The Value of an Outdoor Powered Wheelchair With Regard to the Quality of Life of Persons With Stroke: A Follow-Up Study

Evaluating the use of a powered wheelchair is of importance because of the increasing number of people with disabilities who are provided with one. The aim of this study is to describe characteristics of persons with stroke using an outdoor powered wheelchair and to evaluate the impact of the wheelchair on quality of life. A further aim is to compare the impact on quality of life in respect to age, gender, different disability characteristics, and living conditions. The 32 participants with stroke were recruited consecutively from three county council areas in Sweden. A follow-up design was applied including the EuroQol-5D questionnaires at baseline before the persons were prescribed an outdoor powered wheelchair, and after the participants had used the wheelchair for 3 to 5 months, data were collected by means of the EuroQol-5D and the Psychosocial Impact of Assistive Devices Scale (PIADS). The results indicated an improved quality of life with respect to the items competence, independence, capability, quality of life, well-being, happiness, and self-esteem on the PIADS. The usual activity dimension on the EuroQol-5D showed a significant improvement after wheelchair use. The group who drove the powered wheelchair at least once a day in the summer showed a more positive score on the total PIADS and its Competence subscale than persons who drove less. Furthermore, the group with higher rankings of the importance of the powered wheelchair scored higher on psychosocial impact than did the group with lower rankings. The conclusion is that the powered wheelchair mostly has a positive impact on the quality of life of users with stroke. Service providers should be alert, however, to the possible negative impact of a powered wheelchair on quality of life and support the user.

[1]  Alan E. Kazdin,et al.  Research Design in Clinical Psychology , 2021 .

[2]  A. Kasuya.  EuroQol--a new facility for the measurement of health-related quality of life. , 1990, Health policy.

[3]  A. Williams.  EuroQol : a new facility for the measurement of health-related quality of life , 1990 .

[4]  A. Bowling.  Measuring Health. A review of quality of life measurement scales , 1997 .

[5]  A. Hutchinson.  MEASURING HEALTH: A review of quality of life measurements scales , 1991 .

[6]  G. Meeberg,et al.  Quality of life: a concept analysis. , 1993, Journal of advanced nursing.

[7]  M. Schroll,et al.  Stroke incidence, case fatality, and mortality in the WHO MONICA project. World Health Organization Monitoring Trends and Determinants in Cardiovascular Disease. , 1995, Stroke.

[8]  Albert M. Cook,et al.  Assistive Technologies: Principles and Practice , 1995 .

[9]  M J Scherer,et al.  Outcomes of assistive technology use on quality of life. , 1996, Disability and rehabilitation.

[10]  R O Smith,et al.  Measuring the outcomes of assistive technology: challenge and innovation. , 1996, Assistive technology : the official journal of RESNA.

[11]  Frank DeRuyter,et al.  The importance of outcome measures for assistive technology service delivery systems , 1997 .

[12]  P. Dorman,et al.  Is the EuroQol a valid measure of health-related quality of life after stroke? , 1997, Stroke.

[13]  R P Gaal,et al.  Wheelchair rider injuries: causes and consequences for wheelchair design and selection. , 1997, Journal of rehabilitation research and development.

[14]  J. Darrah,et al.  Quality of Life: What Does It Mean in Rehabilitation? , 1998 .

[15]  L. Gitlin,et al.  Emerging concerns of older stroke patients about assistive device use. , 1998, The Gerontologist.

[16]  S. Ebrahim,et al.  A patient-centred study of the consequences of stroke , 1998 .

[17]  A qualitative study of life after stroke. , 1999 .

[18]  Debbie Field,et al.  Powered Mobility: A Literature Review Illustrating the Importance of a Multifaceted Approach , 1999 .

[19]  R. