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What explains health in persons with visual impairment?

What explains health in persons with visual impairment?
What explains health in persons with visual impairment?
Background
Visual impairment is associated with important limitations in functioning. The International Classification of Functioning, Disability and Health (ICF) adopted by the World Health Organisation (WHO) relies on a globally accepted framework for classifying problems in functioning and the influence of contextual factors. Its comprehensive perspective, including biological, individual and social aspects of health, enables the ICF to describe the whole
health experience of persons with visual impairment. The objectives of this study are (1) to analyze whether the ICF can be used to comprehensively describe the problems in
functioning of persons with visual impairment and the environmental factors that influence their lives and (2) to select the ICF categories that best capture self-perceived health of persons with visual impairment.
Methods
Data from 105 persons with visual impairment were collected, including socio-demographic data, vision-related data, the Extended ICF Checklist and the visual analogue scale of the EuroQoL-5D, to assess self-perceived health. Descriptive statistics and a Group Lasso regression were performed. The main outcome measures were functioning defined as impairments in Body functions and Body structures, limitations in Activities and restrictions
in Participation, influencing Environmental factors and self-perceived health.
Results
In total, 120 ICF categories covering a broad range of Body functions, Body structures, aspects of Activities and Participation and Environmental factors were identified. Thirteen ICF categories that best capture self-perceived health were selected based on the Group Lasso regression. While Activities-and-Participation categories were selected most frequently, the greatest impact on self-perceived health was found in Body-functions categories. The ICF can be used as a framework to comprehensively describe the problems of persons with visual impairment and the Environmental factors which influence their lives.
Conclusions
There are plenty of ICF categories, Environmental-factors categories in particular, which are relevant to persons with visual impairment, but have hardly ever been taken into
consideration in literature and visual impairment-specific patient-reported outcome measures.
1477-7525
65
Leissner, J.
28bb9c4e-f5d0-48d4-be36-e56f2014de7a
Coenen, M.
c5812919-8c45-4bfa-aed8-7f91ab994e14
Froehlich, S.
ad644152-8ad9-44c0-96d4-8db84ba31666
Loyola, D.
49f9a2ed-adac-400d-8388-387c2530e57a
Cieza, A.
a0df25c5-ee2c-4580-82b3-d0a75591580e
Leissner, J.
28bb9c4e-f5d0-48d4-be36-e56f2014de7a
Coenen, M.
c5812919-8c45-4bfa-aed8-7f91ab994e14
Froehlich, S.
ad644152-8ad9-44c0-96d4-8db84ba31666
Loyola, D.
49f9a2ed-adac-400d-8388-387c2530e57a
Cieza, A.
a0df25c5-ee2c-4580-82b3-d0a75591580e

Leissner, J., Coenen, M., Froehlich, S., Loyola, D. and Cieza, A. (2014) What explains health in persons with visual impairment? Health and Quality of Life Outcomes, 12, 65. (doi:10.1186/1477-7525-12-65).

Record type: Article

Abstract

Background
Visual impairment is associated with important limitations in functioning. The International Classification of Functioning, Disability and Health (ICF) adopted by the World Health Organisation (WHO) relies on a globally accepted framework for classifying problems in functioning and the influence of contextual factors. Its comprehensive perspective, including biological, individual and social aspects of health, enables the ICF to describe the whole
health experience of persons with visual impairment. The objectives of this study are (1) to analyze whether the ICF can be used to comprehensively describe the problems in
functioning of persons with visual impairment and the environmental factors that influence their lives and (2) to select the ICF categories that best capture self-perceived health of persons with visual impairment.
Methods
Data from 105 persons with visual impairment were collected, including socio-demographic data, vision-related data, the Extended ICF Checklist and the visual analogue scale of the EuroQoL-5D, to assess self-perceived health. Descriptive statistics and a Group Lasso regression were performed. The main outcome measures were functioning defined as impairments in Body functions and Body structures, limitations in Activities and restrictions
in Participation, influencing Environmental factors and self-perceived health.
Results
In total, 120 ICF categories covering a broad range of Body functions, Body structures, aspects of Activities and Participation and Environmental factors were identified. Thirteen ICF categories that best capture self-perceived health were selected based on the Group Lasso regression. While Activities-and-Participation categories were selected most frequently, the greatest impact on self-perceived health was found in Body-functions categories. The ICF can be used as a framework to comprehensively describe the problems of persons with visual impairment and the Environmental factors which influence their lives.
Conclusions
There are plenty of ICF categories, Environmental-factors categories in particular, which are relevant to persons with visual impairment, but have hardly ever been taken into
consideration in literature and visual impairment-specific patient-reported outcome measures.

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More information

Published date: 2014
Organisations: Psychology

Identifiers

Local EPrints ID: 364700
URI: https://eprints.soton.ac.uk/id/eprint/364700
ISSN: 1477-7525
PURE UUID: 3bf408ef-6ce0-464a-bc79-8c15621da241

Catalogue record

Date deposited: 08 May 2014 11:47
Last modified: 16 Jul 2019 21:06

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