Magasi Susan, Wong Alex, Miskovic Ana, Tulsky David, Heinemann Allen W
Departments of Occupational Therapist and Disability Studies, University of Illinois at Chicago, Chicago, IL.
Departments of Occupational Therapy and Neurology, School of Medicine, Washington University, St. Louis, MO.
Arch Phys Med Rehabil. 2018 Jan;99(1):1-8. doi: 10.1016/j.apmr.2017.06.030. Epub 2017 Aug 5.
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.
Survey, cross-sectional study, and model testing.
Clinical research space at 2 academic medical centers and 1 free-standing rehabilitation hospital.
Community-dwelling adults (N=250; mean age, 48±14.3y) with spinal cord injury, traumatic brain injury, and stroke.
Not applicable.
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.
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.
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.
通过结构方程模型，测试移动设备质量指标对脊髓损伤、创伤性脑损伤和中风的社区居住成年人参与结果的影响。
调查、横断面研究和模型测试。
2家学术医疗中心和1家独立康复医院的临床研究空间。
脊髓损伤、创伤性脑损伤和中风的社区居住成年人（N = 250；平均年龄，48±14.3岁）。
不适用。
移动设备影响量表、患者报告结局测量信息系统社会功能（2.0版）量表，包括参与社会角色和活动的能力以及对社会角色和活动的满意度，以及2个社区参与指标的赋权量表。还收集了有关设备质量（可修复性、可靠性、维护简易性）和设备类型的详细信息。
受访者使用步行辅助器具（30%）、手动轮椅（34%）和电动轮椅（30%）。设备质量指标对参与结果有调节作用，3个设备质量变量（可修复性、维护简易性、设备可靠性）占参与差异的20%。轮椅使用者报告的参与赋权低于步行辅助器具使用者。
移动设备质量在参与结果中起着重要作用。人们能够获得移动设备且这些设备可靠至关重要。
