TY - JOUR PY - 2013// TI - Orientation and mobility training for adults with low vision: a new standardized approach JO - Clinical rehabilitation A1 - Rixt Zijlstra, Gertrude A. A1 - Ballemans, Judith A1 - Kempen, Gertrudis I. J. M. SP - 3 EP - 18 VL - 27 IS - 1 N2 - Background: Orientation and mobility training aims to facilitate independent functioning and participation in the community of people with low vision. Objective: (1) To gain insight into current practice regarding orientation and mobility training, and (2) to develop a theory-driven standardized version of this training to teach people with low vision how to orientate and be safe in terms of mobility. Study of current practice: Insight into current practice and its strengths and weaknesses was obtained via reviewing the literature, observing orientation and mobility training sessions (n = 5) and interviewing Dutch mobility trainers (n = 18). Current practice was mainly characterized by an individual, face-to-face orientation and mobility training session concerning three components: crystallizing client's needs, providing information and training skills. A weakness was the lack of a (structured) protocol based on evidence or theory. New theory-driven training: A new training protocol comprising two face-to-face sessions and one telephone follow-up was developed. Its content is partly based on the components of current practice, yet techniques from theoretical frameworks (e.g. social-cognitive theory and self-management) are incorporated. Discussion: A standardized, tailor-made orientation and mobility training for using the identification cane is available. The new theory-driven standardized training is generally applicable for teaching the use of every low-vision device. Its acceptability and effectiveness are currently being evaluated in a randomized controlled trial.

Language: en

LA - en SN - 0269-2155 UR - http://dx.doi.org/10.1177/0269215512445395 ID - ref1 ER -