One goal of this research is to conduct a non-inferiority trial of telerehabilitation versus in-office care to provide follow-up training to individuals with low vision to enhance their quality of life by using magnification devices and/or visual assistive mobile apps for important daily activities, such as reading and/or other valued tasks. This is a high priority given the increasing prevalence of low vision, paucity of low vision rehabilitation providers, and barriers related to access to care, such as transportation and geography, which can be essentially eliminated with telerehabilitation. Another goal of this project is to determine whether significant changes in environmental data collected by Bluetooth low energy beacon sensors can be used as a solution to monitor and indicate when low vision patients' have abandoned the use of their magnification devices, which has the potential to substantially enhance patient management by providing timely low vision rehabilitation services.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
350
Evaluation and training with magnification or visual assistive devices for visually-impaired adults
Southern Califonia College of Optometry
Fullerton, California, United States
NOT_YET_RECRUITINGChan Family Optometry
Grass Valley, California, United States
NOT_YET_RECRUITINGUCLA Stein Eye Institute
Los Angeles, California, United States
RECRUITINGFrank Stein & Paul S. May Center for Low Vision Rehabilitation at The Eye Institute
San Francisco, California, United States
NOT_YET_RECRUITINGSee What You Miss Optometry
Santa Monica, California, United States
NOT_YET_RECRUITINGNew England College of Optometry
Boston, Massachusetts, United States
NOT_YET_RECRUITINGBoston University Eye Associates, Inc.
Brockton, Massachusetts, United States
NOT_YET_RECRUITINGMid-Michigan Eye Care
Midland, Michigan, United States
NOT_YET_RECRUITINGUniversity of Nebraska: Weigel Williamson Center for Visual Rehabilitation at the Truhlsen Eye Institute
Omaha, Nebraska, United States
NOT_YET_RECRUITINGActivity Inventory
questionnaire; scores will be Rasch analyzed in logic units with higher or positive scores indicating less difficulty (i.e., improvement)
Time frame: changes from 1 month to 4 months to 8 months to 12 months to 13 months after receiving a magnification device
MNread
reading speed and acuity test
Time frame: baseline, 1 month, 4 months, 8 months, 12 months, 13 months
Sustained Silent Reading Test
prolonged reading test
Time frame: baseline, 1 month, 4 months, 8 months, 12 months, 13 months
International Reading Speed Text (IReST)
reading speed test
Time frame: baseline, 1 month, 4 months, 8 months, 12 months, 13 months
Radner Reading Charts
reading speed and acuity test
Time frame: baseline, 1 month, 4 months, 8 months, 12 months, 13 months
Vision rehabilitation satisfaction survey
surveys: post-telerehabilitation or in-office visits
Time frame: after each session that will occur over a period of 1 to 8 months and and again at about 1 year
Informant surveys by close acquaintances of participants
survey
Time frame: 4 months, 8 months, 12 months, 13 months
Adherence to hand-held optical magnifier use (frequency and duration)
Bluetooth low energy beacon sensor data
Time frame: baseline to 13 months
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