Low Vision Rehabilitation Consensus Project

描述（由申请人提供）：低视力是一种导致残疾的慢性视力损害状态。低视力康复包括视力增强装置和自适应装置；视觉技能、适应技能、ADL和行动能力训练；环境的修改;以及心理咨询。低视力康复服务提供者很可能在患者评估的程度、可用的干预方案、康复潜力的估计、干预成本和结果价值的估计以及成功结果的标准方面存在差异。本项目旨在建立一个纳入临床决策的康复潜力模型，估计低视力康复服务提供者群体中决策变量的分布，开发收集临床数据和测量未来临床研究结果的方法，并组织未来临床研究的合作者。本研究将采用共识法、经典德尔菲法和名义组法，在专家之间就模型参数达成共识，对经验丰富的低视力康复服务提供者之间的意见分布和参数估计进行抽样，并就未来合作研究的研究计划细节达成共识。

DESCRIPTION (provided by the applicant): Low vision is a state of chronic visual impairment that causes disability. Low vision rehabilitation consists of vision enhancing and adaptive devices; visual skills, adaptive skills, ADL, and mobility training; environmental modifications; and psychosocial counseling. Low vision rehabilitation service providers most likely differ in the extent of patient evaluation, intervention options available, estimates of rehabilitation potential, estimates of the costs of intervention and the value of outcomes, and criteria for successful outcomes. The proposed project has the aims of developing a model for rehabilitation potential that incorporates clinical decision-making, estimating the distributions of decision-making variables in the population of low vision rehabilitation service providers, developing methods of gathering clinical data and measuring outcomes in a future clinical study, and organizing collaborators for a future clinical study. The proposed research will use consensus methods, classic Delphi and nominal group, to develop a consensus among experts on model parameters, to sample the distribution of opinions and parameter estimates among experienced low vision rehabilitation service providers, and to develop a consensus on details of the research plan for the future collaborative study.