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| Long-term evaluation of a health education programme for elderly persons with visual impairment. A randomized study |
| Eklund K, Sonn U, Dahlin Ivanoff S |
| Disability and Rehabilitation 2004;26(7):401-409 |
| clinical trial |
| 4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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In order to implement evidence-based practice, a randomized study was set up to evaluate the ADL-based health education programme 'discovering new ways' for elderly persons with age-related macular degeneration. PURPOSE: To investigate the impact of this program on perceived security in the performance of daily activities 28 months after the intervention. METHOD: Two-hundred and twenty-nine persons randomized to either the health education programme or an individual intervention programme participated in the study. At the 28-month follow-up there was a dropout of 98 persons and the results are based on 62 persons participating in the health education programme and 69 persons in the individual intervention programme. RESULTS: There were statistically significant differences in perceived security between the groups in 15 out of 28 daily activities. Furthermore, the health education group showed a significant tendency towards an improved level of security while the individual intervention group tended to deteriorate. CONCLUSIONS: The findings provide strong support for the long-term effect of the programme and for the implementation of evidence-based practice. The study corroborates the effectiveness of the health education programme in enhancing security and hindering a progressive decline in perceived security in daily activities.
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