Clinical trial NCT00347620: Improving Vision and Quality of Life in the Nursing Home
Official title: Improving Vision and Quality of Life in the Nursing Home
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Refractive Error
Cataract
Lead sponsor: University of Alabama at Birmingham
Sponsor class: OTHER
Collaborators: name: Retirement Research Foundation
name: National Institute on Aging (NIA)
name: National Eye Institute (NEI)
name: Research to Prevent Blindness
name: EyeSight Foundation of Alabama
name: Pearle Vision Foundation
First posted: 2006-07-04
Enrollment: 400
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The primary purpose of this study is to evaluate whether interventions to improve vision in nursing home residents have an impact on residents' health-related quality of life. The interventions being evaluated are correction of refractive error (near-sightedness, far-sightedness, presbyopia) and cataract surgery.

Detailed description: The purpose of this project is two-fold: 1.) to establish the psychometric properties of the Nursing Home Vision-Specific Health-Related Quality of Life (HRQOL) instrument, and; 2.) to evaluate the responsiveness of this instrument. Responsiveness will be assessed in two independent preliminary prospective intervention evaluations. The first responsiveness evaluation will involve a new spectacle intervention and the second will involve first eye cataract surgery. In addition, we will examine the association between the responsiveness of this instrument, and changes in visual functioning measures and other demographic variables.

Eligibility criteria: Inclusion Criteria:

* at least 60 years of age or older
* expected to stay in facility foe at least 8 months
* stable medical condition
* moderately cognitively impaired or better

Exclusion Criteria:

* those not meeting inclusion criteria

Primary outcomes:
measure: vision-targeted health-related quality of life
Secondary outcomes:
measure: depression
measure: generic health-related quality of life
measure: functional independence
measure: participation in group activities
measure: physical activities
measure: falls
measure: life space
Other outcomes:
Locations:
city: Alabaster
country: United States
facility: Integrated Health Services at Briarcliff
state: Alabama
city: Alabaster
country: United States
facility: Shelby Ridge Nursing Home
state: Alabama
city: Bessemer
country: United States
facility: Livingston Health Care Center
state: Alabama
city: Bessemer
country: United States
facility: Southgate Village
state: Alabama
city: Bessemer
country: United States
facility: Beverly Healthcare Meadowood
state: Alabama
city: Birmingham
country: United States
facility: Fair Haven Retirement Center
state: Alabama
city: Birmingham
country: United States
facility: Beverly Healthcare Center Forestdale
state: Alabama
city: Birmingham
country: United States
facility: Beverly Healthcare East
state: Alabama
city: Birmingham
country: United States
facility: South Haven
state: Alabama
city: Birmingham
country: United States
facility: Fairview Health & Rehabilitation Center
state: Alabama
city: Birmingham
country: United States
facility: Estes Nursing Facility Civic Center
state: Alabama
city: Birmingham
country: United States
facility: Estes Nursing Facility Northway
state: Alabama
city: Birmingham
country: United States
facility: Beverly Healthcare Riverchase
state: Alabama
city: Fairfield
country: United States
facility: Beverly Health Care Center West
state: Alabama
city: Hueytown
country: United States
facility: The Self Nursing Home, Inc
state: Alabama
city: Pleasant Grove
country: United States
facility: Beverly Healthcare Pleasant Grove
state: Alabama
city: Pleasant Grove
country: United States
facility: Consult America Cottage Hills
state: Alabama
Study officials:
affiliation: University of Alabama at Birmingham
name: Cynthia Owsley, PhD, MSPH
role: PRINCIPAL_INVESTIGATOR
References:
citation: Owsley C, McGwin G Jr, Scilley K, Meek GC, Seker D, Dyer A. Effect of refractive error correction on health-related quality of life and depression in older nursing home residents. Arch Ophthalmol. 2007 Nov;125(11):1471-7. doi: 10.1001/archopht.125.11.1471.