Outcomes of XXXX Rehabilitation in Adults.

@entity4064 @entity1 @entity5562
PURPOSE: To evaluate the outcomes of @entity4064 rehabilitation (LVR) in adults with @entity4064 ( @entity4064 ) in India using the Veterans Affairs Low Vision Visual Functioning Questionnaire (VA @entity4064 VFQ-48) and the Impact of Vision Impairment (IVI) questionnaire. METHODS: Consecutive adults with @entity4064 referred for the first time to the Centre for Sight Enhancement were administered the 28-item IVI and VA @entity4064 VFQ-48 before and after LVR (4 months). Rasch-scaled scores were generated for the IVI and the VA @entity4064 VFQ-48 along with each of their subscales at both the time points. @entity5562 ( @entity5562 ) was calculated using Cohen's d coefficient. RESULTS: Two hundred fifty-five @entity1 completed the LVR program. Following LVR, the linear measures revealed significant improvements in vision-related quality of life (VRQoL) using the IVI at follow-up (P < 0.0001), with large @entity5562 for reading and accessing information ( @entity5562 = 1.0) and relatively moderate @entity5562 for overall IVI ( @entity5562 = 0.63) and mobility subscale ( @entity5562 = 0.53). No significant improvement was found on emotional well-being subscale ( @entity5562 = 0.18; P = 0.06). Similarly, significant improvements in VRQoL (P < 0.0001) were found for the VA @entity4064 VFQ-48 at follow-up, albeit moderate @entity5562 for the overall visual ability ( @entity5562 = -0.67) and its subscales (reading [ @entity5562 = -0.72], mobility [ @entity5562 = -0.45], visual information [ @entity5562 = -0.47), visual motor [ @entity5562 = -0.54]). CONCLUSIONS: Regardless of the instrument used for assessment, our multidisciplinary LVR program resulted in statistically significant improvements in visual functioning and VRQoL of those adults with @entity4064 deemed appropriate for intervention (dropout rates were high); however, the improvements were modest, and the clinical relevance of these small improvements may be limited. Nonetheless, further studies should attempt to increase the completion rates in order to draw strong inferences.
