July 2019
Volume 60, Issue 9
Free
ARVO Annual Meeting Abstract  |   July 2019
Effectiveness of an Innovative and Comprehensive Eye Care Model for Individuals in Residential Care Facilities: A Residential Ocular Care Multi-Centered Randomized Controlled Trial
Author Affiliations & Notes
  • Ecosse Luc Lamoureux
    Population Health, Singapore National Eye Research Institute, Singapore, Singapore
  • Eva K Fenwick
    Population Health, Singapore National Eye Research Institute, Singapore, Singapore
  • Marios Constantinou
    Centre for Eye Research Australia, Victoria, Australia
  • Edith holloway
    University of Melbourne, Victoria, Australia
  • Eric Andrew Finkelstein
    Duke-NUS Medical School, Singapore
  • michael coote
    Royal Victorian Hospital, United Kingdom
  • Jonathan Jackson
    Australian College of Optometry, Victoria, Australia
  • Gwyneth Rees
    Centre for Eye Research Australia, Victoria, Australia
  • Ryan Man
    Population Health, Singapore National Eye Research Institute, Singapore, Singapore
  • Footnotes
    Commercial Relationships   Ecosse Lamoureux, None; Eva Fenwick, None; Marios Constantinou, None; Edith holloway, None; Eric Finkelstein, None; michael coote, None; Jonathan Jackson, None; Gwyneth Rees, None; Ryan Man, None
  • Footnotes
    Support  National Health and Medical Research Council grant number 1046689
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 2242. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Ecosse Luc Lamoureux, Eva K Fenwick, Marios Constantinou, Edith holloway, Eric Andrew Finkelstein, michael coote, Jonathan Jackson, Gwyneth Rees, Ryan Man; Effectiveness of an Innovative and Comprehensive Eye Care Model for Individuals in Residential Care Facilities: A Residential Ocular Care Multi-Centered Randomized Controlled Trial. Invest. Ophthalmol. Vis. Sci. 2019;60(9):2242.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose : To assess the clinical and patient-centered effectiveness of a novel residential ocular care (ROC) model compared to usual care in Australian residential care residents.

Methods : In this prospective, multi-centered, cluster randomized controlled trial, participants from residential care facilities in Victoria (Australia) were randomized to ROC (N=95), comprising a tailored and comprehensive within-site eye care rehabilitation pathway,or usual care (N=83), comprisingreferral to an external eye care service. Outcomes included presenting distance and near visual acuity (PDVA and PNVA assessed using LogMAR distance and near charts, respectively); Rasch-transformedvision-related Reading, Emotional and Mobility scores from theImpact of Vision Impairment scale); quality of vision (QoV, comprising frequency, severity and bother ratings from the QoV questionnaire); and depressive symptoms (Cornell Scale for Depression), assessed at baseline and 6 months post intervention. Within- and between-group comparisons were conducted using paired t-tests and linear mixed models, adjusted for within-facility correlation and baseline differences in characteristics between the two arms, respectively.

Results : From the 38 participating residential care facilities, 178 visually impaired (PDVA >6/12 and/or PNVA≥N8) residents were enrolled (mean age±SD: 83.9±8.6 years; 65.7% women; 95.8% without depressive symptoms). There were no differences in any outcomes at baseline (P>0.05). At 6-months, intention-to-treat analyses showed significant between-group improvements in ROC residents compared to usual care for PNVA (mean difference [95% confidence interval]: -0.12 [-0.19, -0.04] log units)and QoV (0.79 [0.27, 1.31], 0.68 [0.16, 1.19] and 0.60 [0.09, 1.10] logits for frequency, severity and bother, respectively). Per protocol analyses also revealed improvements in Reading (0.73 [0.03, 1.44] logits)and Emotional (0.41 [0.03, 0.79] logits)scores. As few individuals reported depression, no between-group change in depressive symptoms was observed.

Conclusions : Our ROC model is effective in improving near vision and associated perceived burden on vision-related symptoms and quality of life in residential care residents in Australia. Future studies to evaluate the cost-effectiveness and implementation of ROC are warranted.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.

×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×