Article

OBJECTIVE: To test the effect that indicators of mobility device quality have on
participation outcomes in community-dwelling adults with spinal cord injury,
traumatic brain injury, and stroke by using structural equation modeling. DESIGN:
Survey, cross-sectional study, and model testing.
SETTING: Clinical research
space at 2 academic medical centers and 1 free-standing rehabilitation hospital.
PARTICIPANTS: Community-dwelling adults (N=250; mean age, 48+/-14.3y) with spinal
cord injury, traumatic brain injury, and stroke. INTERVENTIONS: Not applicable.
MAIN OUTCOMES MEASURES: The Mobility Device Impact Scale, Patient-Reported
Outcomes Measurement Information System Social Function (version 2.0) scale,
including Ability to Participate in Social Roles and Activities and Satisfaction
with Social Roles and Activities, and the 2 Community Participation Indicators'
enfranchisement scales. Details about device quality (reparability, reliability,
ease of maintenance) and device type were also collected. RESULTS: Respondents
used ambulation aids (30%), manual (34%), and power wheelchairs (30%). Indicators
of device quality had a moderating effect on participation outcomes, with 3
device quality variables (repairability, ease of maintenance, device reliability)
accounting for 20% of the variance in participation. Wheelchair users reported
lower participation enfranchisement than did ambulation aid users. CONCLUSIONS:
Mobility device quality plays an important role in participation outcomes. It is
critical that people have access to mobility devices and that these devices be
reliable.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS