APPENDIX C

VA Blind Rehabilitation Service Demographic Survey

N=Total Sample Size n=Response Sample Size (%)= (100*n/N) Mn/StD= Mean/Standard Deviation

Age [2479] 67/13
 
Gender
Female [2586] 117(5)
Male [2586] 2469(95)
 
Race
Black/African-American [2585] 486(19)
American Indian or Alaskan Native [2585] 28(1)
Asian/Oriental [2585] 7(0)
Hispanic or Latino [2585] 204(8)
Caucasian (White) [2585] 1852(72)
 
Living Situation
Alone [2577] 732(28)
Spouse Only [2577] 1064(41)
Family [2577] 626(24)
Friend or Roommate [2577] 138(5)
Other [2577] 7(0)
Not Known [2577] 9(0)
 
Primary Residence
House [2610] 299(11)
Apartment/Condo [2610] 89(3)
Nursing Home [2610] 24(1)
Domiciliary [2610] 12(0)
State Veterans Home [2610] 24(1)
Board and Care [2610] 28(1)
Homeless [2610] 9(0)
Other [2610] 52(2)
Not known [2610] 21(1)
*Private Residence (house, apartment, condo) [2610] 2047(78)
 
Mobility environment (5 blocks from home)
Sidewalks [2614] 1771(68)
Traffic Light Controlled Intersections [2611] 1520(58)
Streets with 4+ Lanes [2614] 1241(47)
School [2613] 1206(46)
Grocery Store [2613] 1354(52)
Apartment Buildings [2613] 1224(47)
Public Transportation [2612] 1356(52)
Gas Station [2613] 1366(52)
Speed Limits of 40+ mph [2610] 1302(50)
Significant Crime [2610] 416(16)
 
Previous Blind Rehabilitation
VA (tracked by year of previous training) [2618] 603(23)
Non VA (professional) [2613] 352(13)
 
Eligible for prosthetics as outpatient?
Yes [2587] 1317(51)
No [2587] 1317(51)
 
Eye Diagnosis
Aphakia [2617] 57(2)
Maculopathy (Age Related) [2616] 883(34)
Cataract [2617] 359(14)
Choroid/Retinal [2616] 63(2)
Corneal Disease [2616] 36(1)
Diabetic Retinopathy [2616] 456(17)
Glaucoma [2617] 665(25)
Histoplasmosis [2614] 45(2)
Macular (non-ARM) [2615] 174(7)
Optic Atrophy [2617] 123(5)
Optic Nerve [2616] 68(3)
Retinal Detachment [2615] 97(4)
Retinitis Pigmentosa [2615] 148(6)
Stargardts [2615] 25(1)
Trauma - Combat [2615] 54(2)
Trauma - Self Inflicted [2615] 19(1)
Trauma - Other [2611] 134(5)
Not Known [2613] 22(1)
 
Visual Status: Acuity
No Light Perception [2383] 226(9)
LP/HM/CF [2383] 43(2)
1/200 Up to and Including 5/200 [2383] 64(3)
6/200 Up to and Including 20/200 [2383] 1170(49)
20/70 Up to and Including 20/190 [2383] 53(2)
20/40 Up to and Including 20/60 [2383] 16(1)
*LP Up to and Including 5/200 [2383] 366(15)
*Better than 20/200 [2383] 441(19)
 
Visual Status: Field
5° or Less [1815] 309(17)
6° to 20° [1815] 553(30)
Greater Than 21° [1815] 882(49)
 
Visual Status Monocular: LP in poorer eye
Yes [2606] 439(17)
No [2606] 439(17)
 
Duration of Vision Loss
Less Than 1 Year [2352] 143(6)
1 to 3 Years [2352] 634(27)
4 to 6 Years [2352] 117(5)
7 to 9 Years [2352] 54(2)
10 Years or More [2352] 94(4)
*Greater Than 3 Years [2352] 1308(56)
 
Ambulation
No Problems Noted [2603] 2220(85)
Confined to Bed [2603] 1(0)
Lower Limb(s) Loss of Use [2603] 50(2)
*Unspecified Ambulation Issues [2603] 329(13)
 
