JOURNAL OF VISUAL IMPAIRMENT & BLINDNESS

Gathering Evidence on the Effect of the COVID-19 Pandemic on People Who Are Blind or Have Low Vision: Looking Back and Moving Forward, With Recommendations for Future Disasters
Silverman A
Access to Health and Disability Services for New Zealanders With Impaired Vision During the COVID-19 Pandemic 2020-2022
Good GA, Nazari Orakani S, Officer TN, Roguski M and McBride-Henry K
The COVID-19 pandemic has affected access to health and social services globally, leading to delays in accessing appropriate care. However, while there is a growing base of research into service access for the general population, there remains scarce information on the implications of the pandemic on disabled people. This article describes issues with health and disability support access for people with impaired vision in Aotearoa New Zealand (Aotearoa). Applying an Interpretive Description methodology, 62 interviews were conducted with disabled people; 10 of these individuals identified as having impaired vision. Findings were analyzed thematically for the entire group of 62, representing varied impairment groups, and then for the 10 who had impaired vision. Five key themes arose from the interviews, including transportation difficulties, mental distress, loss of community, loss of physical contact and signals, and general loss of support. Participants identified that this loss of support occurred at multiple levels, meaning that the disability and healthcare system as a whole was ill-equipped to manage their needs. Participants reported a lag-time in accessing care, meaning that the effects of the pandemic are still felt due to a lack of available support and resources. This article remains one of a few studies to look at the implications of the pandemic on access to health and disability services for those with impaired vision. It highlights that despite Aotearoa's good track record in managing the pandemic, groups were forgotten and marginalized by the collective response to managing COVID-19. Blindness professionals must be aware of the possible disadvantages and impacts of pandemics and other disasters on people with impaired vision and their access to health and disability services. Policymakers must include disabled people at the decision-making table so that the diverse needs of these populations are managed.
The Impact of COVID-19 on Transportation of Adults With Visual Impairments
Zebehazy KT, Rosenblum LP and Thompson KM
Access to efficient and affordable transportation options has long been a challenge for many individuals with vision loss. In spring 2020, the COVID-19 pandemic caused a quick shift in the availability and safety of transportation. Using the constant comparison method, open-ended responses from 1,162 participants in the study were coded. Responses were from participants who had concerns about transportation. Ten themes and corresponding subthemes emerged from the data. Themes were interdependent in that the extent of concerns differed based on respondents' support networks, transportation availability, and financial circumstances. The COVID-19 pandemic brought to the forefront both systemic and COVID-19 transportation challenges about which those with visual impairments experienced or had concerns or both. It is imperative that professionals support those with visual impairments to develop alternative plans for when their typical transportation options are disrupted.
A Survey of Orientation and Mobility Specialist's Use of Telepractice During COVID-19
McCarthy T, Griffin-Shirley N and Siffermann E
This survey sought to establish a baseline for the remote delivery of services (telepractice) by orientation and mobility (O&M) specialists nationwide, which became pervasive in 2020 as a result of the COVID-19 pandemic. An online survey was distributed using professional email lists and then used snowball sampling to obtain a convenience sample. The survey was completed by 66 O&M specialists using telepractice at the time of the survey, the primary criterion for inclusion. Engaging in telepractice was a direct result of the pandemic for 90.77% of the participants. Most professionals' caseloads remained relatively similar to the size they were prior to the pandemic (69.70%), and instruction used a one-on-one model (90.77%). For the most part, professionals were teaching conceptual knowledge rather than actual travel skills using video conferencing software. Most participants indicated they had not received training in telepractice (81.25%). Only 20.00% of participants found telepractice for O&M satisfactory, but 26.16% of participants indicated they would probably continue using telepractice after the pandemic. Most participants (72.13%) were unsure if they were covered by professional liability insurance. Most participants were thrust into telepractice and very few received training in telepractice. It is likely that the tools used were tools of convenience. Despite a lack of preparation and lukewarm satisfaction levels, a noteworthy percentage of respondents intend to continue to use telepractice after the end of the pandemic. The liability risks associated with this new model have not been widely assessed. The most effective tools for O&M telepractice have not yet been identified. Practitioners and researchers can work together to develop and promote promising practices and tools for O&M telepractice. Professional liability should always be investigated before providing services. A tool for professionals to assess risk should be developed.
