Community and social participation among adults with mobility impairments: A mixed methods study

Sundar, Vidya; Brucker, Debra L.; Pollack, Megan A.; Chang, Hong

doi:10.1016/j.dhjo.2016.05.006

Cited by 26 publications

(18 citation statements)

References 34 publications

(47 reference statements)

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“…The results show that the quality of life of wheelchair users who play an adapted sport is comparable to that of people without disabilities, and that playing adapted sports influences quality of life through personal factors and social participation of people with mobility limitations. These findings are similar to those in several other studies [9, 22, 23] where sport participants with disabilities had better quality of life and life satisfaction than non-sport participants with disabilities, and community and social participation were linked to good quality of life, which can be expressed by sports participation. The present study shows that adapted sports could impact the quality of life of people with disabilities to a point where it can be compared not only to that of non-sport participants with disabilities but also to that of people without disabilities, whether they are involved in sports or not.…”

Section: Discussionsupporting

confidence: 91%

“…Conversely, a lack of congruence or too great a gap between aspirations and accomplishments can produce negative reactions like dissatisfaction or depression [6]. According to the literature, self-esteem [7], self-efficacy [8, 9] and the sense of belonging to a group [10, 11] are important personal factors to consider in fostering good quality of life. Self-esteem is defined by how good a person feels about him/herself [7].…”

Section: Introductionmentioning

confidence: 99%

“…Self-efficacy reflects the beliefs a person has about his/her abilities and is influenced by events that affect his/her life [8]. It is also a potential factor influencing social participation, which was linked to good quality of life and well-being [9, 10]. Finally, the sense of belonging to a group is the ability to consider oneself and feel like an integral part of a group, family or whole [10].…”

Section: Introductionmentioning

confidence: 99%

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How does playing adapted sports affect quality of life of people with mobility limitations? Results from a mixed-method sequential explanatory study

Côté-Leclerc

Duchesne

Bolduc

et al. 2017

Health Qual Life Outcomes

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BackgroundOccupations, including physical activity, are a strong determinant of health. However, mobility limitations can restrict opportunities to perform these occupations, which may affect quality of life. Some people will turn to adapted sports to meet their need to be involved in occupations. Little is known, however, about how participation in adapted sports affects the quality of life of people with mobility limitations. This study thus aimed to explore the influence of adapted sports on quality of life in adult wheelchair users.MethodsA mixed-method sequential explanatory design was used, including a quantitative and a qualitative component with a clinical research design. A total of 34 wheelchair users aged 18 to 62, who regularly played adapted sports, completed the Quality of Life Index (/30). Their scores were compared to those obtained by people of similar age without limitations (general population). Ten of the wheelchair users also participated in individual semi-structured interviews exploring their perceptions regarding how sports-related experiences affected their quality of life.ResultsThe participants were 9 women and 25 men with paraplegia, the majority of whom worked and played an individual adapted sport (athletics, tennis or rugby) at the international or national level. People with mobility limitations who participated in adapted sports had a quality of life comparable to the group without limitations (21.9 ± 3.3 vs 22.3 ± 2.9 respectively), except for poorer family-related quality of life (21.0 ± 5.3 vs 24.1 ± 4.9 respectively). Based on the interviews, participants reported that the positive effect of adapted sports on the quality of life of people with mobility limitations operates mainly through the following: personal factors (behavior-related abilities and health), social participation (in general and through interpersonal relationships), and environmental factors (society’s perceptions and support from the environment). Some contextual factors, such as resources and the accessibility of organizations and training facilities, are important and contributed indirectly to quality of life. Negative aspects, such as performance-related stress and injury, also have an effect.ConclusionsPeople with mobility limitations playing adapted sports and people without limitations have a similar quality of life. Participation in adapted sports was identified as having positive effects on self-esteem, self-efficacy, sense of belonging, participation in meaningful activities, society’s attitude towards people with mobility limitations, and physical well-being. However, participants stated that this involvement, especially at higher levels, had a negative impact on their social life.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

How does playing adapted sports affect quality of life of people with mobility limitations? Results from a mixed-method sequential explanatory study

