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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2014

Open Access 01-12-2014 | Research

Longitudinal observation, evaluation and interpretation of coping with mental (emotional) health in low vision rehabilitation using the Dutch ICF Activity Inventory

Authors: Janna E Bruijning, Ger HMB van Rens, Mark Fick, Dirk L Knol, Ruth MA van Nispen

Published in: Health and Quality of Life Outcomes | Issue 1/2014

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Abstract

Background

Since there is evidence that mental health aspects (such as depression) may inhibit an optimal rehabilitation outcome, there is growing interest in the psychosocial aspects of vision loss as part of rehabilitation. The purpose of this study is to provide more insight into the construct validity and (longitudinal) interpretation of goals related to ‘Coping with mental (emotional) health aspects’ which are part of the recently developed ‘Dutch ICF Activity Inventory (D-AI). Moreover, the data allowed to provide some insight in the outcome in this domain in relation to rehabilitation programs followed in Dutch Multidisciplinary Rehabilitation Centers at baseline and follow-up.

Methods

In a cohort of 241 visually impaired persons, the D-AI was assessed at baseline (enrollment), 4 and 12 months, The importance and difficulty of the D-AI goals ‘Handle feelings’, ‘Acceptance’, and ‘Feeling fit’ and difficulty scores of underlying tasks were further analyzed, together with similar or related standardized questionnaires. At baseline, Spearman correlations were determined between D-AI goals and task and additional questionnaires to investigate the construct validity. Corrected and uncorrected linear mixed models were used to determine longitudinal rehabilitation outcomes in relation to rehabilitation programs followed.

Results

Baseline correlations indicated that the difficulty of tasks and the umbrella goal ‘Acceptance’ were not similar. Longitudinal analyses provided insight in some subtle differences in concepts measured at the goal and task level of the D-AI, as well as similar validated questionnaires. After correcting for confounding variables, none of the underlying task difficulty scales changed over time. For goal difficulty scores only ‘Acceptance’ was reported to be significantly less difficult at 4 and 12 months follow-up. Importance scores of goals were stable from baseline to follow-up.

