An Evaluation of a Clinic-Based Low Vision Device Lending Library

Abstract

As the efficacy of low vision service provision is facilitated by clients’ access to and proper use of low vision devices, the objective of this study was to evaluate an outpatient clinic-based low vision device lending library program and the functional and psychosocial impact that device use had upon clients. Twenty individuals borrowed portable video magnifiers during the study period. Line items from the Revised-Self-Report Assessment of Functional Visual Performance and the Reading Behavior Inventory were analyzed before and after device loan at two months. The Psychosocial Impact of Assistive Devices Scale-10 and a semi-structured interview were also completed at two months. Reported improvements in reading performance and satisfaction levels on the Reading Behavior Inventory were significant (p<.001). The Revised-Self-Report Assessment of Functional Visual Performance indicated improved independence in reading medications, bills and labels. Higher scores in happiness, independence, sense of control and adaptability on the Psychosocial Impact of Assistive Devices Scale-10 indicated device retention at two months. Qualitative themes included improved independence, time needed to acclimate to the device, personal appraisal impacting motivation and challenges specific to low vision. This article provides occupational therapists a model to facilitate access, person-device fit and successful use of low vision devices to promote therapy outcomes.

Keywords:

• low vision rehabilitation
• assistive technology
• low vision devices
• occupational therapy

Declaration of interest

The authors report no conflicts of interest.

Funding

The author(s) reported there is no funding associated with the work featured in this article.

Additional information

Notes on contributors

Noel C. Guidry

Noel C. Guidry, OTD, OTR/L, SCLV, CLVT is an occupational therapist at the Brooks Rehabilitation Center for Low Vision and is Contributing Faculty at the University of St. Augustine for Health Sciences.

Laura K. Vogtle

Laura K. Vogtle, PhD, OTR/L, FAOTA is an adjunct professor at the Department of Occupational Therapy at the University of Alabama Birmingham, with expertise in pediatric intervention and research methods.

Elizabeth A. Barstow

Elizabeth A. Barstow, PhD, OTR/L, FAOTA, SCLV is an Associate Professor and Director of the Graduate Certificate in Low Vision Rehabilitation program at the University of Alabama Birmingham.

Katelyn W. Jordan

Katelyn W. Jordan, OD, FAAO is a low vision optometrist serving clients at the Brooks Rehabilitation Center for Low Vision, as well as clients throughout the Brooks Rehabilitation system of care.