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Environmental barriers to participation and facilitators for use of three types of assistive technology devices
Örebro University, School of Health Sciences. Department of Pediatrics, Örebro University, Örebro, Sweden; University Health Care Research Center, Örebro University, Örebro, Sweden.
Department of Social and Welfare Studies , Linköping University , Linköping , Sweden.
Örebro University, School of Health Sciences. University Health Care Research Center, Örebro University, Örebro , Sweden; Department of Prosthetics and Orthotics , Örebro University , Örebro , Sweden.ORCID iD: 0000-0003-4247-2236
2017 (English)In: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim was to compare the presence of environmental barriers to participation and facilitators for assistive technology (AT) use and study the relation between barriers and AT use in three different AT devices. A cross-sectional survey was conducted. Inclusion criteria were ?one year of experience as a user of myoelectric prosthesis (MEP), powered mobility device (PMD), or assistive technology for cognition (ATC) and age 20-90 years. Overall, 156 participants answered the Swedish version of the Craig Hospital Inventory of Environmental Factors and a study-specific questionnaire on facilitating factors. Non-parametric tests were used for comparisons. Barriers to participation were lowest in MEP users (md = 0.12; p < 0.001), and highest in ATC users (md = 1.56; p < 0.001) with the least support for AT use (p < 0.001 - p = 0.048). A positive correlation between fewer barriers and higher use of MEP was seen (r = 0.30, p = 0.038). The greatest barriers to participation were Natural environment, Surroundings and Information, and the most support came from Relatives and Professionals. Support, training and education are vital in the use of AT. These factors may lead to a more sustained and prolonged use of AT and may enable increased participation. Future research should focus on interventions that meet the needs of people with cognitive disabilities.

Place, publisher, year, edition, pages
2017.
Keywords [en]
Electronic aids to daily living, information technology and telecommunications, prosthetics, service delivery, wheelchair transportation, wheeled mobility aids
National Category
Nursing Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-61735DOI: 10.1080/10400435.2017.1363828PubMedID: 28783455OAI: oai:DiVA.org:oru-61735DiVA, id: diva2:1155010
Available from: 2017-11-06 Created: 2017-11-06 Last updated: 2017-11-06Bibliographically approved

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Widehammar, CathrineHermansson, Liselotte

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