2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/1855-ogyi8eh4.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/25a3ozcrvi1ff.js","/_next/static/immutable/chunks/2r4wx50nvjh_4.js","/_next/static/immutable/chunks/23fsw06hsi5b1.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/3ezsiz-7shkna.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2lxntcm3pd1_h.js","/_next/static/immutable/chunks/00dgco8irq3jw.js","/_next/static/immutable/chunks/00nwe-kq0rboc.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:Ta93,Dual sensory impairment-that is, concurrent hearing and vision impairment-is common in aging populations. Individuals with dual sensory impairment face unique social and functional challenges, but the benefit of conventional rehabilitation in addressing these challenges is not well researched. To determine the association between hearing impairment and the likelihood of achieving a clinically meaningful functional improvement following vision rehabilitation. This was a cross-sectional analysis of data collected by the Low Vision Rehabilitation Outcomes Study, a prospective cohort study on clinical outcomes of vision rehabilitation. Data were included from outpatient low vision rehabilitation services provided at 28 clinical centers across the US between April 2008 and May 2011. The analyses included 611 adults with vision impairment and available self-reported hearing status. Of these, 407 had complete postrehabilitation follow-up data. Data were analyzed from July 2024 to March 2025. Self-reported hearing impairment status at baseline (normal hearing vs hearing impairment). The primary outcome was the improvement in general capability as measured by the Activity Inventory before and after rehabilitation, computed using the method of successive dichotomizations. Rehabilitation was considered effective if the improvement reached a minimum clinically important difference (MCID). Multivariable logistic regression was used to evaluate the association between hearing impairment and achieving MCID. Covariates included age, sex, visual, psychological, physical, and cognitive status. Among the 611 participants (mean [SD; range] age, 73 [15.3; 19-101] years; 403 [66%] female), 358 had normal hearing and 253 had self-reported hearing impairment. Baseline ability did not differ by hearing status (β, -0.08; 95% CI, -0.56 to 0.41; P = .75). However, a smaller proportion of participants with hearing impairment achieved MCID following vision rehabilitation (39/169 [23%] vs 74/238 [31%]; odds ratio [OR], 0.58; 95% CI, 0.34-0.95; P = .03); this association was not attenuated by possession of hearing aid (17/74 [23%] vs 21/95 [22%]). In addition to better hearing status, participants with severe vision impairment (OR, 3.32; 95% CI, 1.2-11.86; P = .04) and higher depressive symptoms (OR, 1.38 per logit increase; 95% CI, 1.17-1.63; P < .001) were more likely to achieve MCID. In this study, self-reported hearing impairment was associated with reduced likelihood of functional improvement following vision rehabilitation. These findings support the need for interdisciplinary efforts in rehabilitation programs to better serve individuals with dual sensory impairment.31:T10f9, Importance Dual sensory impairment—that is, concurrent hearing and vision impairment—is common in aging populations. Individuals with dual sensory impairment face unique social and functional challenges, but the benefit of conventional rehabilitation in addressing these challenges is not well researched. Objective To determine the association between hearing impairment and the likelihood of achieving a clinically meaningful functional improvement following vision rehabilitation. Design, Setting, and Participants This was a cross-sectional analysis of data collected by the Low Vision Rehabilitation Outcomes Study, a prospective cohort study on clinical outcomes of vision rehabilitation. Data were included from outpatient low vision rehabilitation services provided at 28 clinical centers across the US between April 2008 and May 2011. The analyses included 611 adults with vision impairment and available self-reported hearing status. Of these, 407 had complete postrehabilitation follow-up data. Data were analyzed from July 2024 to March 2025. Exposure Self-reported hearing impairment status at baseline (normal hearing vs hearing impairment). Main Outcomes and Measures The primary outcome was the improvement in general capability as measured by the Activity Inventory before and after rehabilitation, computed using the method of successive dichotomizations. Rehabilitation was considered effective if the improvement reached a minimum clinically important difference (MCID). Multivariable logistic regression was used to evaluate the association between hearing impairment and achieving MCID. Covariates included age, sex, visual, psychological, physical, and cognitive status. Results Among the 611 participants (mean [SD; range] age, 73 [15.3; 19-101] years; 403 [66%] female), 358 had normal hearing and 253 had self-reported hearing impairment. Baseline ability did not differ by hearing status (β, −0.08; 95% CI, −0.56 to 0.41; P = .75). However, a smaller proportion of participants with hearing impairment achieved MCID following vision rehabilitation (39/169 [23%] vs 74/238 [31%]; odds ratio [OR], 0.58; 95% CI, 0.34-0.95; P = .03); this association was not attenuated by possession of hearing aid (17/74 [23%] vs 21/95 [22%]). In addition to better hearing status, participants with severe vision impairment (OR, 3.32; 95% CI, 1.2-11.86; P = .04) and higher depressive symptoms (OR, 1.38 per logit increase; 95% CI, 1.17-1.63; P &lt; .001) were more likely to achieve MCID. Conclusions and Relevance In this study, self-reported hearing impairment was associated with reduced likelihood of functional improvement following vision rehabilitation. These findings support the need for interdisciplinary efforts in rehabilitation programs to better serve individuals with dual sensory impairment. 