About this trial
The aim of this project is to explore whether vision correction can effectively slow cognitive decline in older adults.
The primary question it seeks to answer is: Can providing free near and/or distance vision correction glasses to older adults with refractive errors or uncorrected vision, who have normal baseline cognition and hearing, reduce the rate of cognitive decline over 36 months in a cost-effective manner? Researchers will compare the rate of cognitive decline over 36 months between older adults who receive refractive correction and those who do not.
Eligibility criteria
Qualifiers
Registered as a rural resident (holding rural household registration);
Age from 60 to 79 years at the time of enumeration;
Resident in the household for > = 3 months and planning to reside in the local area for the trial duration;
Distance vision impairment (VI, presenting visual acuity [VA] < 6/12 in the better-seeing eye and improving to ≥ 6/7.5 or better in either eye with spectacle correction) and/or near VI (presenting near VA < 6/12 at 40 cm when measured binocularly and improving to ≥ 6/7.5 or better in either eye with near correction);
Disqualifiers
Presence of glaucoma or visually significant cataract, or a history of surgical treatment for these or other major ocular conditions;
Consistent use of prescription spectacles and/or hearing aids;
Serious medical illness likely to result in loss to follow-up. Those less severely affected by conditions such as hypertension and/or diabetes will be eligible;
Failure on the whispered voice hearing screening test in the better ear (unable to repeat > = 3 out of 6 words whispered from behind the participant at a distance of 50 cm);
Trial design
Treatments tested in this trial
- Free Prescription Glasses
Treatment groups
Sponsors and collaborators
Yuju Wu
Lead sponsor
Sichuan University
Sponsor institution