When Self-Presentation Trumps Access: Why Older Adults With Low Vision Go Without Low-Vision Services

被引:40
作者
Spafford, Marlee M. [1 ]
Rudman, Debbie Laliberte [2 ,3 ]
Leipert, Beverly D. [4 ]
Klinger, Lisa [2 ]
Huot, Suzanne [5 ]
机构
[1] Univ Waterloo, Sch Optometry, Waterloo, ON N2L 3G1, Canada
[2] Univ Western Ontario, Sch Occupat Therapy, London, ON, Canada
[3] Univ Western Ontario, Hlth & Rehabil Sci Grad Program Fields Occupat Sc, London, ON, Canada
[4] Univ Western Ontario, Sch Nursing, London, ON, Canada
[5] Univ Western Ontario, Hlth & Rehabil Sci Grad Program Field Occupat Sci, London, ON, Canada
关键词
low vision; low-vision services; older adults; self-presentation; QUALITY-OF-LIFE; VISUAL IMPAIRMENT; IMPRESSION MANAGEMENT; HEALTH; REHABILITATION; OUTCOMES; PARTICIPATION; DETERMINANTS; LIMITATIONS; ADAPTATION;
D O I
10.1177/0733464809345494
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Reasons were sought for low-vision service nonuse in a group of Canadian seniors with self-reported low vision. Audio-recorded semistructured interviews were completed with 34 seniors with low vision: age range (70 to 94 years; mean: 82 years); 16 urban dwellers (12 women); 18 rural dwellers (14 women). Qualitative content analysis and template analytic techniques were applied to transcriptions. Informant nonuse of low-vision services involved: insufficient knowledge, managing for now, and practitioner behavior (inadequate rehabilitation education and management). Underlying seniors' attitudes that shaped their self-presentation and service nonuse included a strong need for independence, a contextualization of vision loss relative to other losses, and an acceptance of vision loss in life. Service delivery strategies should consider not only knowledge access and healthcare practitioner behavior but also senior self-presentation strategies (e. g., viewing aids as counterproductive to independence). Subtle rural-urban attitudinal differences may further delay access for rural seniors; further research is advised.
引用
收藏
页码:579 / 602
页数:24
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