Conclusion

With respect to the constructs measured, results support the formulation of the new goal question ‘Emotional life’ which replaces the goals ‘Handle feelings’ and ‘Acceptance’. Results indicate that MRCs should pay more attention to problems related to mental health. They have started to use the D-AI as it seems a promising tool to investigate and evaluate rehabilitation needs (including those related to mental health) over time and to clearly define rehabilitation goals from the very start.
Appendix
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Literature
1.
Langelaan M, de Boer MR, van Nispen RMA, Wouters B, Moll AC, van Rens GHMB: Impact of visual impairment on quality of life: a comparison with quality of life in the general population and with other chronic conditions. Ophthalmic Epidemiol 2007, 14: 119–126. 10.1080/09286580601139212CrossRefPubMed
2.
Berger S, Porell F: The association between low vision and function. J Aging Health 2008, 20: 504–525. 10.1177/0898264308317534CrossRefPubMed
3.
Rubin GS, Bandeen-Roche K, Huang GH, Muñoz B, Schein OD, Fried LP, West SK: The association of multiple visual impairments with self-reported visual disability: SEE project. Invest Ophthalmol Vis Sci 2001, 42: 64–72.PubMed
4.
Tabrett DR, Latham K: Factors influencing self-reported vision-related activity limitation in the visually impaired. Invest Ophthalmol Vis Sci 2011, 52: 5293–5302. 10.1167/iovs.10-7055CrossRefPubMed
5.
Williams RA, Brody BL, Thomas RG, Kaplan RM, Brown SI: The psychosocial impact of macular degeneration. Arch Ophthalmol 1998, 116: 514–520. 10.1001/archopht.116.4.514CrossRefPubMed
6.
West SK, Munoz B, Rubin GS, Schein OD, Bandeen-Roche K, Zeger S, German S, Fried LP: Function and visual impairment in a population-based study of older adults. The SEE project. Salisbury eye evaluation. Invest Ophthalmol Vis Sci 1997, 38: 72–82.PubMed
7.
Rovner BW, Casten RJ: Activity loss and depression in age-related macular degeneration. Am J Geriat Psychiat 2002, 10: 305–310. 10.1097/00019442-200205000-00010CrossRef
8.
Alma MA, van der Mei SF, Melis-Dankers BJM, van Tilburg TG, Groothoff JW, Suurmeijer TPBM: Participation of the elderly after vision loss. Disabil Rehabil 2011, 33: 63–72. 10.3109/09638288.2010.488711CrossRefPubMed
9.
Desrosiers J, Wanet-Defalque MC, Témisjian K, Gresset J, Dubois MF, Renaud J, Vincent C, Rousseau J, Carignan M, Overbury O: Participation in daily activities and social roles of older adults with visual impairment. Disabil Rehabil 2009, 31: 1227–1234. 10.1080/09638280802532456CrossRefPubMed
10.
Lamoureux EL, Pallant JF, Pesudovs K, Tennant A, Rees G, O’Connor PM, Keeffe JE: Assessing participation in daily living and the effectiveness of rehabiliation in age related macular degeneration patients using the impact of vision impairment scale. Ophthalmic Epidemiol 2008, 15: 105–113. 10.1080/09286580701840354CrossRefPubMed
11.
Rudman DL, Durdle M: Living with fear: the lived experience of community mobility among older adults with low vision. J Aging Phys Act 2009, 17: 106–122.PubMed
12.
Dargent-Molina P, Hays M, Breart G: Sensory impairments and physical disability in aged women living at home. Int J Epidemiol 1996, 25: 621–629. 10.1093/ije/25.3.621CrossRefPubMed
13.
Leinhaas MA, Hedstrom NJ: Low vision: how to assess and treat its emotional impact. Geriatrics 1994, 49: 53–56.PubMed
14.
Vu HTV, Keeffe JE, McCarty CA, Taylor HR: Impact of unilateral and bilateral vision loss on quality of life. Brit J Ophthalmol 2005, 89: 360–363. 10.1136/bjo.2004.047498CrossRef
