Article

The purpose of this study was to explore the perceived environmental
supports and barriers to daily functioning for people with low vision due to
diabetic retinopathy and the adaptive strategies used by these individuals to
improve person-environment fit. METHOD: The researchers used a qualitative
descriptive approach with eight participants with low vision as a result of
diabetic retinopathy. Data collection methods included semi-structured
interviews, observation of participants' home environments and focus group
discussions. RESULTS: Participants described aspects of the physical environment,
the social environment and psychological adjustment as important in adapting to
vision loss and diabetes. Four themes emerged from the data analysis: "It's a
Complicated Life", "The World Isn't Accessible", "Making it Work" and "Learning
to be Blind". CONCLUSIONS: Physical and social environmental influences on
functioning are complex. Adaptation to vision loss is an ongoing process that may
be aided by peer interactions and more community-based rehabilitation. To best
rehabilitate people with low vision due to diabetic retinopathy, the influence of
both the physical and social environment along with psychological adaptation need
to be considered. Periodic rehabilitation, interventions taking place in
community settings and the formal inclusion of peers in the rehabilitation
process may be indicated. Implications for Rehabilitation Consideration of the
social as well as the physical environment is essential in the rehabilitation of
people with low vision due to diabetic retinopathy. Adaptation to vision loss by
those with diabetic retinopathy is complicated by the fact that diabetes is a
systemic disease that affects multiple body systems. Psychological adaptation to
vision loss is characterized by cycles of grieving and acceptance, which affects
readiness for rehabilitation. Alternative approaches to rehabilitation may be
indicated for people with low vision due to diabetic retinopathy, including
periodic intervention over time and the inclusion of peers in the rehabilitation
process.

Langue : ANGLAIS