COVID-19 and Turkish University Students With Visual Impairments: An In-Depth Inquiry
Sarica AD, Ulu-Ercan E and Coşkun UH
The purpose of this study was to investigate the effect of COVID-19 on the academic life, psychological well-being, social relations, and physical health of university students with visual impairments via their personal judgments. A qualitative research design was utilized with 19 participants studying at 10 Turkish universities located across seven cities. Personal online semi-structured interviews were held in January 2021. The audio-taped qualitative data were analyzed deductively in light of four predetermined themes: academic life, physical health, psychological well-being, and social relations. Findings revealed the negative effects of the lockdown on daily and, specifically, campus life. Most participants claimed their preference for traditional over online education due to certain academic, psychological, and social difficulties, stating also that campus life had many academic and social advantages compared to online education. Physical health issues including access to medical treatments and lack of activity/mobility were also stressed. It was interesting to observe that despite the interviews' focus on daily life, students provided views on the benefits of traditional education and how and why their individual needs should be met by universities, much more than expected. It may be concluded that several developmental domains of students with visual impairments are affected by attendance at a university and that offices of disability services of higher education institutions and university counseling centers should take thoughtful actions to meet the specific needs of this student population tailored to both online and traditional education.
An Examination of Early Intervention Services for Children With Visual Impairments During the COVID-19 Pandemic
Wild TA, Herzberg TS and Hicks MAC
In the early spring of 2020, governments were beginning to react to the news of a global pandemic being caused by COVID-19. The purpose of this study was to examine the effect of COVID-19 on early intervention services for young children with visual impairments and their families. Parents of children with visual impairments aged birth to 3 years were asked a series of questions contained in a larger survey that investigated the experiences of families of children and young adults with visual impairments aged birth to 21 years and professionals that provided educational services. Three overall themes emerged from the data: (1) many changes occurred in the home, (2) early intervention services changed, and (3) planning for the transition to preschool was affected. Overall, the changes in education due to the pandemic and initial shutdown resulted in much parental stress. Parents reported that they were stressed and sometimes overwhelmed by the sudden and dramatic changes in their daily lives and how best to help their children in continuing to learn and develop their skills while simultaneously working from home, being caregivers to the other children in the family, and serving as educators and sometimes informal therapists to their children. Many services moved to an online format and were provided remotely. Service providers should continue to provide services to families and children who have been affected by the COVID-19 pandemic and resulting shutdown while continuing to provide ways to support the social and emotional well-being of their families. Service providers and families should monitor their children's development and learning both now and in the future.
How One Blindness Agency Successfully Pivoted in Providing Essential Services in the Midst of a Global Pandemic
Groszew L and Zavoda E
Our article addresses how our not-for-profit organization responded to the COVID-19 pandemic by shifting our paradigm, in how we deliver programs. We created virtual programs and have been delivering them via the Zoom platform, to provide education and training to individuals adjusting to vision loss, and their family members.
Orientation and Mobility During COVID-19 and the Effect on Psychosocial Functioning
Kaiser JT, Fast D, DeGrant JN and Welch-Grenier S
This research explored the psychosocial effects observed during the COVID-19 pandemic as it relates to orientation and mobility (O&M) services for children with visual impairments. The survey asked professionals to identify what were their experiences in providing O&M instruction in-person and online and to describe their interactions with students and families during the fall of 2020. The online survey results included open-ended responses from 166 O&M specialists. The authors used thematic analysis to examine and code participants' qualitative responses. Psychological and social effects were identified as a major theme across the participants for how they affected an individual's health, well-being, and ability to complete aspects of O&M lessons. Professionals were challenged with providing appropriate instruction given the risks associated with COVID. Additionally, children with visual impairments became more isolated and less physically active over time. Professionals, students, and parents often placed their concerns aside with the idea that changes to O&M services were a temporary measure with the student's best interest in mind. As the pandemic became prolonged, the effects on individuals became more pronounced. These circumstances raise many questions about the effectiveness of virtual instruction in O&M and its effect on professionals, students, and families. The importance of O&M becomes much more evident when considering the isolation many students experienced as a result of quarantine events.