15.
Bookwala J, Lawson B: Poor vision, functioning, and depressive symptoms: a test of the activity restriction model. Gerontologist 2011, 51: 798–808. 10.1093/geront/gnr051PubMedCentralCrossRefPubMed
16.
Rees G, Saw CL, Lamoureux EL, Keeffe JE: Self-management programs for adults with low vision: needs and challenges. Patient Educ Couns 2007, 69: 39–46. 10.1016/j.pec.2007.06.016CrossRefPubMed
17.
Augustin A, Sahel JA, Bandello F, Dardennes R, Maurel F, Negrini C, Hieke K, Berdeaux G: Anxiety and depression prevalence rates in age-related macular degeneration. Invest Ophthalmol Vis Sci 2007, 48: 1498–1503. 10.1167/iovs.06-0761CrossRefPubMed
18.
Burmedi D, Becker S, Heyl V, Wahl HW, Himmelsbach I: Emotional and social consequences of age-related low vision. Vis Impair Res 2002, 4: 47–71. 10.1076/vimr.4.1.47.15634CrossRef
19.
Evans JR, Fletcher AE, Wormald RPL: Depression and anxiety in visually impaired older people. Ophthalmology 2007, 114: 283–288. 10.1016/j.ophtha.2006.10.006CrossRefPubMed
20.
Hayman KJ, Kerse NM, La Grow SJ, Wouldes T, Robertson MC, Campbell AJ: Depression in older people: visual impairment and subjective ratings of health. Optom Vis Sci 2007, 84: 1024–1030. 10.1097/OPX.0b013e318157a6b1CrossRefPubMed
21.
Horowitz A, Reinhardt JP, Boerner K, Travis LA: The influence of health, social support quality and rehabilitation on depression among disabled elders. Aging Ment Health 2003, 7: 342–350. 10.1080/1360786031000150739CrossRefPubMed
22.
Horowitz A, Reinhardt JP, Boerner K: The effect of rehabilitation on depression among visually disabled older adults. Aging Ment Health 2005, 9: 563–570. 10.1080/13607860500193500CrossRefPubMed
23.
Horowitz A, Reinhardt JP, Kennedy GJ: Major and subthreshold depression among older adults seeking vision rehabilitation services. Am J Geriatr Psychiatry 2005, 13: 180–187. 10.1097/00019442-200503000-00002CrossRefPubMed
24.
Beekman AT, Copeland JR, Prince MJ: Review of community prevalence of depression in later life. Brit J Psychiat 1999, 174: 307–311. 10.1192/bjp.174.4.307CrossRefPubMed
25.
Mojon-Azzi SM, Sousa-Poza A, Mojon DS: Impact of low vision on well-being in 10 European countries. Ophthalmologica 2008, 222: 205–212. 10.1159/000126085CrossRefPubMed
26.
Zheng DD, Christ SL, Lam BL, Arheart KL, Galor A, Lee DJ: Increased mortality risk among the visually impaired: the roles of mental well-being and preventive care practices. Invest Ophthalmol Vis Sci 2012, 53: 2685–2692. 10.1167/iovs.11-8794PubMedCentralCrossRefPubMed
27.
Swanson MW, Bodner E, Sawyer P, Allman RM: Visual acuity’s association with levels of leisure-time physical activity in community-dwelling older adults. J Aging Phys Act 2012, 20: 1–14.PubMedCentralPubMed
28.
Leger D, Guilleminault C, Defrance R, Domont A, Paillard M: Prevalence of sleep/wake disorders in persons with blindness. Clin Sci 1999, 97: 193–199. 10.1042/CS19990004CrossRefPubMed
29.
Grant P, Seiple W, Szlyk JP: Effect of depression on actual and perceived effects of reading rehabilitation for people with central vision loss. J Rehabil Res Dev 2011, 48: 1101–1108. 10.1682/JRRD.2010.05.0080CrossRefPubMed
30.
Weber JA, Wong KB: Older adults coping with vision loss. Home Health Care Serv Q 2010, 29: 105–119. 10.1080/01621424.2010.511505CrossRefPubMed
31.
Dodds A, Ferguson E, Ng L, Flannigan H: The concept of adjustment: a structural model. J Visual Impair Blin 1994, 88: 487–497.
32.
Tabrett DR, Latham K: Derivation of the acceptance and self-worth adjustment scale. Optom Vis Sci 2010, 87: 899–907. 10.1097/OPX.0b013e3181f6f760CrossRefPubMed
