Assessing Older Adults' Functional Visual Performance Using the Performance Quality Rating Scale.

Visual impairment has distinct impacts on the activities of older adults. Quantifying the functional impact of visual loss would facilitate targeted rehabilitation. The objectives of this study were to: (1) develop an observational assessment of the functional visual performance of older adults usin...

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Publicado en:OTJR: Occupational Therapy Journal of Research Vol. 44; no. 3; pp. 427 - 437
Autores principales: Boey, Debbie, Tse, Tamara, Fitzmaurice, Kerry, Chan, Mei Leng, Carey, Leeanne M.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Jul2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2024
      vid: 44
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/15394492231220256
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        atl: Assessing Older Adults' Functional Visual Performance Using the Performance Quality Rating Scale.
      aug:
        au:
          Boey, Debbie
          Tse, Tamara
          Fitzmaurice, Kerry
          Chan, Mei Leng
          Carey, Leeanne M.
        affil: La Trobe University, Melbourne, Victoria, Australia
      sug:
        subj:
          Geriatric Functional Assessment
          Vision Screening In Old Age
          Task Performance and Analysis In Old Age
          Instrument Construction
          Instrument Validation
          Vision Disorders Complications
          Human
          Scales
          Funding Source
          Activities of Daily Living
          Rehabilitation of Persons with Vision Loss
          Convenience Sample
          Videorecording
          Descriptive Statistics
          Confidence Intervals
          kappa Statistic
          Outpatients
          Singapore
          Aged
          Aged, 80 and Over
          Nonexperimental Studies
          Pilot Studies
          Visual Acuity Evaluation
          Data Analysis Software
          Spearman's Rank Correlation Coefficient
          Male
          Female
          Interrater Reliability
          Validation Studies
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Visual impairment has distinct impacts on the activities of older adults. Quantifying the functional impact of visual loss would facilitate targeted rehabilitation. The objectives of this study were to: (1) develop an observational assessment of the functional visual performance of older adults using the Performance Quality Rating Scale (PQRS); (2) test the feasibility and inter-rater agreement in a pilot sample of older adults with visual impairment. A convenience sample of older adults with vision loss (N = 20) performed seven pre-selected activities. Performance was videoed (N = 126 videos) and rated by two raters using specific operational definitions. All participants completed the seven activities with the given resources and 90% of videos were successfully rated using the developed PQRS. Inter-rater agreement was substantial (weighted Kappa = 0.71; 95% confidence interval [CI] = [0.64, 0.79]) for all activities. The developed PQRS for functional vision is feasible, with substantial inter-rater agreement, to assess functional vision of older adults in an outpatient setting. Plain Language Summary: Assessing older adults' use of vision using the Performance Quality Rating Scale. Visual impairment has different impacts on the everyday activities of older adults. Assessing the specific impact would help therapists to provide rehabilitation targeting their daily challenges. The objectives of this study were (1) to develop an assessment of how older adults use their vision using the Performance Quality Rating Scale (PQRS); (2) to test the possibility of using, and the agreement of using this tool between two raters in a pilot sample. Twenty older adults with vision loss performed seven activities in an outpatient clinic. In total, 126 videos of their performances were rated by two raters using the PQRS. 90% of the videos were successfully rated using the developed PQRS with good agreement between the raters. The developed PQRS can possibly be used to assess how older adults use their vision for daily activities in an outpatient setting.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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