Seasonal Patterns of Community Participation and Mobility of Wheelchair Users Over an Entire Year
| Autor: | Jaimie F. Borisoff, Franco H. N. Chan, Jacquie Ripat |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 030506 rehabilitation Adolescent Community participation Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences 0302 clinical medicine Wheelchair Activities of Daily Living Humans Disabled Persons Longitudinal Studies Duration (project management) British Columbia business.industry Rehabilitation Community Participation Outcome measures Middle Aged Social engagement Urban community Wheeling Geography Wheelchairs Public transport Geographic Information Systems Female Seasons 0305 other medical science business human activities 030217 neurology & neurosurgery Demography |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 99:1553-1560 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2018.02.011 |
| Popis: | Objective To describe how people who use wheelchairs participate and move at home and in the community over an entire yearlong period, including during times of inclement weather conditions. Design Longitudinal mixed-methods research study. Setting Urban community in Canada. Participants People who use a wheelchair for home and community mobility (N=11). Intervention Not applicable. Main Outcome Measures Use of a global positioning system (GPS) tracker for movement in community (number of trips per day), use of accelerometer for bouts of wheeling mobility (number of bouts per day, speed, distance, and duration), prompted recall interviews to identify supports and barriers to mobility and participation. Results More trips per day were taken during the summer ( P = .03) and on days with no snow and temperatures above 0°C. Participants reliant on public transportation demonstrated more weather-specific changes in their trip patterns. The number of daily bouts of mobility remained similar across seasons; total daily distance wheeled, duration, and speed were higher on summer days, days with no snow, and days with temperatures above 0°C. A higher proportion of outdoor wheeling bouts occurred in summer ( P =.02) and with temperatures above 0°C ( P =.03). Inaccessible public environments were the primary barrier to community mobility and participation; access to social supports and private transportation were the primary supports. Conclusions Objective support is provided for the influence of various seasonal weather conditions on community mobility and participation for people who use a wheelchair. Longitudinal data collection provided a detailed understanding of the patterns of, and influences on, wheelchair mobility and participation within wheelchair users’ own homes and communities. |
| Databáze: | OpenAIRE |
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