Côté-Leclerc

Duchesne

Bolduc

et al. 2017

Health Qual Life Outcomes

View full text Add to dashboard Cite

show abstract

“…Historical evidence indicates that persons with disabilities have a limited chance of entering into marriage compared to persons without disabilities (Haage, Vikström, & Häggström Lundevaller, 2017). Recent studies show that disability affects partnership formation by creating limitations for social interaction, restrict access to potential partners (Rapegno & Ravaud, 2017;Sundar, Brucker, Pollack, & Chang, 2016). Moreover, persons with disabilities report a high prevalence of neighborhood socio-economic disadvantage (Danielewicz, Dos Anjos, Bastos, Boing, & Boing, 2017) and poor socio-economic status on an individual level (Beckman, Hakansson, Rastam, Lithman, & Merlo, 2006).…”

Section: Introductionmentioning

confidence: 99%

The impact of disability on partnership formation in Sweden during 1990-2009

Namatovu

Lundevaller

Vikström

2019

The History of the Family

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Evidence suggests that disability negatively affects people's propensity to find a partner. Persons with disabilities that eventually find a partner do so later in life compared to the average population. There is a lack of studies on the differences in partnership opportunities for persons with disabilities compared to those without disabilities in Sweden. The aim of this study is to assess the impact of disability on partnership formation and to assess whether partnership formation varies as a function of individual demographic and socioeconomic factors. We use nationwide data available in the Swedish Initiative for Research on Microdata in Social and Medical Sciences (Umeå SIMSAM Lab). We follow persons born from 1973 to 1977 when they were from 16 to 37 years of age and analyze their data using logistic regression. Our findings indicate that regardless of whether a person started to receive a disability pension at an early age or later, it was associated with lower odds for partnership formation. For persons who started receiving disability pension from 16 to 20 years of age, chances for partnership formation reduced with increase in age of partnership. Individuals that started to receive disability pension later were more likely to form partnership prior to receiving disability pension. Partnership formation was less likely among persons born outside Sweden, in persons with mothers born outside Sweden, in individuals born by unmarried mothers and in persons, whose mothers had a high level of education. Partnership was high among women and among persons who had many maternal siblings. In conclusion, receiving disability pension was associated with reduced chances for partnership formation. Receiving disability pension might imply financial constraints that negatively influence partnership formation supporting Oppenheimer's theory on the economic cost of marriage and the uncertainty hypothesis.

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“…These barriers are much worse for people with disabilities ( 2 ). Without access to transportation, people with disabilities are more likely to be excluded from services and social contact, and become stuck in a disability-poverty cycle, which in turn can lead to social isolation, depression, and health deterioration ( 4 – 8 ). While access to public transportation has improved since the passage of the Americans with Disabilities Act (ADA) in 1990, several accessibility concerns remain, particularly related to wheelchair securement in large accessible transit vehicles (LATVs), which are over 22 ft long and provide transportation in fixed routes.…”

mentioning

confidence: 99%

User Experiences with Two New Wheelchair Securement Systems in Large Accessible Transit Vehicles

Choi

Maisel

Perez

et al. 2020

Transportation Research Record: Journal of the Transportation R

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Wheelchair securement designs for fixed route, large accessible transit vehicles (LATVs) often create difficulties for passengers who use wheelchairs and operational inefficiencies for public transit agencies. Recent innovations in wheelchair securement technology for LATVs may reduce these challenges. This field study builds on a recent lab study that used a full-scale LATV simulation apparatus to address similar knowledge gaps. The current study used a mixed-methods approach to explore the usability of two newer wheelchair securement systems currently installed in LATVs in Buffalo, NY: a 3-point, forward-facing (3P-FF) securement system and a semi-automated, rear-facing (SA-RF) securement system. Three groups of wheelchair users (manual wheelchair [MWC], power wheelchair [PWC], and scooter [SC] users; n = 40) completed a pre-study interview, four trips on the LATVs and accompanying surveys, and a final interview. Using multiple usability rating scales, findings indicated clear differences in ratings of difficulty and acceptability between securement systems by wheelchair user group, with the SA-RF outperforming the 3P-FF on most usability measures for MWC and PWC users. SC users consistently rated both securement systems as more difficult to use and the SA-RF securement as less acceptable than MWC and PWC users.

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Community and social participation among adults with mobility impairments: A mixed methods study

Cited by 26 publications

References 34 publications

How does playing adapted sports affect quality of life of people with mobility limitations? Results from a mixed-method sequential explanatory study

How does playing adapted sports affect quality of life of people with mobility limitations? Results from a mixed-method sequential explanatory study

The impact of disability on partnership formation in Sweden during 1990-2009

User Experiences with Two New Wheelchair Securement Systems in Large Accessible Transit Vehicles

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