Development of an integrated telerehabilitation model in children with cerebral visual impairment in South India during the COVID-19 pandemic – A pilot study

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dc.contributor.authorPhilip, Janneten_US
dc.contributor.authorSethuraman, Saranyaen_US
dc.contributor.authorHussaindeen, Jameel Ren_US
dc.contributor.authorJacob, Namitaen_US
dc.contributor.authorSwaminathan, Meenakshien_US
dc.date.accessioned2023-08-25T06:37:06Z
dc.date.available2023-08-25T06:37:06Z
dc.date.issued2023-05
dc.description.abstractPurpose: Coronavirus disease 2019 (COVID?19) pandemic affected the in?person rehabilitation/habilitation services in families with children with cerebral visual impairment (CVI) in India. This study aimed to develop a structured and family?centered telerehabilitation model alongside conventional in?person intervention in children with CVI to observe its feasibility in the Indian population. Methods: This pilot study included 22 participants with a median age of 2.5 years (range: 1–6) who underwent a detailed comprehensive eye examination followed by functional vision assessment. The visual function classification system (VFCS) was administered to the children and the structured clinical question inventory (SCQI) to the parents. Every participant underwent 3 months of telerehabilitation including planning, training, and monitoring by experts. At 1 month, the parental care and ability (PCA) rubric was administered to the parents. After 3 months, in an in?person follow?up, all the measures were reassessed for 15 children. Results: After 3 months of Tele?rehabilitation there were significant improvements noted in PCA rubric scores (P<0.05). Also, statistically significant improvements were noted in functional vision measured using SCQI and VFCS scores (P<0.05) compared to baseline. Conclusion: The outcomes of the study provide the first steps towards understanding the use of a novel tele?rehabilitation model in childhood CVI along?side conventional face?to?face intervention. The added role of parental involvement in such a model is highly essential.en_US
dc.identifier.affiliationsGraduate Research Scholar, Elite School of Optometry Affiliated to SASTRA Deemed to be University, Thanjavur and Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsVision Enhancement Clinic, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsBinocular Vision and Vision Therapy Clinic, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDirector-Chetana Charitable Trust, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsSenior Pediatric Ophthalmologist, Department of Pediatric Ophthalmology, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.citationPhilip Jannet, Sethuraman Saranya, Hussaindeen Jameel R, Jacob Namita, Swaminathan Meenakshi. Development of an integrated telerehabilitation model in children with cerebral visual impairment in South India during the COVID-19 pandemic – A pilot study. Indian Journal of Ophthalmology. 2023 May; 71(5): 2181-2187en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/225045
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber5en_US
dc.relation.volume71en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_1764_22en_US
dc.subjectCerebral visual impairmenten_US
dc.subjectCOVID?19en_US
dc.subjectfunctional vision assessmenten_US
dc.subjectparental involvementen_US
dc.subjecttelerehabilitationen_US
dc.subjectvirtual focus group discussionen_US
dc.titleDevelopment of an integrated telerehabilitation model in children with cerebral visual impairment in South India during the COVID-19 pandemic – A pilot studyen_US
dc.typeJournal Articleen_US
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