Article

OBJECTIVE: To assess the effectiveness of non-equipment based rehabilitation
interventions for older adults with an age-related hearing or visual impairment.
DATA SOURCES: We searched PubMed, EMBASE, PsychInfo, CINAHL, and the Cochrane
Central Register of Controlled Trials. REVIEW METHODS:
Two authors independently
assessed trial eligibility, extracted data and assessed methodological quality.
Controlled studies with more than 80% of participants aged >/= 55 years and with
rehabilitation interventions either separately or in combination with technical
device provision were included. Meta-analyses were undertaken for the primary
outcomes: emotional status, functional status, self-efficacy and social
participation. All studies were categorized into 3 subgroups of intervention
approaches (cognitive restructuring, education, and problem-solving), and
subgroup analysis was performed. RESULTS: Fourteen studies were identified: six
on hearing impairment and eight on visual impairment, involving 1622 sensory
impaired participants (mean age 70). Methodological quality of the studies was
modest. Eight studies offered data for meta-analysis. No significant effects in
favour of interventions on either emotional or functional status, self-efficacy,
or social participation were found. In the subgroup analysis, only the
problem-solving approach showed a positive effect on emotional status.
CONCLUSIONS: This review found no effects of non-equipment based rehabilitation
interventions on emotional and functional status, self-efficacy, and social
participation. However, subgroup analysis showed problem-solving as a potential
effective approach for positively affecting emotional status.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS