Comparative Analysis of Health- and Vision-Related Quality of Life Measures among Trinidadians with Low Vision and Normal Vision-A Cross-Sectional Matched Sample Study.

Journal: International journal of environmental research and public health

Volume: 20

Issue: 14

Year of Publication: 2023

Affiliated Institutions:  Optometry Unit, Department of Clinical Surgical Sciences, Faculty of Medical Sciences, University of the West Indies, St Augustine Campus, St. Augustine , Trinidad and Tobago. Brain and Mind Group, Clinical Sciences, Murdoch Children's Research Institute, Parkville, VIC , Australia. Department of Optometry, Faculty of Health Sciences, University of Free State, Bloemfontein , South Africa. School of Nursing and Midwifery, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW , Australia. Department of Health Promotion, The University of the West Indies, St. Augustine Campus, St. Augustine , Trinidad and Tobago. Department of Optometry, College of Health Sciences, University of Kwazulu-Natal, Westville Campus, Durban , South Africa.

Abstract summary 

This cross-sectional study investigated the health-related and vision-related quality of life measures of adults with low vision compared to healthy individuals in Trinidad and Tobago. The health-related quality of life (HRQOL-14) and the National Eye Institute Visual Functioning Questionnaire (NEI-VFQ-25) were administered to 20 participants with low vision caused by diabetic retinopathy, retinitis pigmentosa, glaucoma, and macular degeneration, as well as 20 participants with no visual problems (control). Participants were recruited from the University Eye Clinic in Trinidad and Tobago. Compared to the controls, more participants in the low-vision group had lower age-adjusted NEI-VFQ-25 scores (48.3% vs. 95.1%; < 0.001), had poor general (47.5% vs. 10%, = 0.004) and mental (100% vs. 10%, < 0.042) health, experienced greater activity limitation due to impairment or health problems (85% vs. 20%, < 0.001), needed help with personal care (27.5% vs. 0%, < 0.009) and daily routine (67.5% vs. 0%, < 0.001), and experienced sleep problems (97.5% vs. 65%, < 0.001) and symptoms of anxiety (100% vs. 90%, = 0.042). All the diabetic retinopathy participants (100%, = 0.028) had two or more impairments or vision problems compared to none in the other low-vision participants. In summary, the HRQOL-14 and NEI-VFQ-25 scores were significantly reduced in low-vision participants, who also demonstrated a greater vulnerability to poor quality of life in the presence of diabetes retinopathy. These findings have important clinical implications regarding offering appropriate support and interventions to improve quality of life outcomes in individuals with low vision.

Authors & Co-authors:  Ekemiri Kingsley K KK Botchway Edith N EN Ezinne Ngozika E NE Sirju Nikolai N Persad Tea T Masemola Hlabje Carel HC Chidarikire Sherphard S Ekemiri Chioma C CC Osuagwu Uchechukwu Levi UL

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Burton M.J., Ramke J., Marques A.P., A Bourne R.R., Congdon N., Jones I., Tong B.A.M.A., Arunga S., Bachani D., Bascaran C., et al. The Lancet global health Commission on global eye health: Vision beyond 2020. Lancet Glob. Health. 2021;9:e489–e551.
Authors :  9
Identifiers
Doi : 6436
SSN : 1660-4601
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Trinidad;eye diseases;low vision;quality of life;vision impairment
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Switzerland