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Mobility and Participation of People With Disabilities Using Mobility Assistive Technologies: Protocol for a Mixed-Methods Study.
JMIR Res Protoc. 2019 Apr 16; 8(4):e12089.JR

Abstract

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 the mixed-methods approach employed in this study, we will gain a subjective evaluation of the participants' neighborhoods, including personally meaningful information on environmental features that influence participants' everyday mobility and participation. We will also gain an objective evaluation of particular obstacles that community users of MAT identify as significant barriers to their ability to access public environments. We anticipate that these findings will help to identify a broad spectrum of solutions to improve the mobility and community participation of MAT users.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)

DERR1-10.2196/12089.

Authors+Show Affiliations

Department of Rehabilitation, Université Laval, Québec, QC, Canada. Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Québec, QC, Canada.Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada. Rehabilitation Research Program, GF Strong Rehabilitation Centre, University of British Columbia, Vancouver, BC, Canada.School of Rehabilitation, Université de Montréal, Montréal, QC, Canada. Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Centre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada.Department of Gerontology, Simon Fraser University, Burnaby, BC, Canada.Department of Gerontology, Simon Fraser University, Burnaby, BC, Canada.School of Health and Exercise Sciences, University of British Columbia, Kelowna, BC, Canada. Department of Medicine, University of British Columbia, Kelowna, BC, Canada.Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada. Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30990459

Citation

Routhier, François, et al. "Mobility and Participation of People With Disabilities Using Mobility Assistive Technologies: Protocol for a Mixed-Methods Study." JMIR Research Protocols, vol. 8, no. 4, 2019, pp. e12089.
Routhier F, Mortenson WB, Demers L, et al. Mobility and Participation of People With Disabilities Using Mobility Assistive Technologies: Protocol for a Mixed-Methods Study. JMIR Res Protoc. 2019;8(4):e12089.
Routhier, F., Mortenson, W. B., Demers, L., Mahmood, A., Chaudhury, H., Martin Ginis, K. A., & Miller, W. C. (2019). Mobility and Participation of People With Disabilities Using Mobility Assistive Technologies: Protocol for a Mixed-Methods Study. JMIR Research Protocols, 8(4), e12089. https://doi.org/10.2196/12089
Routhier F, et al. Mobility and Participation of People With Disabilities Using Mobility Assistive Technologies: Protocol for a Mixed-Methods Study. JMIR Res Protoc. 2019 Apr 16;8(4):e12089. PubMed PMID: 30990459.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mobility and Participation of People With Disabilities Using Mobility Assistive Technologies: Protocol for a Mixed-Methods Study. AU - Routhier,François, AU - Mortenson,W Ben, AU - Demers,Louise, AU - Mahmood,Atiya, AU - Chaudhury,Habib, AU - Martin Ginis,Kathleen A, AU - Miller,William C, Y1 - 2019/04/16/ PY - 2018/08/31/received PY - 2018/12/11/accepted PY - 2018/11/27/revised PY - 2019/4/17/entrez PY - 2019/4/17/pubmed PY - 2019/4/17/medline KW - assistive technology KW - mobility limitation KW - physical barriers KW - social participation SP - e12089 EP - e12089 JF - JMIR research protocols JO - JMIR Res Protoc VL - 8 IS - 4 N2 - 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 the mixed-methods approach employed in this study, we will gain a subjective evaluation of the participants' neighborhoods, including personally meaningful information on environmental features that influence participants' everyday mobility and participation. We will also gain an objective evaluation of particular obstacles that community users of MAT identify as significant barriers to their ability to access public environments. We anticipate that these findings will help to identify a broad spectrum of solutions to improve the mobility and community participation of MAT users. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/12089. SN - 1929-0748 UR - https://www.unboundmedicine.com/medline/citation/30990459/Mobility_and_Participation_of_People_With_Disabilities_Using_Mobility_Assistive_Technologies:_Protocol_for_a_Mixed_Methods_Study_ L2 - https://www.researchprotocols.org/2019/4/e12089/ DB - PRIME DP - Unbound Medicine ER -
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