Evidence map›Paper›PMID 23619914›Full record

ArticleJAMA ophthalmology2013

A low-vision rehabilitation program for patients with mild cognitive deficits.

Heather E Whitson, Diane Whitaker, Guy Potter, Eleanor McConnell, Fay Tripp, Linda L Sanders, Kelly W Muir, Harvey J Cohen, Scott W Cousins

Open access · greenAbstract read
In one paragraph

Article in JAMA ophthalmology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Interventions Within the Scope of Occupational Therapy Practice to Improve Performance of Daily Activities for Older Adults With Low Vision: A Systematic Review.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
    Pooled it
  2. Trial
  3. Article
  4. Exploring the Writing and Typing Needs of Older Adults with Acquired Vision Loss: A Qualitative Study of Challenges and Adaptive Strategies.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  5. Article
  6. Article
  7. Cognitive Impairment among Veterans in Outpatient Vision Rehabilitation.Optometry and vision science : official publication of the American Academy of Optometry · 2020
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Health coaching for glaucoma care: a pilot study using mixed methods.Clinical ophthalmology (Auckland, N.Z.) · 2015
    Article
  13. Correlation between visual acuity and cognitive functions.The British journal of ophthalmology · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Heather E WhitsonDepartment of Internal Medicine, Duke University Medical Center, Durham, NC 27710, USA. heather.whitson@duke.edu
Diane Whitaker
Guy Potter
Eleanor McConnell
Fay Tripp
Linda L Sanders
Kelly W Muir
Harvey J Cohen
Scott W Cousins
Duke Medical Center · USDuke University · USDurham VA Medical Center · US

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
Anhedonia, Aging, and the Neural Correlates of Attentional Control in DepressionK23MH087741 · NIMH · DUKE UNIVERSITY · PI POTTER, GUY GLENN · 2010 to 2014
$680k
Developing Interventions to Improve Function in Seniors with Comorbid ConditionsK23AG032867 · NIA · DUKE UNIVERSITY · PI WHITSON, HEATHER E. · 2008 to 2012
$535k
NIA NIH HHS 5P30AG028716NIA NIH HHS K23 AG032867NIA NIH HHS P30 AG028716NIMH NIH HHS K23 MH087741NIMH NIH HHS MH087741
6 · The paper itself

Abstract

importanceWe are unaware of any standardized protocols within low-vision rehabilitation (LVR) to address cognitive impairment.

objectiveTo design and pilot-test an LVR program for patients with macular disease and cognitive deficits.

designThe Memory or Reasoning Enhanced Low Vision Rehabilitation (MORE-LVR) program was created by a team representing optometry, occupational therapy, ophthalmology, neuropsychology, and geriatrics. This pilot study compares outcomes before and after participation in the MORE-LVR program.

settingEligible patients were recruited from an LVR clinic from October 1, 2010, through March 31, 2011.

participantsTwelve patients completed the intervention, and 11 companions attended at least 1 training session.

interventionKey components of the MORE-LVR intervention are as follows: (1) repetitive training with a therapist twice weekly during a 6-week period, (2) simplified training experience addressing no more than 3 individualized goals in a minimally distracting environment, and (3) involvement of an informal companion (friend or family member).

main outcome measuresVersion 2000 National Eye Institute Vision Function Questionnaire-25; timed performance measures, Telephone Interview for Cognitive Status-modified(TICS-m), Logical Memory tests, satisfaction with activities of daily living, and goal attainment scales.

resultsTwelve patients without dementia (mean age, 84.5 years; 75% female) who screened positive for cognitive deficits completed the MORE-LVR program. Participants demonstrated improved mean (SD) scores on the National Eye Institute's Visual Function Questionnaire-25 composite score (47.2 [16.3] to 54.8 [13.8], P = .01) and near-activities score (21.5 [14.0] to 41.0 [23.1], P = .02), timed performance measures (writing a grocery list [P = .03], filling in a crossword puzzle answer [P = .003]), a score indicating satisfaction with independence (P = .05), and logical memory (P = .02). All patients and companions reported progress toward at least 1 individualized goal; more than 70% reported progress toward all 3 goals. CONCLUSIONS AND RELEVANCE: This pilot study demonstrates feasibility of an LVR program for patients with macular disease and mild cognitive deficits. Participants demonstrated improvements in vision-related function and cognitive measures and expressed high satisfaction. Future work is needed to determine whether MORE-LVR is superior to usual outpatient LVR for persons with coexisting visual and cognitive impairments.

Indexed as

Program EvaluationActivities of Daily LivingAgedAged, 80 and overCognition DisordersEducation of Persons with Visual DisabilitiesFemaleHumansIntelligence TestsMalePersons with Visual DisabilitiesPilot ProjectsRetinal DiseasesSickness Impact ProfileVision, Low

Identifiers

PMID23619914
PMCPMC3710540
OpenAlexW1978886387

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.