Stakeholders' perceptions illustrated benefits of PM, yet use is contingent on the physical, institutional, and societal environments, leading stakeholders to feel both powerful and powerless as users, parents, or clinicians.
Purpose: To explore power wheelchair users', caregivers' and clinicians' perspectives regarding the potential impact of intelligent power wheelchair use on social participation. Methods: Semistructured interviews were conducted with power wheelchair users (n ¼ 12), caregivers (n ¼ 4) and clinicians (n ¼ 12). An illustrative video was used to facilitate discussion. The transcribed interviews were analyzed using thematic analysis. Results: Three main themes were identified based on the experiences of the power wheelchair users, caregivers and clinicians: (1) increased social participation opportunities, (2) changing how social participation is experienced and (3) decreased risk of accidents during social participation. Conclusion: Findings from this study suggest that an intelligent power wheelchair would enhance social participation in a variety of important ways, thereby providing support for continued design and development of this assistive technology.ä Implications for Rehabilitation An intelligent power wheelchair has the potential to:Increase social participation opportunities by overcoming challenges associated with navigating through crowds and small spaces. Change how social participation is experienced through ''normalizing'' social interactions and decreasing the effort required to drive a power wheelchair. Decrease the risk of accidents during social participation by reducing the need for dangerous compensatory strategies and minimizing the impact of the physical environment.
Power wheelchairs (PWCs) can have a positive impact on user well-being, self-esteem, pain, activity and participation. Newly developed intelligent power wheelchairs (IPWs), allowing autonomous or collaboratively-controlled navigation, could enhance mobility of individuals not able to use, or having difficulty using, standard PWCs. The objective of this study was to explore the perspectives of PWC users (PWUs) and their caregivers regarding if and how IPWs could impact on current challenges faced by PWUs, as well as inform current development of IPWs. A qualitative exploratory study using individual interviews was conducted with PWUs (n = 12) and caregivers (n = 4). A semi-structured interview guide and video were used to facilitate informed discussion regarding IPWs. Thematic analysis revealed three main themes: (1) “challenging situations that may be overcome by an IPW” described how the IPW features of obstacle avoidance, path following, and target following could alleviate PWUs’ identified mobility difficulties; (2) “cautious optimism concerning IPW use revealed participants” addresses concerns regarding using an IPW as well as technological suggestions; (3) “defining the potential IPW user” revealed characteristics of PWUs that would benefit from IPW use. Findings indicate how IPW use may help overcome PWC difficulties and confirm the importance of user input in the ongoing development of IPWs.
Abré gé Description. Devenir parent implique plusieurs défis quotidiens, particulièrement pour les parents ayant des incapacités physiques et cognitives. Néanmoins, aucun outil d'évaluation n'existe pour soutenir les ergothérapeutes dans l'évaluation de l'indépendance à prendre soin d'un bébé. But. Cette étude visait à (a) développer des activités spécifiques à l'évaluation des habiletés parentales auprès de bébés à l'intérieur du Profil des AVQ et (b) réaliser une étude pilote pour explorer les besoins des parents avec incapacités. Mé thodologie. Les activités ont été sélectionnées par une approche participative avec des ergothérapeutes experts (n ¼ 3) et l'évaluation a été expérimentée auprès de parents (n ¼ 4) avec incapacités physiques et cognitives. Ré sultats. Six activités parentales ont été développées et celles-ci ont permis de conclure sur l'indépendance d'un parent à prendre soin de son bébé. Conséquences. Par l'ajout d'activités parentales, le Profil des AVQ a le potentiel d'outiller les ergothérapeutes dans leurs recommandations reliées au rôle de parent.
Introduction:It is recommended that sexuality be addressed at all transition points along the continuum in stroke rehabilitation. However, little is known about needs specific to the subacute phase.Objectives: 1) Explore priorities and needs of individuals who have had a stroke regarding sexuality in the subacute phase of stroke rehabilitation, according to both clients and clinicians;2) Explore clinicians' perceptions of their professional roles with regard to sexuality rehabilitation after stroke.Methods: This qualitative study involved a convenience sample composed of five clients and 15 clinicians. Clinicians were asked to implement an interview guide to assess their clients' need to address sexuality during rehabilitation. Following implementation, data was collected through individual interviews (n = 6) and focus groups (n = 3). Verbatim were partially co-coded (15%) and analyzed by two independent assessors through a thematic analyzis.
Results:The mean age of the five clients (3 female, 2 male) was 67.0 years-old (S.D. 4.6) and clinicians included a psychologist and occupational, physical and speech language therapists. Three themes emerged: 1) Sexuality: a secondary priority, 2) Clients' needs: just talk about it!, and 3) professional roles. Clients and clinicians considered sexuality as important, but a secondary priority to be addressed after more basic activities of daily living. Needs varied among clients regarding sexuality and clinicians shared their respective contribution to the issue while emphasizing interdisciplinarity.
Conclusion:This study is among the first to identify priorities and needs related to sexuality for clients in subacute phase of stroke rehabilitation and their clinicians.
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