Exploratory Validation of a Multidimensional Power Wheelchair Outcomes Toolkit

Mortenson, W. Ben; Demers, Louise; Rushton, Paula W.; Auger, Claudine; Routhier, François; Miller, William C.

doi:10.1016/j.apmr.2015.08.430

Cited by 15 publications

(11 citation statements)

References 31 publications

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“…This two-year longitudinal study was conducted in Vancouver, Montreal and Quebec City (Canada), as part of a larger multi-site mixed-methods study on powered wheelchair use (Mortenson et al , 2015 b ). Qualitative interviews were the primary method of data collection.…”

Section: Methodsmentioning

confidence: 99%

Mobility and participation among ageing powered wheelchair users: using a lifecourse approach

et al. 2018

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About 65 million people use wheelchairs worldwide. Powered wheelchairs offer independent mobility for those who find it difficult to propel a manual wheelchair. Previous studies have described powered wheelchairs as a mixed blessing for the users in terms of usability, accessibility, safety, cost and stigma; however, few studies have explored their impact on mobility and participation over time. Therefore, as part of a larger longitudinal study, we used a combined retrospective and prospective lifecourse perspective to explore the experiences of older adult powered wheelchair users. Based on the interpretive description approach, 19 participants took part in a series of semi-structured interviews over a two-year period about their mobility, social participation and ageing process. The participants were powered wheelchair users, at least 50 years of age, recruited in Vancouver, Montreal and Quebec City (Canada). We identified three themes that highlighted how the powered wheelchair experience was integrated into the life continuum of the users. ‘It's my legs’ emphasised how powered wheelchairs are a form of mobility that not only enables users to take part in activities, but also impacts their identities, past and present. ‘Wheels of change’ explored the dynamic nature of powered wheelchair use and changes related to ageing. ‘Getting around’ illustrated how users’ mobility was affected by the interaction with their physical and social environments. Developing public policies to advance social and environmental changes could help countries to ensure equity of access and social inclusion of those ageing with disabilities.

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Section: Methodsmentioning

confidence: 99%

Mobility and participation among ageing powered wheelchair users: using a lifecourse approach

et al. 2018

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“…The ILS was selected as a proxy for the without devices subscales (ACTwo and PARTwo), and the LSC for subscales with devices (ACTw, PARTw). The estimated intra‐class correlation coefficients were >0.84 for ILS and >0.87 for LSC with samples of PWC users (Auger et al .; Mortenson et al ., ). Construct validity was established with cohort comparisons showing higher frequency of outings for powered mobility device users in the neighborhood ( P < 0.001) and around home ( P < 0.05) and significantly greater LSC scores for initial and long‐term users than for comparable non‐users ( P < 0.05) (Auger et al ., ).…”

Section: Methodsmentioning

confidence: 97%

“…See Mortenson et al . () for detailed methods. The project was approved by the Institutional Review Boards of six participating Canadian institutions.…”

Section: Methodsmentioning

confidence: 99%

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Reliability, convergent validity and applicability of the Assistive Technology Outcome Profile for Mobility for middle‐aged and older power wheelchair users

Auger

Rushton

Jutai

et al. 2018

Aus Occup Therapy J

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“…Furthermore, these data alone do not provide a complete picture of MAT [39-41], as they do not take into account the individuals’ lived experience. Although some authors have measured the frequency of participation and perceived limitations among wheelchair users [42,43], there is scarce information about their day-to-day participation.…”

Section: Introductionmentioning

confidence: 99%

Mobility and Participation of People With Disabilities Using Mobility Assistive Technologies: Protocol for a Mixed-Methods Study

Routhier¹,

Mortenson²,

Demers³

et al. 2019

JMIR Res Protoc

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Background Many community-dwelling individuals living with a disability use mobility assistive technologies (MATs). MAT devices are generally beneficial for individuals with mobility impairments. However, less is known about the specific factors that may foster or deter mobility and community participation. Objective The purpose of this protocol is to describe the methodology for a study including three main objectives: (1) to understand the places people using MAT go and the things they do, (2) to identify perceived barriers and facilitators as well as users’ desired environmental modifications, and (3) to understand subjective and objective issues related to environmental accessibility. Methods A mixed-methods study was conducted in Vancouver and in Quebec City. Qualitative interviews were conducted to address all three objectives. In addition, Objective 1 was achieved through collection of global positioning system (GPS) data and activity diaries with 36 participants per site who represented six types of MAT users (ie, cane, walker, crutches, manual wheelchair, power wheelchair, and scooter). All participants were invited to take part in all aspects of data collection. PhotoVoice was used to address Objectives 2 and 3. Two environmental audits were used to address Objective 2. The Stakeholders’ Walkability/Wheelability Audit in Neighbourhood (SWAN) measured perceptions related to a variety of community environmental features associated with mobility and participation. A total of 24 participants were recruited to each study site for SWAN data collection. The Measure of Environmental Accessibility (MEA) was also used to objectively measure access to exterior and interior environments selected earlier in the project by the participants that could benefit from improvements. Results Funding for this study was obtained from the Social Sciences and Humanities Research Council of Canada. Approval was obtained from the University of British Columbia Research Ethics Board and the Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale Research Ethics Board. Regarding the MEA evaluations, 19 locations (ie, buildings and exterior spaces) where obstacles have been identified by the participants of the PhotoVoice focus groups have been evaluated in Quebec City and 20 locations have been identified in the Vancouver region by the participants of the community forums. Data collection for this project was completed in December 2018. Analysis and writing of manuscripts are underway. Conclusions The use of a variety of methods to gather data on participation and mobility will allow a more holistic consideration of factors influencing mobility with a MAT device. This study will provide objective information about the mobility of participants and identify barriers and facilitators that impact their mobility and community participation. Through t...

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Exploratory Validation of a Multidimensional Power Wheelchair Outcomes Toolkit

Cited by 15 publications

References 31 publications

Mobility and participation among ageing powered wheelchair users: using a lifecourse approach

Mobility and participation among ageing powered wheelchair users: using a lifecourse approach

Reliability, convergent validity and applicability of the Assistive Technology Outcome Profile for Mobility for middle‐aged and older power wheelchair users

Mobility and Participation of People With Disabilities Using Mobility Assistive Technologies: Protocol for a Mixed-Methods Study

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