Main components of interventions provided in the three arms of the trial
| Conventional low vision rehabilitation (CLVR) | Enhanced low vision rehabilitation (ELVR) | Controlled for additional contact time in enhanced low vision rehabilitation (CELVR) |
|---|---|---|
| • Check a patient’s understanding of the diagnosis and prognosis • Discuss needs/visual requirements and set initial goals • Assess vision (including sight test and near acuities) • Re-appraise goals • Demonstrate specific LVAs • Explain use and handling of prescribed LVAs • Advise about lighting and other methods of enhancing vision • Provide large print literature about diagnosis, vision enhancement, use of LVAs and other services • Refer to other services where necessary (eg, to ahospital support worker) • Arrange for follow ups, usually at 3 months withadditional appointments being offered if necessary | As for conventional LVR, plus up to three home visits (at approximately 2 weeks, 4–8 weeks, and at 4–6 months after the first low vision assessment) by a trained rehabilitation officer to: • advise on use of LVA(s): assess patterns of LVA use (eg, tasks attempted, frequency and duration of use) and difficulties experienced in using LVAs; • demonstrate and supply alternative or additional LVAs, if appropriate; • provide wider patient support—eg, direct patients to relevant support and welfare services | As for conventional LVR, plus up to three home visits (at approximately 2 weeks, 4–8 weeks, and at 4–6 months after the first low vision assessment) by a community care worker to: • discuss ability to cope with daily activities • discuss ability to take part in leisure activities • discuss other problems or topics raised by participant |