Wheelchair services and use outcomes: A cross-sectional survey in Kenya and the Philippines
| Autor: | R. Lee Kirby, Brenda Onguti, Mohammed Gabbow, Ferdiliza Dandah S Garcia, Emma K. Williams, Jamie H. Noon, Eva Bazant, Peter Musakhi, Elizabeth J. Himelfarb Hurwitz, Cheryl Ann Xavier, Anthony Gichangi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
030506 rehabilitation medicine.medical_specialty Activities of daily living less-resourced settings Asia Cross-sectional study Service delivery framework Philippines wheelchair services lcsh:Medicine Physical Therapy Sports Therapy and Rehabilitation outcomes Odds 03 medical and health sciences 0302 clinical medicine Wheelchair lcsh:HT51-1595 medicine wheelchair use 030212 general & internal medicine Original Research training Sub-Saharan Africa business.industry lcsh:Public aspects of medicine Rehabilitation lcsh:R lcsh:RA1-1270 Odds ratio medicine.disease equipment and supplies Kenya Confidence interval Poliomyelitis nervous system diseases body regions Wheelchairs Basic wheelchairs Physical therapy wheelchair users lcsh:Communities. Classes. Races 0305 other medical science business human activities |
| Zdroj: | African Journal of Disability, Vol 6, Iss 0, Pp e1-e14 (2017) African Journal of Disability (Online), Volume: 6, Pages: 1-14, Published: 2017 African Journal of Disability |
| ISSN: | 2226-7220 2223-9170 |
| Popis: | Background: The World Health Organisation recommends that services accompany wheelchair distribution. This study examined the relationship of wheelchair service provision in Kenya and the Philippines and wheelchair-use–related outcomes.Method: We surveyed 852 adult basic manual wheelchair users. Participants who had received services and those who had not were sought in equal numbers from wheelchair-distribution entities. Outcomes assessed were daily wheelchair use, falls, unassisted outdoor use and performance of activities of daily living (ADL). Descriptive, bivariate and multivariable regression model results are presented.Results: Conditions that led to the need for a basic wheelchair were mainly spinal cord injury, polio/post-polio, and congenital conditions. Most Kenyans reported high daily wheelchair use (60%) and ADL performance (80%), while these practices were less frequent in the Philippine sample (42% and 74%, respectively). Having the wheelchair fit assessed while the user propelled the wheelchair was associated with greater odds of high ADL performance in Kenya (odds ratio [OR] 2.8, 95% confidence interval [CI] 1.6, 5.1) and the Philippines (OR 2.8, 95% CI 1.8, 4.5). Wheelchair-related training was associated with high ADL performance in Kenya (OR 3.2, 95% CI 1.3, 8.4). In the Philippines, training was associated with greater odds of high versus no daily wheelchair use but also odds of serious versus no falls (OR 2.5, 95% CI 1.4, 4.5).Conclusion: Select services that were associated with some better wheelchair use outcomes and should be emphasised in service delivery. Service providers should be aware that increased mobility may lead to serious falls. |
| Databáze: | OpenAIRE |
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