Evidence map›Paper›PMID 41594728›Full record

ArticleBrain sciences2025

Wayfinding with Impaired Vision: Preferences for Cues, Strategies, and Aids (Part II-Perspectives from Orientation and Mobility Instructors).

Dominique P H Blokland, Maartje J E van Loef, Nathan van der Stoep, Albert Postma, Krista E Overvliet

Abstract read
In one paragraph

Article in Brain sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

5 authors.

Dominique P H BloklandExperimental Psychology, Helmholtz Institute, Utrecht University, 3584 CS Utrecht, The Netherlands.ORCID 0000-0002-7954-5761
Maartje J E van LoefExperimental Psychology, Helmholtz Institute, Utrecht University, 3584 CS Utrecht, The Netherlands.
Nathan van der StoepHuman Machine Teaming, Defense, Safety, and Security, Nederlandse Organisatie voor Toegepast-Natuurwetenschappelijk Onderzoek (TNO), 3769 DE Soesterberg, The Netherlands.ORCID 0000-0002-0412-2078
Albert PostmaExperimental Psychology, Helmholtz Institute, Utrecht University, 3584 CS Utrecht, The Netherlands.
Krista E OvervlietExperimental Psychology, Helmholtz Institute, Utrecht University, 3584 CS Utrecht, The Netherlands.ORCID 0000-0002-3537-8172

Funding

ZonMw, The Dutch Organisation for knowledge and innovation in health, healthcare and well-being 60-63700-98-520
6 · The paper itself

Abstract

BACKGROUND/

objectivesPeople with visual impairments can participate in orientation and mobility (O&M) training to learn how to navigate to their desired destinations. Instructors adapt their approach to each individual client. However, assessments of client characteristics and resulting instructional adaptations are not standardised and may therefore vary. This study aimed to identify which individual differences instructors consider during O&M training and why.

methodsWe conducted semi-structured qualitative interviews with 10 O&M instructors. Participants were asked to describe how they prepare for a training trajectory, and to describe a route they taught a specific client. Thematic analysis was used to determine instructional choices and the relevant client-specific factors.

resultsWe observed a common four-step instructional process in which clients are taught to notice, interpret, act upon, and anticipate relevant sensory cues until a destination is reached. Four main themes captured the individual differences impacting this process: Sensory modalities, Capacities and limits, Personal contextual characteristics, and Training approach.

conclusionsInstructors perceive route learning to be shaped by clients' sensory abilities (even fluctuating within sensory modalities), mental and physical capacities (especially concentration and energy), and personal characteristics (especially age and anxiety). The dynamic social context in which training takes place (e.g., the instructor-client relationship) is shaped by individual differences between both clients and instructors. We speculate that trust-related themes (e.g., building confidence) may explain why certain client characteristics are emphasised by instructors, as they are associated with training outcomes.

Indexed as

blindnessguide dogindividual differenceslow visionO&Morientation and mobility trainingrehabilitationroute learningvisual impairmentwhite cane

Identifiers

PMID41594728
PMCPMC12839134

What OpenQuestion holds

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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.