COVID-19 Delivery of Adaptive Vision Health Services for Seniors
Cleary ME
COVID-19: Social Distancing and Physical Activity in United Kingdom Residents With Visual Impairments
Strongman C, Swain P, Chung H, Merzbach V and Gordon D
The introduction of the COVID-19 lockdown and social distancing policy has the potential to restrict access to physical activity, change exercise behavior, and to increase sedentary behavior. This study was conducted with the support of British Blind Sport and evaluates the effect of the lockdown policy on adults with visual impairments in the United Kingdom (UK). An online survey based on the World Health Organization's Global Physical Activity Questionnaire was completed by 73 participants (median age 35-44 years, 59% female) to gain information on how the implementation of the lockdown policy by the UK government has affected physical activity and sedentary behavior in adults that are visually impaired. Paired sample t-tests and Wilcoxon signed rank tests were used to analyze continuous and Likert scale data, respectively. The majority of participants continued to exercise during lockdown, but the nature of this activity altered with a significant change to exercising in a private indoor space (+190% (always), = -3.871, < 0.001), and those exercising alone (+118% (always), = -2.595, = 0.009). The volume of activity reduced in all cases, between -11% and -52%, with significant changes in duration of vigorous day-to-day activity, moderate day-to-day activity, travel by foot or cycle, and vigorous recreational activity. Sedentary behavior increased on average by 21% ((59) = -2.050, = 0.045), with a greater effect seen in females (+36%, (35) = -2.525, = 0.016). Reductions in physical activity volume and increases in sedentary behavior are consequences of the UK lockdown for those with visual impairments. The health and well-being implications of these data to this specific population are of particular concern. Lockdown measures should be designed with consideration of the needs of people with disabilities. Innovative ways to engage these populations in physical activity are strongly encouraged.
Beyond Employment Rates: Continuity of Employment for People with Visual Impairments
McDonnall MC, Cmar JL and McKnight ZS
Biomechanics of Long Cane Use
Emerson RW, Kim DS, Naghshineh K and Myers KR
The modern long cane has been used by people who are blind for traveling for decades. This article describes parameters surrounding the collection of over 10,000 trials of people walking with the long cane to detect drop-offs or obstacles.
Transfer of Learning in People Who Are Blind: Enhancement of Spatial-Cognitive Abilities Through Drawing
Likova LT and Cacciamani L
This study assessed whether basic spatial-cognitive abilities can be enhanced in people who are blind through transfer of learning from drawing training.
The Accessibility and Usability of Online Job Applications for Screen Reader Users
Reuschel W, McDonnall M and Burton D
This study investigated the accessibility and usability of online job applications by individuals with visual impairments who use screen readers.
Beyond Employment Rates: Social Security Disability Benefit Receipt and Work Among People with Visual Impairments
McDonnall MC, Cmar JL and McKnight ZS
Beyond Employment Rates: Self-Employment and Other Categories of Work Among People with Visual Impairments
McDonnall MC, Cmar JL and McKnight ZS
Beyond Employment Rates: Full-time vs. Part-time Employment for People with Visual Impairments
McDonnall MC, Cmar JL and McKnight ZS
Obstacle Detection with the Long Cane: Effect of Cane Tip Design and Technique Modification on Performance
Kim DS and Emerson RW
The purpose of this study was to investigate the effect of cane tip design and cane technique modification on obstacle detection performance as they interact with the size, height, and position of obstacles.
Beyond Employment Rates: Earnings of People with Visual Impairments
McDonnall MC, Cmar JL and McKnight ZS
Predictors of Job Satisfaction for People with Visual Impairments
Steverson A and Crudden A
Feasibility and Acceptability of Implementing a Job Search Intervention for Adults With Visual Impairments via Videoconferencing
Cmar JL and Antonelli K
Research supports the benefits of job search interventions in improving employment outcomes for various populations, but previous studies involved face-to-face implementation and did not include adults with visual impairments. The purpose of this study was to investigate the feasibility and acceptability of a job search intervention designed for synchronous distance implementation with adults with visual impairments.