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障碍状态。低视力康复包括视力增强和适应设备;视觉技能，适应技能，ADL和移动训练;环境改造;和心理咨询。低视力康复服务提供者最有可能在患者评估的程度、可用的干预方案、康复潜力的估计、干预成本的估计和结果的价值以及成功结果的标准方面存在差异。拟议项目的目的是开发一个康复潜力模型，其中包括临床决策，估计决策变量在低视力康复服务提供者人群中的分布，开发收集临床数据和测量未来临床研究结果的方法，并组织合作者进行未来的临床研究。建议的研究将使用共识的方法，经典的德尔菲和名义组，开发一个共识的专家模型参数，抽样分布的意见和参数估计经验丰富的低视力康复服务提供者，并制定一个共识的研究计划的细节，为未来的合作研究。

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.