Experiences among older persons using mobility devices

Objectives. The aim of the study was to investigate older persons' experiences of using mobility devices. Methods. In this qualitative study, focus group interviews were carried out with participants living in two municipalities in the south of Sweden. Occupational therapists and physiotherapists identified interested participants, 65 years or older. A total of 22 persons participated once in the seven focus group interviews that were arranged. Results. Five main categories of participant experiences emerged from the data: ‘Municipal supply and non-supply of devices’, ‘Acceptance or non-acceptance of mobility devices’, ‘Different use of mobility devices supports everyday and social activities’, ‘Different kinds of obstacles constrain everyday and social activities’ and ‘Adaptive strategies in order to use mobility devices’. Conclusion. Since the participants experienced non-acceptance and obstacles related to the use of mobility devices, this highlights the needs for quality development concerning more efficient data-collecting in community-based rehabilitation.

[1]  R. Merton,et al.  The Focused Interview: A Manual of Problems and Procedures , 1990 .

[2]  J. Sweeney Nursing Research—Principles and Methods , 1991 .

[3]  R. Marinelli,et al.  Healthy Aging: Beyond Exercise , 1999 .

[4]  J. Kitzinger The methodology of focus groups: the importance of interaction between research participants , 1994 .

[5]  U. Sonn,et al.  Elderly women's way of relating to assistive devices , 1999 .

[6]  M. Patton Qualitative evaluation and research methods, 2nd ed. , 1990 .

[7]  N. Edwards,et al.  Exploring seniors' views on the use of assistive devices in fall prevention. , 1998, Public health nursing.

[8]  G. Gard,et al.  Physical Therapists' Emotional Expressions in Interviews about Factors Important for Interaction with Patients , 2000 .

[9]  Equipment: Is it the Answer? An Audit of Equipment Provision , 2001 .

[10]  J. Kitzinger,et al.  Qualitative Research: Introducing focus groups , 1995 .

[11]  Susanne Iwarsson,et al.  Preferences and frequencies of visits to public facilities in old age--a pilot study in a Swedish town center. , 2005, Archives of gerontology and geriatrics.

[12]  V. Freedman,et al.  Incorporating Assistive Devices into Community-Based Long-Term Care , 2000, Journal of aging and health.

[13]  Janet Mancini Billson,et al.  Focus Groups: A Practical Guide for Applied Research , 1989 .

[14]  S D Ivanoff,et al.  Planning a health education programme for the elderly visually impaired person--a focus group study. , 1996, Disability and rehabilitation.

[15]  M. Patton,et al.  Qualitative evaluation and research methods , 1992 .

[16]  S. Iwarsson,et al.  Documentation Quality in Occupational Therapy Patient Records: Focusing on the Technical Aid Prescription Process , 2003 .

[17]  R. Barbour Introducing Focus Groups , 2007 .

[18]  S. Orbell,et al.  Fear of falling, falls efficacy, and health outcomes in older people following hip fracture , 2002, Disability and rehabilitation.

[19]  W. Mann,et al.  The use of mobility related devices by older individuals with developmental disabilities living in community residences , 1995 .

[20]  H. Saraste,et al.  Clinical evaluation of seating in persons with complete thoracic spinal cord injury , 2003, Spinal Cord.

[21]  R. Merton Social Theory and Social Structure , 1958 .

[22]  K. Samuelsson,et al.  User Satisfaction with Mobility Assistive Devices , 2004 .

[23]  L H Kraskowsky,et al.  Factors affecting older adults' use of adaptive equipment: review of the literature. , 2001, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[24]  Incorporating or Resisting Assistive Devices: Different Approaches to Achieving a Desired Occupational Self-Image , 2003 .

[25]  R Wessels Ask the user : user perspective in the assessment of assistive technology , 2004 .

[26]  S. Iwarsson,et al.  Participation in the Prescription Process of Mobility Devices: Experiences among Older Patients , 2006 .

[27]  A. Forster,et al.  Physiotherapy for patients with mobility problems more than 1 year after stroke: a randomised controlled trial , 2002, The Lancet.

[28]  Å. Brandt,et al.  Older people's use of powered wheelchairs for activity and participation. , 2004, Journal of rehabilitation medicine.

[29]  Susanne Iwarsson,et al.  Assistive devices among very old people in five European countries , 2005, Scandinavian journal of occupational therapy.

[30]  C. Hocking Function or feelings: factors in abandonment of assistive devices ∗ , 1999 .

[31]  K. Petzäll Care of the elderly in Sweden , 2002 .

[32]  J. Ekholm,et al.  From shame to respect: musculoskeletal pain patients' experience of a rehabilitation programme, a qualitative study. , 2004, Journal of rehabilitation medicine.

[33]  M. Budden Focus groups: Theory and practice , 1999 .