33.
Iliffe S, Kharicha K, Harari D, Swift C, Gillmann G, Stuck A: Self-reported visual function in healthy older people in Britain: an exploratory study of associations with age, sex, depression, education and income. Fam Pract 2005, 22: 585–590. 10.1093/fampra/cmi067CrossRefPubMed
34.
Rovner BW, Casten RJ, Tasman WS: Effect of depression on vision function in age-related macular degeneration. Arch Ophthalmol 2002, 120: 1041–1044. 10.1001/archopht.120.8.1041CrossRefPubMed
35.
Reinhardt JP: Effects of positive and negative support received and provided on adaptation to chronic visual impairment. Appl Dev Sci 2001, 5: 76–85. 10.1207/S1532480XADS0502_3CrossRef
36.
Nyman SR, Dibb B, Victor CR, Gosney MA: Emotional well-being and adjustment to vision loss in later life: a meta-synthesis of qualitative studies. Disabil Rehabil 2012, 34: 971–981. 10.3109/09638288.2011.626487CrossRefPubMed
37.
Bruijning J, van Nispen R, Verstraten P, van Rens G: A Dutch ICF version of the activity inventory: results from focus groups with visually impaired persons and experts. Ophthalmic Epidemiol 2010, 17: 366–377. 10.3109/09286586.2010.528133CrossRefPubMed
38.
Bruijning JE, van Nispen RMA, van Rens GHMB: Feasibility of the Dutch ICF activity inventory: a pilot study. BMC Health Serv Res 2010, 10: 318. 10.1186/1472-6963-10-318PubMedCentralCrossRefPubMed
39.
Bruijning JE, van Nispen RM, Knol DL, van Rens GH: Comparison of a rehabilitation plan based on the D-AI and a usual intake. Optom Vis Sci 2012, 89: 203–214. 10.1097/OPX.0b013e31823e3217CrossRefPubMed
40.
41.
Massof RW: A systems model for low vision rehabilitation. I. Basic concepts. Optom Vis Sci 1995, 72: 725–736. 10.1097/00006324-199510000-00005CrossRefPubMed
42.
Massof RW: A systems model for low vision rehabilitation. II. Measurement of vision disabilities. Optom Vis Sci 1998, 75: 349–373. 10.1097/00006324-199805000-00025CrossRefPubMed
43.
Massof RW, Hsu CT, Baker FH, Barnett GD, Park WL, Deremeik JT, Rainey C, Epstein C: Visual disability variables. I: the importance and difficulty of activity goals for a sample of low-vision patients. Arch Phys Med Rehabil 2005, 86: 946–953. 10.1016/j.apmr.2004.09.016CrossRefPubMed
44.
Massof RW, Hsu CT, Baker FH, Barnett GD, Park WL, Deremeik JT, Rainey C, Epstein C: Visual disability variables. II: the difficulty of tasks for a sample of low-vision patients. Arch Phys Med Rehabil 2005, 86: 954–967. 10.1016/j.apmr.2004.09.017CrossRefPubMed
45.
Massof RW, Ahmadian L, Grover LL, Deremeik JT, Goldstein JE, Rainey C, Epstein C, Barnett GD: The activity inventory: an adaptive visual function questionnaire. Optom Vis Sci 2007, 84: 763–774. 10.1097/OPX.0b013e3181339efdCrossRefPubMed
46.
World Health Organization:International Classification of Functioning, Disability and Health. World Health Organisation, Geneva; 2001.
47.
Bruijning JE, van Rens GHMB, Knol DL, van Nispen RMA: Psychometric analyses to improve the Dutch ICF activity inventory. Optometry & Vision Science 2013, 90: 806–819. 10.1097/OPX.0b013e318282cdceCrossRef
48.
Bruijning JE, van Rens GHMB, Knol DL, van Nispen RMA: Evaluation of reading, writing and Watching TV using the Dutch ICF Activity Inventory. Optometry and Vision Sciece 2014, 91: 1360–1371. 10.1097/OPX.0000000000000391CrossRef
49.
Radloff LS: The CES-D scale: a self-report depression scale for research in the general population. Appl Psych Meas 1977, 1: 385–401. 10.1177/014662167700100306CrossRef
50.
