Ripat Jacquie, Verdonck Michele, Carter Roger Jaffrey
a University of Manitoba , Winnipeg , Manitoba , Canada.
b Department of Occupational Therapy , School of Health and Sport Science, University of the Sunshine Coast , Maroochydore , Australia.
Disabil Rehabil Assist Technol. 2018 Apr;13(3):253-262. doi: 10.1080/17483107.2017.1306594. Epub 2017 Apr 5.
To synthesize qualitative study findings on the meaning ascribed to wheelchairs and wheeled mobility devices (WMD) by WMD users.
Bibliographic databases were systematically searched up to January 2015 to identify relevant papers. Reviewers selected studies, assessed methodological quality and thematically synthesized findings using a metasynthesis process described by Thomas and Harden (2008).
Twenty articles were included. Four descriptive themes emerged: physical environment interaction; sociocultural experiences; participation in activities and occupations; and WMD-self relationship. WMD use was found to be a complex experience that can fluctuate through interaction with aspects of the environment and opportunities for participation. The analytic theme, dynamic duality of WMD experience, addressed the simultaneous enabling and disabling aspects of WMD use.
Metasyntheses enable researchers to gain a deeper understanding of issues by examining findings across studies. Findings of this study provide a framework for understanding the complexity of WMD use. The framework has practical applications for clinicians and users of WMD in understanding the experience of WMD to be neither singular nor static. Implications for Rehabilitation The meaning of wheeled mobility device (WMD) use is dynamically influenced by the environment and opportunities afforded for occupational and social participation. A duality of experiences can emerge for WMD users, where wheeled mobility use can be at the same time positive and negative, based on the interaction with the environment. Clinicians need to determine the meaning that each individual user ascribes to the WMD, and to consider how that meaning may change over time. By understanding the meaning ascribed to WMD use by individuals, clinicians can be better prepared to work with the WMD users to address negative reinforcers of the experience in physical and sociocultural environments as well as highlighting the positive experiences.
综合关于轮式移动设备（WMD）使用者赋予轮椅及轮式移动设备意义的定性研究结果。
系统检索截至2015年1月的文献数据库以识别相关论文。评审人员选择研究，评估方法学质量，并使用Thomas和Harden（2008年）描述的元综合过程对研究结果进行主题综合。
纳入20篇文章。出现了四个描述性主题：物理环境交互；社会文化体验；参与活动和职业；以及WMD与自我的关系。发现WMD的使用是一种复杂的体验，会因与环境因素和参与机会的相互作用而波动。分析性主题“WMD体验的动态二元性”探讨了WMD使用同时具有促进和限制的方面。
元综合使研究人员能够通过审视各项研究的结果更深入地理解问题。本研究结果提供了一个理解WMD使用复杂性的框架。该框架对WMD的临床医生和使用者在理解WMD体验既非单一也非静态方面具有实际应用价值。对康复的启示 轮式移动设备（WMD）使用的意义受到环境以及职业和社会参与所提供机会的动态影响。WMD使用者可能会出现二元体验，即基于与环境的相互作用，轮式移动的使用可能同时具有积极和消极的方面。临床医生需要确定每个使用者赋予WMD的意义，并考虑该意义可能如何随时间变化。通过理解个体赋予WMD使用的意义，临床医生可以更好地准备与WMD使用者合作，以解决身体和社会文化环境中体验的负面强化因素，并突出积极体验。
