Discussion
fatigue, visual impairment
The main focus of this pilot study was to evaluate and optimize E-nergEYEze, an E-health intervention to reduce fatigue in adults with visual impairment. The usability study resulted in adjustments based on participants’ feedback on the content and lay-out of E-nergEYEze. Digital challenges for people with visual impairment were identified and largely remedied. The feasibility study showed a positive trend in reducing fatigue severity, impact of fatigue and cognitive behavioral therapy skills. Participants’ experience was overall positive and E-nergEYEze was rated with a median score of 8 (range 7–10).We want to emphasize on the importance of conducting a pilot study of an E-health intervention before further testing or implementation. E-health is on the rise, but conducting pilot studies for successful implementation lags behind [The usability study provided detailed data where researcher judgement was necessary to determine reflective themes [The feasibility study has been conducted in a pragmatic design to reflect real-world settings and enhance external validity and generalizability [Evidence to support the use of E-health for people with visual impairment is limited [