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Assessing Visual Function in Young and Medically Complex Children with Cerebral Visual Impairment- [electronic resource]
Assessing Visual Function in Young and Medically Complex Children with Cerebral Visual Imp...
Assessing Visual Function in Young and Medically Complex Children with Cerebral Visual Impairment- [electronic resource]

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자료유형  
 학위논문파일 국외
최종처리일시  
20240214101554
ISBN  
9798380307468
DDC  
616
저자명  
Weden, Kathleen Mary.
서명/저자  
Assessing Visual Function in Young and Medically Complex Children with Cerebral Visual Impairment - [electronic resource]
발행사항  
[S.l.]: : The University of Alabama at Birmingham., 2023
발행사항  
Ann Arbor : : ProQuest Dissertations & Theses,, 2023
형태사항  
1 online resource(156 p.)
주기사항  
Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
주기사항  
Advisor: Barstow, Beth.
학위논문주기  
Thesis (Ph.D.)--The University of Alabama at Birmingham, 2023.
사용제한주기  
This item must not be sold to any third party vendors.
초록/해제  
요약Cerebral Visual impairment (CVI) has become the leading cause of vision impairment in children worldwide. Early identification of CVI has been shown to improve visual function outcomes and improve developmental outcomes and quality of life. However, children with CVI are difficult to identify and assess because the medical conditions that cause CVI can also cause impairment across domains of function. A scoping review was first conducted on interventions and outcome measures used for children with CVI. The sources identified (n=20) were grouped into five types of interventions. The review confirmed the need for quantitative, standardized methods for measuring visual function in children with CVI. The next aim was to develop and evaluate a new Video-based Visual Function Assessment (VFA) to quantify visual function in young and medically complex children with CVI. The VFA was also designed to be presented over a video-conference platform (Zoom) to allow for potential remote assessment. Participants comprised a convenience sample of young and medically complex children with CVI (n=22) who were assessed in the clinic via a mock remote Zoom session. Participants were rated from video recordings of the Zoom session by three clinicians of different backgrounds. Using interclass correlation coefficients (ICCs) we found strong agreement between raters for all total mean VFA scores. Clinical acuity was obtained when possible, and there was a strong correlation with mean total VFA scores. A phenomenological study was concurrently conducted to understand the experience and perspectives of the caregivers as facilitators during VFA assessment. Caregivers found the VFA to have good face validity and felt it was able to assess their child in a way that past clinical assessments have not been able. The remote capabilities of the VFA could also offer new methods for obtaining assessment of children with CVI during a window that the caregiver perceives their child to be using their vision the best. The VFA was able to reliably quantify basic visual function in a small group of young and medically complex children with CVI. In addition, most caregivers found the video-based assessment to be an ideal modality for assessing vision in their children.
일반주제명  
Occupational therapy.
일반주제명  
Optometry.
일반주제명  
Neurosciences.
일반주제명  
Clinical psychology.
키워드  
Assessment
키워드  
Cerebral visual impairment
키워드  
Low vision
키워드  
Pediatric
키워드  
Visual function
기타저자  
The University of Alabama at Birmingham Health Professions
기본자료저록  
Dissertations Abstracts International. 85-03B.
기본자료저록  
Dissertation Abstract International
전자적 위치 및 접속  
로그인 후 원문을 볼 수 있습니다.

MARC

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■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a616
■1001  ▼aWeden,  Kathleen  Mary.
■24510▼aAssessing  Visual  Function  in  Young  and  Medically  Complex  Children  with  Cerebral  Visual  Impairment▼h[electronic  resource]
■260    ▼a[S.l.]:▼bThe  University  of  Alabama  at  Birmingham.  ▼c2023
■260  1▼aAnn  Arbor  :▼bProQuest  Dissertations  &  Theses,  ▼c2023
■300    ▼a1  online  resource(156  p.)
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  85-03,  Section:  B.
■500    ▼aAdvisor:  Barstow,  Beth.
■5021  ▼aThesis  (Ph.D.)--The  University  of  Alabama  at  Birmingham,  2023.
■506    ▼aThis  item  must  not  be  sold  to  any  third  party  vendors.
■520    ▼aCerebral  Visual  impairment  (CVI)  has  become  the  leading  cause  of  vision  impairment  in  children  worldwide.  Early  identification  of  CVI  has  been  shown  to  improve  visual  function  outcomes  and  improve  developmental  outcomes  and  quality  of  life.  However,  children  with  CVI  are  difficult  to  identify  and  assess  because  the  medical  conditions  that  cause  CVI  can  also  cause  impairment  across  domains  of  function.  A  scoping  review  was  first  conducted  on  interventions  and  outcome  measures  used  for  children  with  CVI.  The  sources  identified  (n=20)  were  grouped  into  five  types  of  interventions.  The  review  confirmed  the  need  for  quantitative,  standardized  methods  for  measuring  visual  function  in  children  with  CVI.  The  next  aim  was  to  develop  and  evaluate  a  new  Video-based  Visual  Function  Assessment  (VFA)  to  quantify  visual  function  in  young  and  medically  complex  children  with  CVI.  The  VFA  was  also  designed  to  be  presented  over  a  video-conference  platform  (Zoom)  to  allow  for  potential  remote  assessment.  Participants  comprised  a  convenience  sample  of  young  and  medically  complex  children  with  CVI  (n=22)  who  were  assessed  in  the  clinic  via  a  mock  remote  Zoom  session.  Participants  were  rated  from  video  recordings  of  the  Zoom  session  by  three  clinicians  of  different  backgrounds.  Using  interclass  correlation  coefficients  (ICCs)  we  found  strong  agreement  between  raters  for  all  total  mean  VFA  scores.  Clinical  acuity  was  obtained  when  possible,  and  there  was  a  strong  correlation  with  mean  total  VFA  scores.  A  phenomenological  study  was  concurrently  conducted  to  understand  the  experience  and  perspectives  of  the  caregivers  as  facilitators  during  VFA  assessment.  Caregivers  found  the  VFA  to  have  good  face  validity  and  felt  it  was  able  to  assess  their  child  in  a  way  that  past  clinical  assessments  have  not  been  able.  The  remote  capabilities  of  the  VFA  could  also  offer  new  methods  for  obtaining  assessment  of  children  with  CVI  during  a  window  that  the  caregiver  perceives  their  child  to  be  using  their  vision  the  best.  The  VFA  was  able  to  reliably  quantify  basic  visual  function  in  a  small  group  of  young  and  medically  complex  children  with  CVI.  In  addition,  most  caregivers  found  the  video-based  assessment  to  be  an  ideal  modality  for  assessing  vision  in  their  children.
■590    ▼aSchool  code:  0005.
■650  4▼aOccupational  therapy.
■650  4▼aOptometry.
■650  4▼aNeurosciences.
■650  4▼aClinical  psychology.
■653    ▼aAssessment
■653    ▼aCerebral  visual  impairment
■653    ▼aLow  vision
■653    ▼aPediatric
■653    ▼aVisual  function
■690    ▼a0498
■690    ▼a0210
■690    ▼a0317
■690    ▼a0622
■71020▼aThe  University  of  Alabama  at  Birmingham▼bHealth  Professions.
■7730  ▼tDissertations  Abstracts  International▼g85-03B.
■773    ▼tDissertation  Abstract  International
■790    ▼a0005
■791    ▼aPh.D.
■792    ▼a2023
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16934313▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.
■980    ▼a202402▼f2024

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