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Clin Rehabil. 2015 Feb;29(2):107-19. doi: 10.1177/0269215514542639. Epub 2014 Jul 15.

Effectiveness of rehabilitation interventions in improving emotional and functional status in hearing or visually impaired older adults: a systematic review with meta-analyses.

Author information

1
Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands Kalorama Foundation, Beek-Ubbergen, the Netherlands lieve.roets-merken@radboudumc.nl.
2
Department of Neurosurgery, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
3
University Medical Centre Groningen, University of Groningen, the Netherlands.
4
Department of Primary and Community Care, Centre for Family Medicine, Geriatric Care and Public Health, Radboud University Nijmegen Medical Centre, the Netherlands Coma Science Group, Cyclotron Research Center and Neurology Department, University of Liège, Liège, Belgium.
5
Centre of Evidence-Based Practice, Department of Rehabilitation, Radboud University Nijmegen Medical Centre, the Netherlands.
6
CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Department of Health Services Research, Maastricht University, Maastricht, the Netherlands.
7
Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands Kalorama Foundation, Beek-Ubbergen, the Netherlands.

Abstract

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.

KEYWORDS:

Aging; hearing impairment; rehabilitation interventions; systematic review; visual impairment

PMID:
25027446
DOI:
10.1177/0269215514542639
[Indexed for MEDLINE]
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