceedings and clinical trial databases were also examined.
Eligible studies evaluated benefits of telerehabilitation services for adults with vision impairment. Studies were excluded if they were not available in English, or focused on distance learning of visually impaired students.
Two independent reviewers screened articles and extracted data. A risk of bias analysis was performed.
Measures of benefit included performance-based assessment, patient-reported outcomes and cost-effectiveness.
Of 4472 articles, 10 eligible studies were included. Outcomes addressed patient satisfaction (n=4;33.3%), quality-of-life, activities of daily living and well-being (n=4;33.3%), objective visual function (n=2;16.6%) and knowledge relating to ocular symptoms (n=1;8.3%). Two studies addressed multiple outcomes. Cost-effectiveness was addressed in one article (8.3%). Patients were generally satisfied with their experiences, which had a range of positive benefits on functional and quality-of-life outcomes in areas relating to daily activities (eg, reading, making phone calls). Telerehabilitation allowed patients to undertake vision optimisation training to prevent vision deterioration. Grey literature indicated that there are no completed clinical trials relating to low vision telerehabilitation. Charity services had implemented digital skills training to help beneficiaries communicate remotely.
While acceptability of telerehabilitation was mostly high, limited real-world data are available which raises questions around the long-term desirability of this approach. Further trials are needed to evaluate telerehabilitation using a robust set of outcome measures.
CRD42021254825.
针对视力障碍者的远程康复旨在通过远程服务来维持其身体和/或心理的最大功能。本综述旨在描述为视力障碍者提供的远程康复服务类型，并总结与健康相关的结果、幸福感和成本效益的证据。
范围综述。
CINAHL Plus、MEDLINE、PsycARTICLES、PsychINFO、Embase、PubMed、HMIC 和 Ovid Emcare 均无日期限制，检索截至 2021 年 5 月 24 日。慈善和政府网站、会议记录和临床试验数据库也进行了检查。
合格的研究评估了远程康复服务对视力障碍成年人的益处。如果文章不是英文的，或者专注于视障学生的远程教育，则将其排除在外。
两名独立评审员筛选文章并提取数据。对偏倚风险进行了分析。
在 4472 篇文章中，有 10 篇符合条件的研究被纳入。评估的结果包括基于绩效的评估、患者报告的结果和成本效益。
虽然远程康复的可接受性通常较高，但可用的真实世界数据有限，这使得人们对这种方法的长期可取性产生了疑问。需要进一步的试验来使用一套可靠的结果测量方法来评估远程康复。
CRD42021254825。