Ambulation Devices
Prosthetic Limb(s) or Brace(s) [457] 9(2)
Support Cane [457] 85(19)
Walker [454] 31(7)
Wheelchair [1940] 196(10)
Scooter/electric [458] 13(3)
 
Other Diagnoses
Cardiac Involvement [2615] 984(38)
Cognitive Involvement [2613] 211(8)
Diabetic=Injection [2613] 417(16)
Diabetic=Oral [2613] 256(10)
Neuropathy [2615] 248(9)
Neurological [836] 86(10)
Pulmonary [2615] 302(12)
Renal Involvement [2614] 195(7)
 
Hearing Loss
Mild [367] 192(52)
Severe [367] 58(16)
Profound [367] 6(2)
 
Hearing/Assistive Aids
Yes [450] 147(33)
No [450] 147(33)
 
Manipulation
No Problems Noted [2600] 2430(93)
Arm(s) Loss of Use [2600] 10(0)
Hand(s) Loss of Use [2600] 45(2)
*Unspecifed Problems [2600] 112(4)
 
Manipulation Devices
Permanent Arm/Hand Splint [453] 0(0)
Prosthetic Arm [478] 7(1)
 
Mental Health
Emotional Involvement [2607] 265(10)
Psychotropics [2613] 153(6)
Substance Abuse [2608] 122(5)
 
Below Knee Amputation
No BKA [1541] 1497(97)
Unilateral BKA [1541] 31(2)
Bilateral BKA [1541] 5(0)
 
Above Knee Amputation
No AKA [1534] 1487(97)
Unilateral AKA [1534] 10(1)
Bilateral AKA [1534] 4(0)
 
Major Activities (highest level)
Gainfully Employed [2611] 121(5)
Engaged in Training or School [2611] 105(4)
Volunteer Work [2611] 283(11)
Socially/Recreationally Active [2611] 1296(50)
*Seeking Work [2611] 117(4)
*Too Ill or Too Disabled [2611] 125(5)
*No Well-Defined Activity [2611] 424(16)
*Not Known [2611] 94(4)
 
Financial Status (highest level)
Declined to Answer [2609] 686(26)
"$0 to $10,000" [2609] 389(15)
"$10,001 to $20,000" [2609] 746(29)
"$20,001 to $30,000" [2609] 420(16)
"$30,001 to $40,000" [2609] 192(7)
"$40,001 to $50,000" [2609] 79(3)
"Greater than $50,000" [2609] 86(3)
 
Total Years of Education
None [2510] 36(1)
1-6 [2510] 16(1)
7-9 [2510] 74(3)
10-12 [2510] 1061(42)
13-14 [2510] 410(16)
15-16 [2510] 270(11)
16+ [2510] 216(9)
*1-9 years [2510] 403(16)
 
Facility
American Lake [2619] 201(8)
Augusta [2619] 246(9)
Birmingham [2619] 384(15)
Hines [2619] 511(20)
Palo Alto [2619] 348(13)
San Juan [2619] 98(4)
Tucson [2619] 243(9)
West Haven [2619] 296(11)
Waco [2619] 255(10)
 
Program Completed
Yes [2383] 2159(91)
No [2383] 219(9)
 
Inpatient Training Obviated
Yes [2077] 165(8)
No [2077] 1861(90)
 
Hours of Services Received Inpatient ([N] Mn/StD)
Low Vision [2601] 23/18
Living Skills [2604] 35/31
Orientation and Mobility [2604] 33/25
Manual Skills [2604] 37/23
Computer Access Training [2597] 9/26
 
Contacts or Programs
Family Training [2592] 841(32)
Physician [2593] 2452(95)
Optometrist [2594] 2352(91)
Psychologist [2592] 1682(65)
Support Group [2593] 2262(87)
Social Services [2396] 1950(81)
Nursing [2594] 2497(96)
Dietetics [2594] 2368(91)
Recreational Therapy [2592] 1697(65)
 
Hours of Services Received Outpatient ([N] Mn/StD)
Low Vision [2544] 0/3
Living Skills [2545] 0/4
Orientation and Mobility [2521] 0/4
Manual Skills [2521] 0/4
Computer Access Training [2521] 0/2
Family Involvement [2522] 0/1
 

* indicates non-translatable previous data

 

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