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Attitudes is the most important environmental factor for use of powered mobility devices - users' perspectives
Örebro University, School of Health Sciences. Department of Paediatrics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Faculty of Medicine and Health, University Health Care Research Centre, Örebro University, Örebro, Sweden.
Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Centre.
Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-3437-0590
Örebro University, School of Health Sciences. Faculty of Medicine and Health, University Health Care Research Centre, Örebro University, Örebro, Sweden; Department of Prosthetics and Orthotics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID iD: 0000-0003-4247-2236
2019 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal, Editorial material (Refereed) Epub ahead of print
Abstract [en]

Introduction: Different factors in the environment influence the use of powered wheelchairs or powered scooters, i.e. powered mobility devices (PMDs), but there is limited knowledge about how these factors interact and if any factor has a greater impact. According to the ICF the environment consists of five areas.

Aim: To describe users' experiences of how environmental factors from all ICF areas influence the use of PMDs.

Methods: Descriptive qualitative design including 14 interviews with PMD users, analyzed using inductive qualitative content analysis.

Findings: Use of PMDs means a conditional freedom depending on the interaction of several environmental factors. Regardless of environmental factor the societal attitudes were always present, directly or indirectly, and influenced the participants' feeling of being included and involved in society. The environmental factors and how they influence PMD use are described in four categories, comprising the following subjects: societal attitudes, the service delivery process, accessibility to the physical environment and financial resources.

Conclusion: The findings show that societal attitudes influence all other factors, directly by others people's attitudes, or indirectly by how legislation and guidelines are formulated, interpreted and applied. Therefore, a change of societal attitudes seems necessary to increase accessibility and participation for PMD users.

Place, publisher, year, edition, pages
Taylor & Francis, 2019.
Keywords [en]
Powered mobility devices, environment, qualitative research, assistive technology, powered scooters, powered wheelchairs
National Category
Occupational Therapy Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-71766DOI: 10.1080/11038128.2019.1573918ISI: 000472909700001PubMedID: 30856033OAI: oai:DiVA.org:oru-71766DiVA, id: diva2:1281918
Note

Funding Agencies:

Uppsala-Örebro Regional Research Council  

Research Committee of Örebro County Council, Sweden 

Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-07-23Bibliographically approved

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Widehammar, CathrineLidström-Holmqvist, KajsaHermansson, Liselotte

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Widehammar, CathrineLidström-Holmqvist, KajsaPettersson, IngvorHermansson, Liselotte
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