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Sight loss issues_for_occupational_therapists

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  • 1. 10/25/2010 Darren Awang Dr. Gillian Ward Living and Working with Disability Applied Research Group Coventry University Valerie http://www.actionforblindpeople.org.uk/support-us/real-life- examples/valeries-story,558,SA.html Sight loss – facts & figures Worldwide c.314 million people with visual impairments c.82% are over 50 years old World Health Organisation 2009 UK 2 million people in UK with a sight problem Over 370,000 registered as partially sighted Increased incidence with old age 95% of people with sight problems are over 65 Macular degeneration, cataracts, diabetic retinopathy main causes RNIB 2005 1
  • 2. 10/25/2010 Background to the study What is the status of visual impairment within Occupational Therapy curriculum development? What are the gaps in knowledge? What post graduate learning opportunities exist and what do therapists want? Aim of the research to identify the continuing professional development needs of occupational therapists in the area of sight loss and to identify ways that these educational needs could be met to improve the lives of people with sight loss Objectives To examine training issues around sight loss amongst occupational therapists To investigate the inclusion of sight loss within the occupational therapy curriculum To explore the continuing professional development needs for occupational therapists in the area of sight loss 2
  • 3. 10/25/2010 Who was involved in the research? Living and Working with Disability Applied Research Group, Coventry University (researchers) Thomas Pocklington Trust (funders) College of Occupational Therapists Specialist Sections - Older People and Housing Higher Education Institutes (HEIs) providing OT education (participants) Method Cross sectional survey design Part one – an online questionnaire to members of the College of Occupational Therapists Specialist Sections - Older People and Housing Part two – telephone interviews with Higher Education Institutes offering undergraduate occupational therapy education Part 1 response rates (practitioners) The email link sent to 870 members of the specialist sections. 519 College of OT Specialist Section - Older people 351 College of OT Specialist Section - Housing. 248 individuals logged in and started the questionnaire. 241 are included in the analysis. 7 were excluded The overall response rate to the survey was 28%. - 160 (30.8%) older people specialist section members - 81 (23.6%) housing specialist section members 3
  • 4. 10/25/2010 Key results – part one 70% (162/232) worked with older adults and likely to be working with people with sight loss One third felt that their education had not provided them with sufficient knowledge on sight loss for their first post Following their education only 2% felt confident in assessing and giving advice to people with visual impairment whilst 59% described themselves as being “not at all” or “barely” confident Key Results– part one A quarter stated that their sight loss training needs had not been fully met post qualification in terms of Continuing Professional Development opportunities Sight loss was viewed as a secondary diagnosis during assessment, a quarter did not include sight loss routinely within their assessments 58% had taken additional training and overall only 14% felt that they were confident in assessment and planning interventions Training needs Regardless of whether any additional training had been undertaken 81% needed more training Of these 69% wanted intermediate level training 58% thought it needed to be accredited but 42% did not feel this was important Priority areas included: Adaptation of the environment, lighting, risk assessment, colour contrast, assistive technology, impact on occupational performance, eye conditions, mobility 4
  • 5. 10/25/2010 Part two response rates (HEIs) 30 HEIs in the United Kingdom (excluding the pilot site) offering a BSc. (Honours) Degree in Occupational Therapy 19 were interviewed (overall response rate 63%) Findings- part two 95% said sight loss was only partly addressed in their curriculum with nearly two thirds (63%) stating it had a low priority 45% felt sight loss deserved more emphasis due to the increasing population of older people and reflections made as part of participating in this research Findings- part two None felt their graduates were well prepared to work with people who have sight loss 79% felt that barriers existed to increasing sight loss education particularly in relation to curriculum pressures and the availability of expertise Almost all felt that extra resources related to sight loss would be helpful 5
  • 6. 10/25/2010 Conclusions There is much to be done to equip occupational therapists with the skills and knowledge needed to support best practice to improve outcomes for people with sight loss. UK Vision Strategy 3 strategic outcomes are identified in the UK Vision Strategy: 1. Improving the eye health of the people of the UK. 2. Eliminating avoidable sight loss and delivering excellent support for people with sight loss. 3. Inclusion, participation and independence for people with sight loss. http://www.vision2020uk.org.uk/ How to obtain further information A full report in the form of an ‘Occasional Paper’ entitled: Improving outcomes for people with sight loss: identifying the Continuing Professional Development needs of Occupational Therapists is available from: Thomas Pocklington Trust, 5 Castle Row, Horticultural Place, London W4 4JQ Web www.pocklington-trust.org.uk or see Campion C, Awang D, Ward G (2010) Broadening the vision: the education and training needs of occupational therapists working with people with sight loss. British Journal of Occupational Therapy, 73(9), 413-421. Contact details: Darren Awang d.awang@coventry.ac.uk 6
  • 7. 10/25/2010 References Action for Blind People (2010) available at: http://www.actionforblindpeople.org.uk/support-us/real-life- examples/valeries-story,558,SA.html Accessed on 11/10/2010 RNIB (2008) Available at: http://www.rnib.org.uk/aboutus/Research/statistics/prevalence/Docu ments/2008_3_Revised-Prevalence_Stats_PDF.PDF Accessed on 11/10/2010 VISION 2020. Available at: http://www.vision2020uk.org.uk/ Accessed on 11/10/2010 World Health Organisation (2009) Visual impairment and blindness, fact sheet no. 282. Available at: www.who.int/mediacentre/factsheets/fs282/en/ Accessed on 11/10/2010 7