Quality of Life Assessment of Severely Visually Impaired Individuals Using Aira Assistive Technology System

Purpose: To assess patient-reported quality of life outcome improvements in severely visually impaired (SVI) individuals using the Aira system over a 1-year follow-up period. Methods: Aira is an on-demand assistive technology designed for SVI. Aira subscribers were recruited and administered the validated 28-item Impact of Vision Impairment-Very LowVisionQuestionnaire by phone before starting Aira with follow-ups at 3 months and 1 year. Total score and validated subset scores of activities of daily living, mobility, and safety (ADLMS) and emotional well-being (EWB) were assessed. Pearson correlation analyses and paired t-tests were used to examine the data. Results: Fifty participants (mean, age, 52.5 years; 25 males, 25 females) were recruited with a mean of 401 +/- 66.3 days to follow-up. The initial total score (mean, 53.1 +/- 18.9) significantly improved at 1 year (mean, 63.1 +/- 16.2; P= 0.0002). The initial ADLMS score (mean, 30.7 +/- 11.3) significantly improved at 1 year (mean, 37.2 +/- 10.7; P = 0.001). The initial EWBscore (mean, 22.5 +/- 8.5) significantly improved at 1 year (mean, 25.9 +/- 8.0; P= 0.0001). There was no significant difference between the 3-month and 1-year total (P = 0.972), ADLMS(P= 0.897), and EWB scores (P= 0.700). There was a significant correlation between minutes used and improvement in total (r = 0.371; P = 0.009), ADLMS (r = 0.302; P = 0.035), and EWB (r = 0.439; P = 0.002) scores. Conclusions: Aira use significantly improves Impact of Vision Impairment-Very Low Vision total, ADLMS, and EWB scores for SVI individuals at 3 months. This improvement is sustained at the 1-year follow-up and correlated with total minutes used. Translational Relevance: Aira technology may provide sustained improvement in quality of life for SVI, and further study to evaluate the usefulness of this technology to assist SVI may be beneficial.