British Columbia Institute of Technology, Vancouver, British Columbia, Canada; International Collaboration On Repair Discoveries, Vancouver, British Columbia, Canada.
University of Manitoba, Winnipeg, Manitoba, Canada.
Arch Phys Med Rehabil. 2018 Aug;99(8):1553-1560. doi: 10.1016/j.apmr.2018.02.011. Epub 2018 Mar 23.
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.
Longitudinal mixed-methods research study.
Urban community in Canada.
People who use a wheelchair for home and community mobility (N=11).
Not applicable.
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.
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.
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.
描述在整整一年的时间里，包括恶劣天气条件下，使用轮椅的人如何在家庭和社区中参与和移动。
纵向混合方法研究。
加拿大城市社区。
需要使用轮椅进行家庭和社区移动的人（N=11）。
不适用。
使用全球定位系统（GPS）跟踪器记录社区内的移动情况（每日出行次数），使用加速度计记录轮椅移动的爆发次数（每日爆发次数、速度、距离和持续时间），通过提示回忆访谈确定移动和参与的支持和障碍。
夏季每天的出行次数更多（P=.03），无雪且温度在 0°C 以上的日子出行次数更多。依赖公共交通的参与者在出行模式方面表现出更多与天气相关的变化。每天移动的爆发次数在各季节之间保持相似；夏季、无雪日和温度高于 0°C 日的总每日距离、持续时间和速度更高。更多的户外轮椅爆发发生在夏季（P=.02）和温度高于 0°C（P=.03）时。公共环境不可达是社区移动和参与的主要障碍；获得社会支持和私人交通工具是主要支持。
为各种季节性天气条件对使用轮椅的人社区移动和参与的影响提供了客观支持。纵向数据收集提供了对轮椅使用者自己的家庭和社区中轮椅移动和参与模式及其影响的详细了解。