Beekman AT, Deeg DJ, Van Limbeek J, Braam AW, De Vries MZ, Van Tilburg W: Criterion validity of the center for epidemiologic studies depression scale (CES-D): results from a community-based sample of older subjects in the Netherlands. Psychol Med 1997, 27: 231–235. 10.1017/S0033291796003510CrossRefPubMed
51.
Horowitz A, Reinhardt JP: Development of the adpatation to age-related vision loss scale. J Visual Impair Blin 1998, 92: 30–41.
52.
Horowitz A, Reinhardt JP, Raykov T: Development and validation of a short-form adaptation of the age-related vision loss scale: the AVL12. J Visual Impair Blin 2007, 101: 146–159.
53.
Oudshoorn J, Verstraten PFJ: Nederlandse Adaptation to Age-Related Vision Loss Scale, 12-itemversie [Dutch Adaptation to Age-Related Vision Loss Scale]. Sensis, Grave; 2008.
54.
Alberts M, Smets EM, Vercoulen JH, Garssen B, Bleijenberg G: ‘Verkorte Vermoeidheisvragenlijst’: een praktisch hulpmiddel bij het scoren van vermoeidheid [‘Abbreviated fatigue questionnaire’: a practical tool in the classification of fatigue]. Ned Tijdschr Geneeskd 1997, 141: 1526–1530.PubMed
55.
Brooks R, Rabin R, de Charro F (Eds): The Measurement and Valuation of Health Status Using EQ-5D: A European Perspective. Kluwer Academic Publishers, Dordrecht; 2003.
56.
Lamers LM, Stalmeier PFM, McDonnell J, Krabbe PFM, van Busschbach JJ: Kwaliteit van leven meten in economische evaluaties: het Nederlands EQ-5D-tarief [Measuring the quality of life in economic evaluations: the Dutch EQ-5D tariff]. Ned Tijdschr Geneeskd 2005, 149: 1574–1578.PubMed
57.
Rabin R, de Charro F: EQ-5D: a measure of health status from the EuroQol Group. Ann Med 2001, 33: 337–343. 10.3109/07853890109002087CrossRefPubMed
58.
van Nispen R, Knol D, Neve H, van Rens G: A multilevel item response theory model was investigated for longitudinal vision-related quality-of-life data. J Clin Epidemiol 2010, 63(3):321–210. 10.1016/j.jclinepi.2009.06.012CrossRefPubMed
59.
van Nispen RMA, de Boer MR, Hoeijmakers JGJ, Ringens PJ, van Rens GHMB: Co-morbidity and visual acuity are risk factors for health-related quality of life decline: five-month follow-up EQ-5D data of visually impaired older patients. Health Qual Life Outcomes 2009, 7: 18. 10.1186/1477-7525-7-18PubMedCentralCrossRefPubMed
60.
Ahmadian L, Massof R: Impact of general health status on validity of visual impairment measurement. Ophthalmic Epidemiol 2008, 15: 345–355. 10.1080/09286580802227402CrossRefPubMed
61.
Burggraaff MC, van Nispen RMA, Knol DL, Ringens PJ, van Rens GHMB: Randomized controlled trial on the effects of CCTV training on quality of life, depression, and adaptation to vision loss. Invest Ophthalmol Vis Sci 2012, 53: 3645–3652. 10.1167/iovs.11-9226CrossRefPubMed
62.
Owsley C, Gwin G Jr, Lee PP, Wasserman N, Searcey K: Characteristics of low-vision rehabilitation services in the United States. Arch Ophthalmol 2009, 127: 681–689. 10.1001/archophthalmol.2009.55PubMedCentralCrossRefPubMed
63.
Brody BL, Roch-ÇÉLevecq AC, Kaplan RM, Moutier CY, Brown SI: Age-related macular degeneration: self-management and reduction of depressive symptoms in a randomized, controlled study. J Am Geriatr Soc 2006, 54: 1557–1562. 10.1111/j.1532-5415.2006.00881.xCrossRefPubMed
64.
Brody BL, Roch-Levecq AC, Thomas RG, Kaplan RM, Brown SI: Self-management of age-related macular degeneration at the 6-month follow-up: a randomized controlled trial. Arch Ophthalmol 2005, 123: 46–53. 10.1001/archopht.123.1.46CrossRefPubMed
65.
Brody BL, Roch-Levecq AC, Gamst AC, Maclean K, Kaplan RM, Brown SI: Self-management of age-related macular degeneration and quality of life: a randomized controlled trial. Arch Ophthalmol 2002, 120: 1477–1483. 10.1001/archopht.120.11.1477CrossRefPubMed
