Evaluation of a Standardised Orientation and Mobility Training in Older Adults With Low Vision

Not Applicable

Completed

• Conditions: Aged; Low Vision
• Interventions: Other: orientation and mobility training

• Registration Number: NCT00946062
• Lead Sponsor: Maastricht University Medical Center

Brief Summary

The purpose of this study is:

1. to develop a standardised orientation and mobility training (O\&M-training) in the use of an identification/symbol cane by older adults with low vision, and;

2. to evaluate this newly developed standardised O\&M-training with respect to effectiveness and feasibility in a randomised controlled trial.

Detailed Description

Not available

Study Timeline

• Study Start: 2007-11
• Study First Submitted: 2009-07-23
• Study First Submitted QC: 2009-07-23
• Study First Posted: 2009-07-24
• Primary Completion: 2010-07
• Study Completion: 2010-07
• Status Verified: 2013-11
• Last Update Submitted: 2013-11-14
• Last Update Posted: 2013-11-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 190

Inclusion Criteria

• Aged 55 years or over

• Low vision

• Living independently in the community or in a home for older people

• Able to see large obstacles and to go outside for a short walk or doing groceries

• One of the following:

  1. experiencing difficulties with safely crossing a street
  2. experiencing difficulties with recognising acquaintances outdoors
  3. willing to become recognisable as being partially sighted by using the identification cane

• Written informed consent

• Orientation and Mobility training (O&M-training) in the use of an identification cane

Exclusion Criteria

• Cognitive impairment (a score of less than 4 on the Abbreviated Mental Test 4)
• Language or hearing problems that impede completing an interview by telephone
• Confinement to bed or possible nursing home admission that impede completion of the O&M-training
• Permanent use of a walking aid incompatible with the use of an identification cane
• Having recently received an O&M-training in the use of an identification cane and permanent use of this cane

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
regular O&M-training	orientation and mobility training	orientation and mobility training in use of the identification cane as provided by mobility trainers
standardised O&M-training	orientation and mobility training	standardised orientation and mobility training in use of the identification cane as provided by mobility trainers who received instruction in using the standardised protocol

Primary Outcome Measures

Name	Time	Method
distance activities and mobility (subscales of the Visual Functioning Questionnaire (VFQ))	5 and 17 weeks
activities of daily life (subscale of the Groningen Activity Restriction Scale (GARS))	5 and 17 weeks

Secondary Outcome Measures

Name	Time	Method
social support interactions (Social Support List (SSL 12-I))	5 and 17 weeks
health-related quality of life (EuroQol 5D (EQ5D))	5 and 17 weeks
feelings of anxiety (anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A))	5 and 17 weeks
mental health and dependency (subscale of the Visual Functioning Questionnaire (VFQ))	5 and 17 weeks
symptoms of depression (depression subscale of the Hospital Anxiety and Depression Scale (HADS-D))	5 and 17 weeks
concerns about falling (falls efficacy scale international (FES-I))	5 and 17 weeks
activities index (Frenchay Activities Index (FAI))	5 and 17 weeks

Trial Locations

Locations (3)

Bartimeus; 🇳🇱 Utrecht, Netherlands

Royal Visio; 🇳🇱 Huizen, Netherlands

Sensis; 🇳🇱 Grave, Netherlands