Evidence map›Paper›PMID 32883736›Full record

Trial reportBMJ open2020

Recipient and instructor perspectives of an adapted exercise-based fall prevention programme for adults aged 50+ years with vision impairment: a qualitative study nested within a randomised controlled trial.

Lisa Dillon, Lindy Clemson, Helen Nguyen, Kirsten Bonrud Jakobsen, Jodi Martin, Frances Tinsley, Lisa Keay

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 51% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Support for Older People With Vision Impairment: A Rapid Realist Review.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Review
  2. Article
  3. Visual Impairment and Objectively Measured Physical Activity in Middle-Aged and Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    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

7 authors at 2 institutions in 1 country.

Lisa DillonSchool of Optometry and Vision Science, Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia lisa.dillon1@unsw.edu.au.ORCID 0000-0002-8124-6154
Lindy ClemsonAgeing, Work and Health Research Unit, University of Sydney, Sydney, Victoria, Australia.
Helen NguyenSchool of Optometry and Vision Science, Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia.
Kirsten Bonrud JakobsenInjury Division, The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Jodi MartinClient Services, Guide Dogs NSW/ACT, Sydney, New South Wales, Australia.
Frances TinsleyClient Services, Guide Dogs NSW/ACT, Sydney, New South Wales, Australia.
Lisa KeaySchool of Optometry and Vision Science, Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia.
UNSW Sydney · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOlder adults with vision impairment currently have no access to tailored fall prevention programmes. Therefore, the purpose of this study, nested within an ongoing randomised controlled trial (RCT), is to document the adaptation of an existing fall prevention programme and investigate the perspectives of instructors involved in delivery and the older adults with vision impairment receiving the programme (recipients).

designWe documented programme adaptations and training requirements, and conducted semistructured, individual interviews with both the instructors and the recipients of the programme from 2017 to 2019. The content of each interview was analysed using behaviour change theory through deductive qualitative analysis.

settingNew South Wales and Australian Capital Territory, Australia.

participantsThe 11 trained instructors interviewed were employees of a vision rehabilitation organisation and had delivered at least one programme session as part of the RCT. The 154 recipients interviewed were community-dwelling adults aged ≥50 years with vision impairment and no diagnosis of dementia, and had completed their participation in the programme as part of the intervention group of the RCT.

resultsSix key themes were identified relating to recipient (delivery aptitude, social norms, habit formation) and instructor (individualised adaptation, complimentary to scope of practice, challenges to delivery) perspectives. With initial training, instructors required minimal ongoing support to deliver the programme and made dynamic adaptations to suit the individual circumstances of each recipient, but cited challenges delivering the number of programme activities required. Recipient perspectives varied; however, most appreciated the delivery of the programme by instructors who understood the impact of vision impairment. CONCLUSIONS AND IMPLICATIONS: This novel qualitative study demonstrates that the adapted programme, delivered by instructors, who already have expertise delivering individualised programmes to older people with vision impairment, may fill the gap for a fall prevention programme in this population. TRIAL REGISTRATION NUMBER: ACTRN12616001186448.

Indexed as

Accidental FallsExerciseAgedAged, 80 and overAustraliaHumansMiddle AgedNew South WalesQualitative Researchepidemiologygeriatric medicineophthalmologypreventive medicinepublic healthqualitative research

Identifiers

PMID32883736
PMCPMC7473617
OpenAlexW3083406304

What OpenQuestion holds

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LicenceCC BY-NC
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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.