Clinical use of the Insight Inventory in cerebral visual impairment and the effectiveness of tailored habilitational strategies.
Adolescent
Attention
/ physiology
Child
Female
Follow-Up Studies
Humans
Male
Motion Perception
/ physiology
Neurological Rehabilitation
Neuropsychological Tests
Outcome Assessment, Health Care
Pattern Recognition, Visual
/ physiology
Prospective Studies
Quality of Life
Space Perception
/ physiology
Vision Disorders
/ diagnosis
Visual Acuity
/ physiology
Visual Cortex
/ pathology
Visual Fields
/ physiology
Visual Pathways
/ pathology
Journal
Developmental medicine and child neurology
ISSN: 1469-8749
Titre abrégé: Dev Med Child Neurol
Pays: England
ID NLM: 0006761
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
26
03
2020
accepted:
10
07
2020
pubmed:
10
8
2020
medline:
22
1
2021
entrez:
10
8
2020
Statut:
ppublish
Résumé
To investigate the utility of the Insight Inventory (a structured clinical inventory completed by caregivers) for assessment of children with cerebral visual impairment; and to investigate effectiveness of tailored habilitational strategies derived from the responses to the Insight Inventory. Fifty-one eligible children (26 males, 25 females; mean age 9y 5mo, SD 3y, range 5-16y) were recruited from Great Ormond Street Hospital, London. They underwent baseline assessment including neuro-ophthalmological and neuropsychological evaluations, and parent- and child-reported ratings on a questionnaire-based measure of quality of life. Parents also completed the Insight Inventory. On the basis of responses to the Inventory, families received individualized habilitational strategies. Follow-up assessments 6 months later included repeating the Insight Inventory and quality of life questionnaires. Correlations were found between the Insight Inventory and the Wechsler Intelligence Scale for Children, Fourth Edition, the Beery-Buktenica Test of Visual-Motor Integration, and the Benton Facial Recognition Test, suggesting that the Insight Inventory is an effective tool to estimate visual-perceptual difficulties. At 6 months follow-up, caregiver reports indicated significant improvements in the quality of life of children below the age of 12 years. The Insight Inventory is a simple questionnaire which covers practical aspects of cognitive visual function in everyday life. It provides in-depth information about the aspects that children struggle with. It can also guide programmes of individualized habilitation strategies, which may enhance the quality of life of younger children. Questionnaire scores demonstrate biologically plausible correlations with formal neuropsychological tests of visual function. After administration of matched practical habilitational strategies, younger children showed improvement in quality of life and functional vision scores.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1324-1330Subventions
Organisme : Medical Research Council
ID : G0300117
Pays : United Kingdom
Organisme : Medical Research Council
ID : G1002276
Pays : United Kingdom
Organisme : Great Ormond Street Hospital Charity
ID : 11NR42
Pays : International
Informations de copyright
© 2020 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press.
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