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A review of factors influencing participation in social and community activities for wheelchair users.
Disabil Rehabil Assist Technol. 2016; 11(5):361-74.DR

Abstract

OBJECTIVE

To systematically identify factors associated with participation in social and community activities for adult wheelchair users (WCUs).

DATA SOURCES

PubMed/MEDLINE, CINAHL, PsycINFO and EMBASE.

STUDY SELECTION

Quantitative and qualitative peer-reviewed publications were included, which were written in English, reported original research and investigated factors associated with social and community participation in adult WCUs.

DATA EXTRACTION

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used. Factors were organized using the International Classification of Functioning, Disability and Health (ICF).

DATA SYNTHESIS

Thirty-five studies were selected: two of power WCUs, 10 of manual WCUs and 23 of both. Six qualitative studies, ranging in quality from 8/10 to 9/10 and 29 quantitative studies were included, ranging in quality from 4/15 to 11/15. Fifteen body function, 4 activity, 5 participation, 15 environmental and 14 personal factors were found to be associated with social and community participation.

CONCLUSIONS

Social and community participation of WCUs is associated with factors from all ICF domains. Wheelchair factors, accessibility, skills with wheelchair use, pain, finances and education are modifiable factors frequently reported to be associated with participation. Experimental research focusing on modifiable factors is needed to further our understanding of factors influencing participation among WCUs. Implications for Rehabilitation Wheelchair factors, including comfort and durability, are associated with participation and may be targeted in clinical intervention. Wheelchair skills are clinically modifiable and have been shown to improve participation in manual wheelchair users. Body functions (e.g. confidence, depression and fatigue) and personal factors (e.g. finances and level of education) may be considered for clinical intervention.

Links

PMC Free PDF

Authors+Show Affiliations

Smith EM
a Graduate Program in Rehabilitation Sciences, University of British Columbia , Vancouver , BC , Canada .
Sakakibara BM
b Faculty of Health Sciences , Simon Fraser University , Vancouver , BC , Canada and.
Miller WC
a Graduate Program in Rehabilitation Sciences, University of British Columbia , Vancouver , BC , Canada . c Department of Occupational Science & Occupational Therapy , University of British Columbia , Vancouver , BC , Canada.

MeSH

Disabled PersonsElectric Power SuppliesEnvironmentHumansInterpersonal RelationsMobility LimitationQuality of LifeSelf ConceptSocial ParticipationSocioeconomic FactorsWheelchairs

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

eng

PubMed ID

25472004

Citation

Smith, Emma M., et al. "A Review of Factors Influencing Participation in Social and Community Activities for Wheelchair Users." Disability and Rehabilitation. Assistive Technology, vol. 11, no. 5, 2016, pp. 361-74.
Smith EM, Sakakibara BM, Miller WC. A review of factors influencing participation in social and community activities for wheelchair users. Disabil Rehabil Assist Technol. 2016;11(5):361-74.
Smith, E. M., Sakakibara, B. M., & Miller, W. C. (2016). A review of factors influencing participation in social and community activities for wheelchair users. Disability and Rehabilitation. Assistive Technology, 11(5), 361-74. https://doi.org/10.3109/17483107.2014.989420
Smith EM, Sakakibara BM, Miller WC. A Review of Factors Influencing Participation in Social and Community Activities for Wheelchair Users. Disabil Rehabil Assist Technol. 2016;11(5):361-74. PubMed PMID: 25472004.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A review of factors influencing participation in social and community activities for wheelchair users. AU - Smith,Emma M, AU - Sakakibara,Brodie M, AU - Miller,William C, Y1 - 2014/12/04/ PY - 2014/12/5/entrez PY - 2014/12/5/pubmed PY - 2017/1/18/medline KW - Community integration KW - experimental research KW - leisure activities KW - social participation KW - systematic review KW - wheelchairs SP - 361 EP - 74 JF - Disability and rehabilitation. Assistive technology JO - Disabil Rehabil Assist Technol VL - 11 IS - 5 N2 - OBJECTIVE: To systematically identify factors associated with participation in social and community activities for adult wheelchair users (WCUs). DATA SOURCES: PubMed/MEDLINE, CINAHL, PsycINFO and EMBASE. STUDY SELECTION: Quantitative and qualitative peer-reviewed publications were included, which were written in English, reported original research and investigated factors associated with social and community participation in adult WCUs. DATA EXTRACTION: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used. Factors were organized using the International Classification of Functioning, Disability and Health (ICF). DATA SYNTHESIS: Thirty-five studies were selected: two of power WCUs, 10 of manual WCUs and 23 of both. Six qualitative studies, ranging in quality from 8/10 to 9/10 and 29 quantitative studies were included, ranging in quality from 4/15 to 11/15. Fifteen body function, 4 activity, 5 participation, 15 environmental and 14 personal factors were found to be associated with social and community participation. CONCLUSIONS: Social and community participation of WCUs is associated with factors from all ICF domains. Wheelchair factors, accessibility, skills with wheelchair use, pain, finances and education are modifiable factors frequently reported to be associated with participation. Experimental research focusing on modifiable factors is needed to further our understanding of factors influencing participation among WCUs. Implications for Rehabilitation Wheelchair factors, including comfort and durability, are associated with participation and may be targeted in clinical intervention. Wheelchair skills are clinically modifiable and have been shown to improve participation in manual wheelchair users. Body functions (e.g. confidence, depression and fatigue) and personal factors (e.g. finances and level of education) may be considered for clinical intervention. SN - 1748-3115 UR - https://www.unboundmedicine.com/medline/citation/25472004/A_review_of_factors_influencing_participation_in_social_and_community_activities_for_wheelchair_users_ DB - PRIME DP - Unbound Medicine ER -