Ripat Jacquie, Giesbrecht Ed, Borisoff Jaimie, Morales Ernesto, Harrison Kara-Lyn
Department of Occupational Therapy, College of Rehabilitation Sciences, University of Manitoba, Winnipeg, MB, Canada.
Rehabilitation Engineering and Design Laboratory, MAKE+ Applied Research, British Columbia Institute of Technology, Burnaby, BC, Canada.
Front Rehabil Sci. 2024 May 9;5:1330507. doi: 10.3389/fresc.2024.1330507. eCollection 2024.
Manual wheelchairs (MWC) users have limited mobility during winter months as they encounter many environmental barriers that restrict their community participation. This paper outlines the creation and standardization of an outdoor environment designed to simulate the real-life conditions and obstacles experienced by MWC users in winter.
This study consisted of four phases. In Phase 1, researchers used a qualitative ethnographic approach to document the specific challenges and adaptive strategies used by MWC users in winter conditions. In Phase 2, key informants with expertise in MWC winter mobility were invited to co-design the Standardized Navigation Of Winter Mobility & Accessibility Network (SNOWMAN) course. Participants reviewed draft design solutions and offered their input and suggestions to expand upon the initial design. A second co-design workshop included additional key informants, including service providers, policymakers, and professionals with expertise in landscape architecture and engineering, to validate the design solution. The workshops resulted in a detailed illustration of the SNOWMAN course, including five sections: platforms with side slopes, a miniature ice rink, curbs and curb cuts, a path with uneven winter surfaces, and modular ramps at various slopes. Phases 3 and 4 marked the conclusion of the study and involved fabrication of the SNOWMAN course and establishment of a standardized protocol for course setup and maintenance.
The project aimed to offer several additional potential benefits, supported by the various stakeholders across the study phases, that extend beyond creation of a controlled and safe environment for wheelchair users to develop their winter mobility skills. Practicing wheelchair skills in this area may assist wheelchair users in gaining confidence which may ultimately translate to increased participation in the community.
在冬季,手动轮椅使用者的行动能力受限,因为他们会遇到许多限制其社区参与的环境障碍。本文概述了一个户外环境的创建和标准化过程,该环境旨在模拟手动轮椅使用者在冬季所经历的现实生活条件和障碍。
本研究包括四个阶段。在第一阶段,研究人员采用定性民族志方法记录手动轮椅使用者在冬季条件下所面临的具体挑战和采用的适应策略。在第二阶段,邀请了在手动轮椅冬季行动方面具有专业知识的关键信息提供者共同设计冬季行动与无障碍网络标准化导航(SNOWMAN)课程。参与者审查了设计解决方案草案,并提供了他们的意见和建议,以完善初始设计。第二次共同设计研讨会纳入了更多关键信息提供者,包括服务提供者、政策制定者以及景观建筑和工程领域的专业人员,以验证设计解决方案。这些研讨会产生了SNOWMAN课程的详细示意图,包括五个部分:带边坡的平台、小型溜冰场、路缘石和路缘坡道、冬季表面不平的路径以及不同坡度的模块化坡道。第三阶段和第四阶段标志着研究的结束,涉及SNOWMAN课程的制作以及课程设置和维护标准化协议的制定。
该项目旨在提供一些额外的潜在益处,在研究的各个阶段得到了不同利益相关者的支持,这些益处不仅限于为轮椅使用者创造一个可控且安全的环境以发展他们的冬季行动技能。在这个区域练习轮椅技能可能有助于轮椅使用者增强信心,这最终可能转化为社区参与度的提高。