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Scoping review of remote rehabilitation (telerehabilitation) services to support people with vision impairment

Jones, Lee; Lee, Matthew; Castle, Claire L; Heinze, Nikki; Gomes, Renata SM; (2022) Scoping review of remote rehabilitation (telerehabilitation) services to support people with vision impairment. BMJ Open , 12 (8) , Article e059985. 10.1136/bmjopen-2021-059985. Green open access

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Abstract

Objective: 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. Design Scoping review. Data sources 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. Eligibility criteria 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. Data extraction and synthesis Two independent reviewers screened articles and extracted data. A risk of bias analysis was performed. Outcome measures Measures of benefit included performance-based assessment, patient-reported outcomes and cost-effectiveness. Results 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. Conclusion 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. PROSPERO registration number CRD42021254825.

Type: Article
Title: Scoping review of remote rehabilitation (telerehabilitation) services to support people with vision impairment
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bmjopen-2021-059985
Publisher version: https://doi.org/10.1136/bmjopen-2021-059985
Language: English
Additional information: This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/deed.en
Keywords: Science & Technology, Life Sciences & Biomedicine, Medicine, General & Internal, General & Internal Medicine, ophthalmology, rehabilitation medicine, quality in health care, QUALITY-OF-LIFE, VISUAL IMPAIRMENT, HEALTH, OUTCOMES, IMPACT
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/10164811
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