{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T03:21:31Z","timestamp":1781148091328,"version":"3.54.1"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T00:00:00Z","timestamp":1644278400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmic Physiologic Optic"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Longitudinal changes in priority rehabilitation needs, vision\u2010related activity limitation and importance of visual goals were evaluated in a sample of people with a visual impairment over a year following entry to low vision rehabilitation services in England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were adults with newly registered visual impairment within Leicestershire. Priority scores, indicating the level of rehabilitative need, were determined from the importance and difficulty scores of the 48\u00a0goals of the Participation and Activity Inventory (PAI). Rasch analysis of the difficulty and importance scores examined activity limitation and importance separately. PAI outcome measures were assessed on entry to rehabilitation services and at 4 and 12\u00a0months thereafter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010eight participants (mean age 74.2, SD 14.1\u00a0years) completed three visits. Overall, there was a statistically significant reduction in the perceived need for rehabilitation over time (\n                      <jats:italic>p\u00a0<\/jats:italic>\n                      &lt;\u00a00.001,\n                      <jats:italic>\n                        \u03b7\n                        <jats:sub>p<\/jats:sub>\n                      <\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a00.29), driven by reduced perceived difficulty (\n                      <jats:italic>p\u00a0<\/jats:italic>\n                      &lt;\u00a00.001,\n                      <jats:italic>\n                        \u03b7\n                        <jats:sub>p<\/jats:sub>\n                        <jats:sup>2<\/jats:sup>\n                      <\/jats:italic>\n                      \u00a0=\u00a00.32) but stable importance (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.73) of goals, with most change occurring between baseline and 4\u00a0months. PAI goals with greatest rehabilitative need at study entry were reading, mobility and writing, and these remained of highest priority over time. The greatest priority score decrease was for the goal \u2018Hobbies and crafts\u2019. The largest decrease in importance was for \u2018Mobility outdoors\u2019, whereas \u2018Relationship with loved ones\u2019 increased most.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite a decline in the perceived need for rehabilitation over the study period, there remains a need for continued support and intervention at 12\u00a0months following registration with rehabilitation services, particularly for the key goals of reading, writing and mobility. Early identification and support for individuals\u2019 important but difficult goals could prevent such goals being relinquished. Goals concerning relationships and communication became more important over time, indicating that re\u2010evaluation of needs at follow\u2010up is necessary to inform ongoing service provision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.12950","type":"journal-article","created":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T05:28:57Z","timestamp":1644298137000},"page":"491-503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Change in rehabilitation needs and activity limitations over time of adults with acquired visual impairment following entry to a low vision rehabilitation service in England"],"prefix":"10.1007","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5593-5274","authenticated-orcid":false,"given":"Jane","family":"Macnaughton","sequence":"first","affiliation":[{"name":"Vision &amp; Hearing Sciences Research Centre Anglia Ruskin University  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Vianya\u2010Estopa","sequence":"additional","affiliation":[{"name":"Vision &amp; Hearing Sciences Research Centre Anglia Ruskin University  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4060-0006","authenticated-orcid":false,"given":"Keziah","family":"Latham","sequence":"additional","affiliation":[{"name":"Vision &amp; Hearing Sciences Research Centre Anglia Ruskin University  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,2,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006324-200105000-00017"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006543.pub2\/full"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2011.06.006"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2003.037457"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.87.11.1391"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2012-302416"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.86.7.743"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2013.005512"},{"key":"e_1_2_10_10_1","volume-title":"Vision rehabilitation services: what is the evidence?","author":"Rabiee P","year":"2015"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215511429162"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12782"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u201010\u2010318"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0b013e318282cdce"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0b013e3181339efd"},{"key":"e_1_2_10_16_1","unstructured":"World Health Organisation.International classification of functioning disability and health (ICF).2001. 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