The Impact of Visual Impairment and Use of Eye Services on Health-Related Quality of Life among the Elderly in Taiwan: The Shihpai Eye Study

Community Medicine Research Center and Institute of Public Health, National Yang-Ming University, Shihpai, Taipei, Taiwan.
Quality of Life Research (Impact Factor: 2.49). 11/2004; 13(8):1415-24. DOI: 10.1023/B:QURE.0000040791.87602.fe
Source: PubMed


To evaluate the effect of impaired vision on health-related quality of life (HRQoL), the authors administered the Medical Outcomes Survey Short-Form 36 (SF-36) to the elderly in a metropolitan Taiwanese community and assessed their visual impairment status. A structured questionnaire was used for door-to-door data collection. Interviewers also collected information on demographics, medical history, and HRQoL. Those who were interviewed were invited to the study hospital for a detailed eye examination. An eye examination, including presenting visual acuity and best-corrected visual acuity, was conducted by ophthalmologists. Presenting visual acuity and best-corrected visual acuity were measured in the better eye. Impaired vision was defined as presenting visual acuity in the better-seeing eye worse than 6/12 (or 20/40) and was used to evaluate the correlation to HRQoL. A total of 1361 subjects at least 65 years of age participated in both the interview and eye examination. Internal-consistency and test-retest reliability of the eight scales were high. Based on the separate multiple regression model, after controlling for all other covariates, subjects in contact with vision services offered by an ophthalmologist had more positive scores on general health perceptions (beta = 4.29; p < 0.001), vitality/energy (beta = 2.73; p < 0.001), and mental health (beta = 2.06; p = 0.01). Impaired vision was associated with significantly lower scores in physical functioning (beta = -3.62; p < 0.001) and social functioning scales (beta = -3.25; p = 0.015). The findings suggest that visual impairment is associated with lower quality of life and use of eye care services is associated with higher quality of life.

4 Reads
  • Source
    • "This is a foreseeable trend that when the Hong Kong population is aging, the problem will be much more serious in the future, being not only an individual health problem, but also a public economic burden. To cope with this, suitable eye services are essential , and many have been proven effective to improve QOL for people with visual impairment (Brenner et al., 1993; Mangione et al., 1994; Tsai et al., 2004). Visual acuity, contrast sensitivity, and stereopsis were used to access risk of falls in many studies (Ivers et al., 1998; Lord and Dayhew, 2001; Rowan, 2001). "
    [Show abstract] [Hide abstract]
    ABSTRACT: This study aimed to examine the association of visual functioning and health-related quality of life (HRQOL) among the older community in Hong Kong. This study used the baseline examination of a cohort study MrOs and MsOs (a large study for osteoporosis in men and women). This study was set in the Hong Kong community. A total of 4000 ambulatory community-dwelling Chinese men and women aged 65 years or above participated in this study. Health-related quality of life was assessed by Medical Outcomes Study Short Form-12 (SF-12), with physical component summary (PCS) and mental component summary (MCS) scores. Demographics, medical history, mental status, and quality of life were obtained from face-to-face interviews, using standard structured questionnaire. Visual functions (i.e., binocular visual acuity, contrast sensitivity, and stereopsis) were assessed by different visual tests after refraction corrections. Different visual functions were tested simultaneously in multiple ordinal logistic regression models. Better binocular visual acuity, contrast sensitivity, and stereopsis were associated with higher PCS. Visual acuity and contrast sensitivity was associated with PCS after adjustment of different visual functions and sex, age, education level, cognitive status, and history of diabetes in multivariate analysis, (OR = 0.73, 95% CI = 0.54 0.98) for low vision (≤6/24) compared with ≥6/9 in visual acuity and (OR = 1.34, 95% CI = 1.09 1.64) for contrast sensitivity row b 5-8 (best) compared with 0-1 (worst). MCS was only associated with visual acuity and contrast sensitivity, but no association was found after adjustment. Apparent association was found between visual functions and HRQOL among older community in Hong Kong. In addition to visual acuity, contrast sensitivity is also important, so eye care should also cover.
    International Journal of Geriatric Psychiatry 08/2012; 27(8):807-15. DOI:10.1002/gps.2789 · 2.87 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The hypothesis of this study was that dance movement therapy, because of its body based approach and techniques facilitating interaction, relatedness, emotional expression, and expanded movement repertoire, will benefit this population by decreasing social isolation, depressive states, and inactivity, thus potentially increasing the elderly person with visual impairment quality of life. The study focused on the following research question: How does the elderly with late onset visual impairment perceive dance/movement therapy to affect their mood, social functioning and mobility? This study was a single-case study with one participant who was elderly, experiencing lateonset visual impairment, and without serious medical and mental illnesses. The participant took part in a pre-intervention interview and questionnaire, six dance/movement sessions, and a post-intervention interview. The results appear to support the hypothesis. Dance/movement therapy appeared to increase the participant’s social functioning, positive mood, and mobility. The study suggests that dance/movement therapy could an acceptable and beneficial intervention for the visually impaired elderly in the areas of social functioning, mood, and mobility.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Patient health status was evaluated using Japanese versions of COOP charts. The subconjunctival hemorrhage group scored 3.6 in overall health and 3.7 in change in health. The painful outer eye disease group scored higher than 3.0 in feeling, pain, change in health, and quality of life. The seeing floaters group scored higher than 3.0 in feeling, overall health, change in health, and quality of life.
    Annals of Ophthalmology 02/2006; 38(1):53-60. DOI:10.1385/AO:38:1:53 · 0.17 Impact Factor
Show more