6. Results of studies comparing two different types of active interventions (i.e. interventions from different categories).
Study | Interventions | Outcome | Mean (or other reported result if no mean available) | Standard deviation | Number of participants | Statistical test/results |
Compensation intervention versus restitution intervention | ||||||
Modden 2012 | Computer‐based restitution therapy | Visual field enlargement (visual field assessment from Test Battery of Attentional Performance) | 3.9 | 4.9 | 15 | Pre‐ to post‐treatment significant field expansion (P = 0.003) |
Computer‐based compensation therapy | 2.9 | 4.0 | 15 | Pre‐ to post‐treatment significant field expansion (P = 0.013) | ||
Computer‐based restitution therapy (RT) | Functional ability in ADL (improvement in Extended Barthel Index) | 1.5 | 2.8 | 15 | "No significant treatment effects were found when comparing ... RT/CT". | |
Computer‐based compensation therapy (CT) | 3.3 | 3.6 | 15 | |||
Computer‐based restitution therapy (RT) | Reading: improvement in reading performance, reduction in number of errors (from baseline) | ‐0.9 | 2.4 | 15 | "There were no differences between RT and CT." | |
Computer‐based compensation therapy (CT) | ‐0.9 | 1.1 | 15 | |||
Computer‐based restitution therapy (RT) | Visual scanning: reduction in number of omissions from baseline, cancellation tasks of the Test Battery of Attentional Performance | ‐5.3 | 10.5 | 15 | "... the improvement of the CT compared with the RT group did not meet the defined significance level after Bonferroni correction (P = .023)." | |
Computer‐based compensation therapy (CT) | ‐5.4 | 5.2 | 15 | |||
Roth 2009 | Explorative scanning training (EST) (compensation) | Visual field: Tubingen automated perimetry | 44.4 | 13.1 | 15 | "Neither the EST group nor the FT group showed any differences in their TAP or SLO outcomes, quantified as the total number of stimuli detected in the blind hemifield (lowest P = 0.204)." |
Flicker stimulation training (FT)(restitution) | 35.7 | 15.2 | 13 | |||
Explorative scanning training (EST) (compensation) | Quality of life (WHOQOL‐BREF) | 12.93 | 1.67 | 15 | "The EST group reported greater improvements (T2 minus T1 scores) in the WHOQOL social‐relationships domain (t test; t(20) = 2.217, P = 0.038)" (but no significant differences for other domains). | |
Flicker stimulation training (FT) (restitution) | 13.23 | 1.3 | 13 | |||
Explorative scanning training (EST) (compensation) | Reading (reading speed) | 99.7 | 34.7 | 15 | "Although the EST and FT groups differed in their reading speeds at T1, this difference remained unchanged [main effect of group, F(1,26) = 133.074, P < 0.0001, interaction, F < 1]". | |
Flicker stimulation training (FT)(restitution) | 140.2 | 20.9 | 13 | |||
Compensation intervention versus substitution intervention | ||||||
Rowe 2010* | Fresnel prisms (substitution) | Visual Field (relative change in visual field area) | 0.052 | 0.1396 | 24 | ANOVA results: no significant differences between groups (P = 0.55, for comparison across 3 treatment groups) |
Visual search training (compensation) | 0.0815 | 0.1488 | 24 | |||
Fresnel prisms (substitution) | Extended activities of daily living (change in EADL from baseline) | 15.2 | 4.8 | 22 | "No evidence of differences ..." | |
Visual search training (compensation) | 15.2 | 4.4 | 22 | |||
Fresnel prisms (substitution) | Reading (change in Radner reading speed) | 17.4 | 21.3 | 24 | "No evidence of differences ..." | |
Visual search training (compensation) | 13.0 | 13.1 | 25 | |||
Fresnel prisms (substitution) | Quality of life (VFQ‐25 total score) | 68.2 | 18.4 | 24 | "Visual function (using the VFQ 25‐10) improved at 26 weeks in the visual search training arm (60 [SD 19] to 68.4 [SD 20]) when compared to the Fresnel prisms (68.5 [SD 16.4] to 68.2 [18.4]) and standard care arms (63.7 [SD 19.4] to 59.8 [SD 22.7]: Table 6, ANCOVA P = 0.05)." | |
Visual search training (compensation) | 68.4 | 20.0 | 25 | |||
Fresnel prisms (substitution) | Adverse events (number of participants with reported adverse events during study) | 18 participants | 26 | "Given the extent and range of adverse events reported with prism wear, caution must be exercised if prescribing prism glasses as an intervention for homonymous hemianopia." | ||
Visual search training (compensation) | 2 participants | 30 |
*Rowe 2010 also had a control (standard care) group, and data were included in relevant meta‐analyses for compensatory and substitution interventions versus control. ADL: activities of daily living ANCOVA: analysis of covariance (statistical test of) ANOVA: analysis of variance (statistical test of) CT: compensation therapy EADL: extended activities of daily living EST: explorative scanning training FT: flicker stimulation training RT: restitution therapy SD: standard deviation SLO: Scanning Laser Ophthalmoscope T1: outcome asssessment timepoint 1 T2: outcome assessment timepoint 2 TAP: Tuebingen automated perimetry VFQ: visual function questionnaire WHOQOL‐BREF: World Health Organization Quality of Life Instrument