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Comorbid cognitive impairment and functional trajectories in low vision rehabilitation for macular disease.

Publication ,  Journal Article
Whitson, HE; Ansah, D; Sanders, LL; Whitaker, D; Potter, GG; Cousins, SW; Steffens, DC; Landerman, LR; Pieper, CF; Cohen, HJ
Published in: Aging Clin Exp Res
2011

BACKGROUND AND AIMS: Comorbid cognitive impairment is common among visually impaired older adults. This study investigated whether baseline cognitive status predicts functional trajectories among older adults in low vision rehabilitation (LVR) for macular disease. METHODS: The Telephone Interview for Cognitive Status - modified (TICS-m) was administered to macular disease patients aged ≥ 65 years receiving outpatient LVR. Mixed models assessed the rate of change in instrumental activities of daily living and visual function measures over a mean follow-up of 115 days. RESULTS: Of 91 participants, 17 (18.7%) had cognitive impairment (TICS-m score ≤ 27) and 23 (25.3%) had marginal impairment (TICS-m scores 28 to 30). Controlling for age and gender, baseline cognitive status did not predict most functional outcomes. However, participants with marginal cognitive impairment experienced worse functional trajectories in ability to prepare meals (p=0.03) and activities that require distance vision (p=0.05). CONCLUSION: Patients with mild to moderate cognitive impairment should not be excluded from LVR, but programs should be prepared to detect and accommodate a range of cognitive ability.

Duke Scholars

Published In

Aging Clin Exp Res

DOI

ISSN

1594-0667

Publication Date

2011

Volume

23

Issue

5-6

Start / End Page

343 / 350

Location

Germany

Related Subject Headings

  • Vision, Low
  • Male
  • Macular Degeneration
  • Interviews as Topic
  • Humans
  • Geriatrics
  • Geriatric Assessment
  • Follow-Up Studies
  • Female
  • Comorbidity
 

Citation

APA
Chicago
ICMJE
MLA
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Whitson, H. E., Ansah, D., Sanders, L. L., Whitaker, D., Potter, G. G., Cousins, S. W., … Cohen, H. J. (2011). Comorbid cognitive impairment and functional trajectories in low vision rehabilitation for macular disease. Aging Clin Exp Res, 23(5–6), 343–350. https://doi.org/10.1007/BF03325233
Whitson, Heather E., Deidra Ansah, Linda L. Sanders, Diane Whitaker, Guy G. Potter, Scott W. Cousins, David C. Steffens, Lawrence R. Landerman, Carl F. Pieper, and Harvey Jay Cohen. “Comorbid cognitive impairment and functional trajectories in low vision rehabilitation for macular disease.Aging Clin Exp Res 23, no. 5–6 (2011): 343–50. https://doi.org/10.1007/BF03325233.
Whitson HE, Ansah D, Sanders LL, Whitaker D, Potter GG, Cousins SW, et al. Comorbid cognitive impairment and functional trajectories in low vision rehabilitation for macular disease. Aging Clin Exp Res. 2011;23(5–6):343–50.
Whitson, Heather E., et al. “Comorbid cognitive impairment and functional trajectories in low vision rehabilitation for macular disease.Aging Clin Exp Res, vol. 23, no. 5–6, 2011, pp. 343–50. Pubmed, doi:10.1007/BF03325233.
Whitson HE, Ansah D, Sanders LL, Whitaker D, Potter GG, Cousins SW, Steffens DC, Landerman LR, Pieper CF, Cohen HJ. Comorbid cognitive impairment and functional trajectories in low vision rehabilitation for macular disease. Aging Clin Exp Res. 2011;23(5–6):343–350.
Journal cover image

Published In

Aging Clin Exp Res

DOI

ISSN

1594-0667

Publication Date

2011

Volume

23

Issue

5-6

Start / End Page

343 / 350

Location

Germany

Related Subject Headings

  • Vision, Low
  • Male
  • Macular Degeneration
  • Interviews as Topic
  • Humans
  • Geriatrics
  • Geriatric Assessment
  • Follow-Up Studies
  • Female
  • Comorbidity