Evaluation of a Standardised Orientation and Mobility Training in Older Adults With Low Vision

The Impact of Orientation and Mobility Training on Mobility, Participation and Quality of Life in Older Adults With Visual Impairments: a Randomised Controlled Trial

The purpose of this study is:

1. to develop a standardised orientation and mobility training (O&M-training) in the use of an identification/symbol cane by older adults with low vision, and;
2. to evaluate this newly developed standardised O&M-training with respect to effectiveness and feasibility in a randomised controlled trial.

Inclusion Criteria:

• Aged 55 years or over

• Low vision

• Living independently in the community or in a home for older people

• Able to see large obstacles and to go outside for a short walk or doing groceries

• One of the following:

  1. experiencing difficulties with safely crossing a street
  2. experiencing difficulties with recognising acquaintances outdoors
  3. willing to become recognisable as being partially sighted by using the identification cane

• Written informed consent

• Orientation and Mobility training (O&M-training) in the use of an identification cane

Exclusion Criteria:

• Cognitive impairment (a score of less than 4 on the Abbreviated Mental Test 4)
• Language or hearing problems that impede completing an interview by telephone
• Confinement to bed or possible nursing home admission that impede completion of the O&M-training
• Permanent use of a walking aid incompatible with the use of an identification cane
• Having recently received an O&M-training in the use of an identification cane and permanent use of this cane