Life-Space Mobility of Middle-Aged and Older Adults at Various Stages of Usage of Power Mobility Devices

Auger, Claudine; Demers, Louise; Gélinas, Isabelle; Miller, William C.; Jutai, Jeffrey W.; Noreau, Luc

doi:10.1016/j.apmr.2010.01.018

Cited by 54 publications

(51 citation statements)

References 28 publications

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“…Women seem to use their PMDs less away from their homes than men (14), and men seem to have better driving skills than women (15). Men also use their PMDs more often and for prioritized occupations, whereas women use them for more differentiated occupations, i.e.…”

Section: Introductionmentioning

confidence: 99%

“…many different types of occupations (2). While not verified by research, gender differences could be explained by the fact that men and women engage in different types of occupations, have different knowledge of technology (2), or have different experiences in relation to training strategies (14,15).…”

Section: Introductionmentioning

confidence: 99%

“…Since most previous studies used methodology with limited potential to capture the 4 user perspective (8,14), the knowledge on users own perceptions and experiences is limited.…”

Section: Introductionmentioning

confidence: 99%

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Men’s and women’s perspectives on using a powered mobility device: Benefits and societal challenges

Pettersson

Iwarsson

Brandt

et al. 2014

Scandinavian Journal of Occupational Therapy

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Link to publication Citation for published version (APA): Pettersson, C., Iwarsson, S., Brandt, Å., Norin, L., & Månsson Lexell, E. (2014). Men's and women's perspectives on using a powered mobility device: Benefits and societal challenges. Scandinavian Journal of Occupational Therapy, 21(6), 438-446. DOI: 10.3109/11038128.2014.905634 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal 1 MEN'S AND WOMEN'S PERSPECTIVES OF USING A POWERED MOBILITY DEVICE -BENEFITS AND SOCIETAL CHALLENGES AbstractObjective: To describe how men and women experience their use of powered wheelchair (PW) and powered scooters (PS) in everyday occupations, in the home and society at large.Methods: A qualitative research approach with focus group methodology was used. Four focus groups were created, with men and women as well as PW and PS users in different groups. Applying a descriptive approach, data were analyzed according to the principles described by Krueger.Findings: Three categories emerged and revealed that even though use of PW and PS increased independence and enabled everyday occupations, participants struggled to be independent powered mobility device (PMD) users. They experienced many accessibility problems in dwellings and in society, described similarly by users of PW and PS. Men and women experienced their use of (PMD differently, especially in relation to the service delivery process.Conclusions: The study contributes with new knowledge on accessibility for PW and PS users and related service delivery processes, stating that gender differences regarding provision and training must be taken into account. Occupational therapists can contribute to an enhanced understanding of the PMD users' challenges in person-environment-occupation transactions in the home and society, and thereby promote occupational justice for PMD users.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Men’s and women’s perspectives on using a powered mobility device: Benefits and societal challenges

Pettersson

Iwarsson

Brandt

et al. 2014

Scandinavian Journal of Occupational Therapy

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“…[79][80][81] Participation-As an indicator of mobility-related participation, at T3 we used a component of the Life Space Assessment (LSA), [82][83][84] recording scores of 0-5 corresponding to being limited to the room where one sleeps, being in other rooms of the home, being outside the home, being in the neighbourhood, being outside the neighbourhood and being outside one's town.…”

Section: Ethical Issuesmentioning

confidence: 99%

Effectiveness of a Wheelchair Skills Training Program for Powered Wheelchair Users: A Randomized Controlled Trial

Kirby

Miller

Routhier

et al. 2015

Archives of Physical Medicine and Rehabilitation

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Objectives-To test the hypothesis that powered wheelchair users who receive the Wheelchair Skills Training Program (WSTP) improve their wheelchair skills in comparison with a Control group that receives standard care. Our secondary objectives were to assess goal achievement, satisfaction with training, retention, injury rate, confidence with wheelchair use and participation. Design-Randomized controlled trial (RCT). Setting-Rehabilitation centers and communities.Participants-116 powered wheelchair users. Intervention-Five 30-minute WSTP training sessions.Main Outcome Measures-Assessments were done at baseline (T1), post-training (T2) and 3 months post-training (T3) using the Wheelchair Skills Test Questionnaire (WST-Q 4.1), Goal Attainment Score (GAS), Satisfaction Questionnaire, Injury Rate, Wheelchair Use Confidence Scale for Power Wheelchair Users (WheelCon) and Life Space Assessment (LSA).Results-There was no significant T2-T1 difference between the groups for WST-Q capacity scores (p = 0.600) but the difference for WST-Q performance scores was significant (p = 0.016) with a relative (T2/T1 x 100%) improvement of the median score for the Intervention group of 10.8%. The mean (SD) GAS for the Intervention group after training was 92.8% (11.4) and satisfaction with training was high. The WST-Q gain was not retained at T3. There was no clinically significant difference between the groups in injury rate and no statistically significant differences in WheelCon or LSA scores at T3.Conclusions-Powered wheelchair users who receive formal wheelchair skills training demonstrate modest transient post-training improvements in their WST-Q performance scores, they have substantial improvements on individualized goals and they are positive about training. KeywordsWheelchair; rehabilitation; training; motor skills; RCT Of people who use wheelchairs (excluding scooters) in North America, ~13% use powered wheelchairs. [1][2][3] Powered wheelchairs can have a positive impact on well-being, self-esteem, pain, activity and participation. [4][5][6][7][8][9][10][11][12][13][14][15] However, powered wheelchairs are not without problems. 11,16 There can be functional difficulties with powered wheelchair use, such as difficulty maneuvering in indoor spaces, difficulty in handling for caregivers, and difficulty transporting the powered mobility devices in vehicles. 8 CIHR Author ManuscriptCIHR Author Manuscript CIHR Author Manuscript usefulness of power wheelchairs for some users. 17,18 Safety is also an issue for users of manual and powered wheelchairs, with 5-18% of community-dwelling wheelchair users experiencing wheelchair-related injuries each year. [19][20][21][22][23][24][25] A high proportion of wheelchairs require repairs in the first 6 months after they are provided. 26,27 Wheelchair abandonment can occur when users are faced with such difficulties. 7,[28][29][30][31] One important aspect of the wheelchair-provision process that has become increasingly well recognized is training in wheelchair use. 32 There is...

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“…Although more recent data regarding MMS usage is not available, it is believed that the number of users has substantially increased in the last decade. Clinical studies have demonstrated several benefits to using MMS, including a higher frequency of outings, increased independence, enhanced ease in mobility, as well as psychological support in all aspects of quality-of-life [2][3][4]. In a systematic review [5], Augron et al categorized powered mobility devices, as well as MMS benefits into: 1) effectiveness (e.g., body function, participation and activity); 2) social significance (e.g., caregiving and cost); and 3) subjective well-being (e.g., quality of life and satisfaction).…”

Section: Introductionmentioning

confidence: 99%

Motorized mobility scooters: the use of training/intervention and technology for improving driving skills in aging adults – a mini review

2014

Primary Health Care

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Life-Space Mobility of Middle-Aged and Older Adults at Various Stages of Usage of Power Mobility Devices

Cited by 54 publications

References 28 publications

Men’s and women’s perspectives on using a powered mobility device: Benefits and societal challenges

Men’s and women’s perspectives on using a powered mobility device: Benefits and societal challenges

Effectiveness of a Wheelchair Skills Training Program for Powered Wheelchair Users: A Randomized Controlled Trial

Motorized mobility scooters: the use of training/intervention and technology for improving driving skills in aging adults – a mini review

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