Getting used to assistive devices: Ambivalent experiences by frail elderly persons

Skymne, Carina; Dahlin‐Ivanoff, Synneve; Claesson, Lisbeth; Eklund, Kajsa

doi:10.3109/11038128.2011.569757

Cited by 61 publications

(54 citation statements)

References 37 publications

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“…The reason for this is not known, but it has been suggested that environmental factors might be a contributing factor (7). The physical and social environment is known to both promote and limit the use of assistive devices in general, and the integration of the device in the user's context is important (9). Yet, studies of PMDs do not often simultaneously consider personal, environmental and occupational aspect (7), even if this has been advocated for (10).…”

Section: Introductionmentioning

confidence: 99%

“…Struggling to include the PMD as part of everyday occupations 9 The men who used PW discussed how they at first did not want to have PWs and leave their manual wheelchairs, since they saw it as a sign of failure and of decline. Their own reflections were that they had been stubborn and had wanted to manage everyday occupations without a PW, and how they had struggled before they had come to realize that they should have had it earlier.…”

Section: Struggling To Be An Independent Pmd Usermentioning

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: Struggling To Be An Independent Pmd Usermentioning

confidence: 99%

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

View full text Add to dashboard Cite

show abstract

“…Becoming accustomed to an ATD is a process in which the users' own perception of needs, as well as social and physical contexts, influence the experience [16]. The meaning attributed to ATDs is influenced by the users' perceived difficulties, perceived faith in being well-served by the device, and perception regarding whether it corresponds to or challenges their self-image [17].…”

Section: Introductionmentioning

confidence: 99%

Exploring the meaning of a new assistive technology device for older individuals

Gramstad¹,

Storli²,

Hamran³

2014

Disability and Rehabilitation: Assistive Technology

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Exploring the meaning of a new assistive technology device for older individuals AbstractResearching the outcomes of assistive technology devices (ATDs) for older clients is important to facilitate clinical decision-making. However, to understand the outcomes associated with ATDs, one must investigate the users' experiences and acknowledge the user as an active participant in diverse social contexts.Purpose: To enhance understanding of the users' perspective regarding ATDs, this study aimed to investigate the meaning of the ATD for older individuals still living in their home environment. Method:To provide descriptions of ATD experiences, older individuals who received a new ATD to compensate for their challenges in moving around, assist in self-care or both were recruited for the study. Participants were interviewed twice, with a few months between interviews, about their experience in using their new ATD. The interview transcripts were analysed in a hermeneutical-phenomenological research approach. Results:The analysis revealed three recurring themes associated with the description of ATD experiences: 'enabling performance and choice', 'transformation from requiring assistance to assisting others', and 'preparing for the future'. Conclusion:The results show that ATDs are used to enhance competence, mastery, control, self-worth, hope, and preparedness. The ATD service delivery should be client-centred and the client should be acknowledged as an active participant in producing change.

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“…Previous studies have shown that starting to use an ATD may be a complex process for the older individual that may involve an ambivalent experience, negotiation and a transition period of adjusting to the ATD (14,15). To facilitate client-centred ATD service delivery, the occupational therapist should work in a close and collaborative relationship with the client during all stages of the service delivery process (16)(17)(18).…”

Section: Introductionmentioning

confidence: 99%

Older individuals' experiences during the assistive technology device service delivery process

Gramstad

Storli

Hamran

2014

Scandinavian Journal of Occupational Therapy

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However, little is known about older individuals' experiences and needs in the assistive technology device (ATD) service delivery process. The purpose of this study was to investigate older individuals' experiences during the service delivery process of ATDs.Nine older individuals were interviewed three times each throughout the ATD service delivery process. The interviews were analysed within a hermeneutical phenomenological perspective. The results show that the service delivery process could be interpreted as an enigmatic journey and described in four themes: "hope and optimistic expectations", "managing after delivery or needing additional help", "having available help versus being abandoned" and "taking charge or putting up".The results emphasise the need for occupational therapists to maintain an individualised approach toward older clients throughout the service delivery process. The experiences of older individuals were diverse and related to expectations that were not necessarily articulated to the occupational therapist. The situation when the ATD is delivered to the client was highlighted by the clients as an important event with the potential to facilitate a successful service delivery process.

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Getting used to assistive devices: Ambivalent experiences by frail elderly persons

Cited by 61 publications

References 37 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

Exploring the meaning of a new assistive technology device for older individuals

Older individuals' experiences during the assistive technology device service delivery process

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