Occupational therapy interventions to improve the reading ability of older adults with low vision: a systematic review.

This systematic review of the literature examined available evidence regarding the effectiveness of occupational therapy interventions for improving the reading performance of older adults with low vision. We reviewed 32 studies and found strong evidence supporting low vision programs that included occupational therapy and moderately strong evidence supporting the use of electronic magnification. Moderate evidence supported the influence of illumination on reading ability. Limited evidence was found to support eccentric viewing training and optical magnification. More evidence of higher quality is needed to validate the effectiveness of optical magnifiers, text eccentric viewing, characteristic preferences, and line guides within optical magnification. Additionally, further research is needed to develop a standard low vision rehabilitation program. The results of this review support the need for occupational therapy to be included in low vision rehabilitation. The implications of the findings for occupational therapy practice, research, and education are discussed.

[1]  Research Reports: The Reading Behavior Inventory: An Outcome Assessment Tool , 2006 .

[2]  A. Bowers,et al.  Illumination and reading performance in age‐related macular degeneration , 2001, Clinical & experimental optometry.

[3]  J Stelmack,et al.  Reading performance of geriatric patients post exudative maculopathy. , 1991, Journal of the American Optometric Association.

[4]  Martin Rubinstein,et al.  Benefits of electronic vision enhancement systems (EVES) for the visually impaired. , 2003, American journal of ophthalmology.

[5]  J. Sjöstrand,et al.  A randomized controlled trial of a health-promotion programme and its effect on ADL dependence and self-reported health problems for the elderly visually impaired , 2008, Scandinavian journal of occupational therapy.

[6]  C. Frennesson,et al.  A computer and video display based system for training eccentric viewing in macular degeneration with an absolute central scotoma , 2005, Documenta Ophthalmologica.

[7]  Alex Bowers,et al.  Reading With Optical Magnifiers: Page Navigation Strategies and Difficulties , 2007, Optometry and vision science : official publication of the American Academy of Optometry.

[8]  A Burdorf,et al.  Ergonomic and physiotherapeutic interventions for treating work-related complaints of the arm, neck or shoulder in adults. A Cochrane systematic review. , 2007, Europa medicophysica.

[9]  G L Goodrich,et al.  A comparison of patient reading performance and preference: optical devices, handheld CCTV (Innoventions Magni-Cam), or stand-mounted CCTV (Optelec Clearview or TSI Genie). , 2001, Optometry.

[10]  Rickilyn M Mancil,et al.  Outcomes of the Veterans Affairs Low Vision Intervention Trial (LOVIT). , 2008, Archives of ophthalmology.

[11]  C. Fowler,et al.  The effects of coloured light filter overlays on reading rates in age-related macular degeneration. , 2004, Acta ophthalmologica Scandinavica.

[12]  J. Scanlan,et al.  Low Vision Rehabilitation: A Comparison of Traditional and Extended Teaching Programs , 2004 .

[13]  Ability to Read Medication Labels Improved by Participation in a Low Vision Rehabilitation Program , 2007 .

[14]  G. Rubin,et al.  Reading With Central Scotomas: Is There a Binocular Gain? , 2006, Optometry and vision science : official publication of the American Academy of Optometry.

[15]  R. Harper,et al.  Enhanced low vision rehabilitation for people with age related macular degeneration: a randomised controlled trial , 2004, British Journal of Ophthalmology.

[16]  M. Vukicevic,et al.  Rehabilitation strategies used to ameliorate the impact of centre field loss , 2005 .

[17]  K B Eldred,et al.  Optimal Illumination for Reading in Patients with Age-Related Maculopathy , 1992, Optometry and vision science : official publication of the American Academy of Optometry.

[18]  D. Luchins,et al.  Evaluation of a Vision Rehabilitation Program for Older Adults With Visual Impairment , 2004 .

[19]  Monica S. Perlmutter,et al.  Cognitive, visual, auditory, and emotional factors that affect participation in older adults. , 2010, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[20]  ALEX R. BOWERS,et al.  Eye Movements and Reading with Large Print and Optical Magnifiers in Macular Disease , 2001, Optometry and vision science : official publication of the American Academy of Optometry.

[21]  P. Mccabe,et al.  Evaluating the effectiveness of a vision rehabilitation intervention using an objective and subjective measure of functional performance , 2000, Ophthalmic epidemiology.

[22]  M. Vukicevic,et al.  Eccentric Viewing Training in the Home Environment: Can it Improve the Performance of Activities of Daily Living? , 2009 .

[23]  M. Arbesman,et al.  Methodology for the systematic reviews on occupational therapy interventions for older adults with low vision. , 2013, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[24]  J. Graham Strong,et al.  The Legibility of Typefaces for Readers with Low Vision: A Research Review , 2007 .

[25]  A. Valberg,et al.  Lighting Needs and Lighting Comfort during Reading with Age-Related Macular Degeneration , 2004 .

[26]  T. Margrain,et al.  Helping blind and partially sighted people to read: the effectiveness of low vision aids , 2000, The British journal of ophthalmology.

[27]  Mark Brennan,et al.  The impact of assistive device use on disability and depression among older adults with age-related vision impairments. , 2006, The journals of gerontology. Series B, Psychological sciences and social sciences.

[28]  La Grow,et al.  The Effectiveness of Comprehensive Low Vision Services for Older Persons with Visual Impairments in New Zealand. , 2004 .

[29]  Al Copolillo,et al.  Acquisition and integration of low vision assistive devices: understanding the decision-making process of older adults with low vision. , 2005, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[30]  Susanne Trauzettel-Klosinski,et al.  Improvement of reading speed after providing of low vision aids in patients with age‐related macular degeneration , 2009, Acta ophthalmologica.

[31]  S. Haymes,et al.  Effects of task lighting on visual function in age‐related macular degeneration , 2006, Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians.

[32]  F Eperjesi,et al.  Reading performance with various lamps in age‐related macular degeneration , 2007, Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians.

[33]  M. Law,et al.  Evidence-Based Rehabilitation: A Guide to Practice , 2013 .

[34]  Alex R Bowers,et al.  Short-Term In-Office Practice Improves Reading Performance with Stand Magnifiers for People with AMD , 2005, Optometry and vision science : official publication of the American Academy of Optometry.

[35]  G. Rubin,et al.  Clinical performance of electronic, head‐mounted, low‐vision devices , 2004, Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians.

[36]  Alex R Bowers,et al.  Does a Line Guide Improve Reading Performance with Stand Magnifiers? , 2009, Optometry and vision science : official publication of the American Academy of Optometry.

[37]  S. Dahlin-Ivanoff,et al.  Low vision, ADL and hearing assistive device use among older persons with visual impairments , 2007, Disability and rehabilitation. Assistive technology.

[38]  R. Klein,et al.  Causes and prevalence of visual impairment among adults in the United States. , 2004, Archives of ophthalmology.