66.
Rees G, Keeffe JE, Hassell J, Larizza M, Lamoureux E: A self-management program for low vision: program overview and pilot evaluation. Disabil Rehabil 2010, 32: 808–815. 10.3109/09638280903304193CrossRefPubMed
67.
Rovner BW, Casten RJ, Hegel MT, Massof RW, Leiby BE, Tasman WS: Improving function in age-related macular degeneration: design and methods of a randomized clinical trial. Contemp Clin Trials 2011, 32: 196–203. 10.1016/j.cct.2010.10.008PubMedCentralCrossRefPubMed
68.
Rovner BW, Casten RJ, Hegel MT, Massof RW, Leiby BE, Ho AC, Tasman WS: Improving function in age-related macular degeneration: a randomized clinical trial. Ophthalmology 2013, 120: 1649–1655. 10.1016/j.ophtha.2013.01.022PubMedCentralCrossRefPubMed
69.
Rovner BW, Casten RJ, Hegel MT, Massof RW, Leiby BE, Ho AC, Tasman WS: Low Vision Depression Prevention Trial in Age-Related Macular Degeneration: A Randomized Clinical Trial. Ophthalmology 2014, in press.
70.
van der Aa HPA, van Rens GHMB, Comijs HC, Bosmans JE, Margrain TH, van Nispen RMA: Stepped-care to prevent depression and anxiety in visually impaired older adults–design of a randomised controlled trial. BMC Psychiatry 2013, 13: 209. 10.1186/1471-244X-13-209PubMedCentralCrossRefPubMed
71.
Margrain TH, Nollett C, Shearn J, Stanford M, Edwards RT, Ryan B, Bunce C, Casten R, Hegel MT, Smith DJ: The depression in visual impairment trial (DEPVIT): trial design and protocol. BMC Psychiatry 2012, 12: 57. 10.1186/1471-244X-12-57PubMedCentralCrossRefPubMed
72.
Rees G, Mellor D, Holloway EE, Sturrock BA, Hegel MT, Casten R, Xie J, Finkelstein E, Lamoureux E, Keeffe JE: Integrated depression management: a proposed trial of a new model of care in a low vision rehabilitation setting. Ophthalmic Epidemiol 2013, 20: 321–329. 10.3109/09286586.2013.787102CrossRefPubMed
73.
van Nispen RMA, Knol DL, Langelaan M, de Boer MR, Terwee CB, van Rens GHMB: Applying multilevel item response theory to vision-related quality of life in Dutch visually impaired elderly. Optom Vis Sci 2007, 84: 710–720. 10.1097/OPX.0b013e31813375b8CrossRefPubMed
74.
Warburton DER, Nicol CW, Bredin SSD: Health benefits of physical activity: the evidence. Can Med Assoc J 2006, 174: 801–809. 10.1503/cmaj.051351CrossRef
75.
Rethorst CD, Wipfli BM, Landers DM: The antidepressive effects of exercise: a meta-analysis of randomized trials. Sports Med 2009, 39: 491–511. 10.2165/00007256-200939060-00004CrossRefPubMed
76.
Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, Bouter LM, de Vet HCW: The COSMIN Checklist Manual. VU University Medical Center, Amsterdam; 2010.
77.
De Vet HCW, Terwee CB, Mokkink LB, Knol DL: Measurement in Medicine: A Practical Guide. Cambridge University Press, New York; 2011.CrossRef
78.
Mokkink LB, Terwee CB, Knol DL, Stratford PW, Alonso J, Patrick DL, Bouter LM, de Vet HC: The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: a clarification of its content. BMC Med Res Methodol 2010, 10: 22. 10.1186/1471-2288-10-22PubMedCentralCrossRefPubMed
Metadata
Title
Longitudinal observation, evaluation and interpretation of coping with mental (emotional) health in low vision rehabilitation using the Dutch ICF Activity Inventory
Authors
Janna E Bruijning
Ger HMB van Rens
Mark Fick
Dirk L Knol
Ruth MA van Nispen
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2014
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-014-0182-4

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