Why do Individuals Refuse or Stop Using Low Vision Devices? A Cross-Sectional Study

Objectives: We designed the present study to understand the reasons for refusing the use of Low Vision Aids (LVAs) after initial trial or stopping their use after a while. We also studied the association between demographic factors and reasons for refusal of these devices. Methods: We included 44 individuals for this present study. Of these, 36 refused LVA after initial trial and eight had discontinued the use of LVAs after using it for some time. All these participants stated reasons for refusal or stopping the use of LVAs. The responses were collected on a five-point Likert Scale (Strongly Agree to Strongly Disagree). We also had a sixth category of ‘no response’. Results: The most common reasons for not accepting LVA devices were have to hold it closer to read (92%); cannot use it while walking (81%); and not satisfied with vision (75%). Individuals less than 40 years of age were significantly more likely to agree that the device was costly (19% vs. 0%, p=0.006) and not cosmetically appealing (56% vs. 16%, p=0.02). However, older individuals were not satisfied with visual performance (95% vs. 50%, p=0.002). The most common reasons for refusal of LVA devices were vision related issues and restricted activity. The common reasons for stopping the use of device were restriction of activities, vision related issues, and difficult to use. Conclusion: In both groups, we found that visual satisfaction and activity restriction were the most important reasons for abandoning the device. Thus, there is a need to focus on maintenance of activities after the use of LVA. Strategies and modules to ameliorate ‘restriction of activities of daily living’ are important to ensure success of low vision aids in these individuals.