25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"Vision Impairment: condition Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on Vision Impairment (condition). Clinician-written summaries and actionable practice insights. 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Clinicians should note findings may not fully reflect patient experience of barriers.","value_numeric":null}],"summaries":{"what_studied":"This systematic review synthesised healthcare provider-perceived barriers and enablers to low vision rehabilitation service (LVS) delivery globally, using the Theoretical Domains Framework (TDF) and COM-B model to map determinants to potential behaviour-change interventions. Sixteen studies (n = 2,918 professionals) across 8 countries were included.","key_result":"The top barriers were limited device/service availability (14/16 studies), poor practitioner knowledge (13/16), patient-related factors (12/16), care process limitations (11/16), and resource/workload issues (11/16). Key enablers were practitioner knowledge/skills (6/16), education and training (5/16), and improved device/service availability (5/16). Determinants mapped most often to TDF domains of environmental context/resources (15/16 studies), knowledge/skills (14/16), and beliefs about consequences (12/16).","limitations":"- Studies concentrated in only 8 countries, limiting global generalisability.\n- Most included studies (12/16) used surveys, with common risks of non-response bias and uncertain sample representativeness.\n- Review restricted to English-language empirical studies published since 2010, excluding policy documents, position statements, and non-empirical literature that may capture additional influences.","practice_takeaway":"Clinicians and service planners should address LVS gaps through combined strategies: practitioner training, improved device access, financial incentives, and revised referral pathways — no single fix is sufficient. Theory-based, locally tailored interventions that target capability, motivation, and environment together are most likely to improve patient access to low vision rehabilitation."}},{"doi":"10.1001/jamaophthalmol.2026.0207","pmid":"41817533","title":"Hearing Impairment and Visual Rehabilitation Outcomes","journal_title":"JAMA Ophthalmology","journal_issn":"2168-6165","published_at":"2026-03-12T00:00:00.000Z","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13087820/","source_score":42,"is_retracted":false,"is_open_access":true,"raw_metadata":{"ooir":{"day":"2026-04-19","doi":"10.1001/jamaophthalmol.2026.0207","days":"30","issn":"2168-6165","rank":"3","field":"Clinical Medicine","score":"42","category":"Ophthalmology","categories":["Ophthalmology"],"_categories":["Ophthalmology"]},"pubmed":{"doi":"10.1001/jamaophthalmol.2026.0207","title":"Hearing Impairment and Visual Rehabilitation Outcomes.","journal":"JAMA ophthalmology","methods":"","results":"Among the 611 participants (mean [SD; range] age, 73 [15.3; 19-101] years; 403 [66%] female), 358 had normal hearing and 253 had self-reported hearing impairment. Baseline ability did not differ by hearing status (β, -0.08; 95% CI, -0.56 to 0.41; P = .75). However, a smaller proportion of participants with hearing impairment achieved MCID following vision rehabilitation (39/169 [23%] vs 74/238 [31%]; odds ratio [OR], 0.58; 95% CI, 0.34-0.95; P = .03); this association was not attenuated by possession of hearing aid (17/74 [23%] vs 21/95 [22%]). In addition to better hearing status, participants with severe vision impairment (OR, 3.32; 95% CI, 1.2-11.86; P = .04) and higher depressive symptoms (OR, 1.38 per logit increase; 95% CI, 1.17-1.63; P < .001) were more likely to achieve MCID.","abstract":"$30","keywords":[],"pubmed_id":"41817533","conclusions":"","publication_date":"2026-03-12T00:00:00"},"crossref":{"DOI":"10.1001/jamaophthalmol.2026.0207","URL":"https://doi.org/10.1001/jamaophthalmol.2026.0207","ISSN":["2168-6165"],"link":[{"URL":"https://jamanetwork.com/journals/jamaophthalmology/articlepdf/2846148/jamaophthalmology_obaideen_2026_oi_260007_1776173495.726.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"page":"351","type":"journal-article","issue":"4","score":1,"title":["Hearing Impairment and Visual Rehabilitation Outcomes"],"author":[{"given":"Anas","family":"Obaideen","sequence":"first","affiliation":[{"name":"Wilmer Eye Institute, Johns Hopkins University, 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Hearing aid use did not close the gap (23% vs 22%). Severe vision impairment (OR 3.32) and higher depressive symptoms (OR 1.38 per logit) were independently associated with greater likelihood of achieving MCID.","limitations":"- Hearing status was self-reported, not audiometrically confirmed, which may misclassify impairment severity.\n- Cross-sectional design with retrospective hearing data limits causal inference.\n- Only 407 of 611 participants had complete follow-up data, introducing possible attrition bias.","practice_takeaway":"Screen low vision rehabilitation patients for hearing impairment at intake — those with dual sensory loss are about 40% less likely to gain meaningful functional benefit from standard rehab. Consider interdisciplinary audiology involvement or adapted rehabilitation strategies for this group."}}],"initialOffset":2,"fetchConfig":{"kind":"tags","tags":[{"tag_type":"condition","value":"Vision Impairment"}]},"breadcrumbItems":[{"name":"Home","href":"/"},{"name":"Research Hub","href":"/hub"},{"name":"Conditions","href":"/hub/tag/condition"},{"name":"Vision Impairment"}],"hrefConfig":{"basePath":"/hub/papers","webViewQueryParams":{"hub_ctx":"tag","hub_tag_type":"condition","hub_tag_value":"Vision Impairment"}}}]]

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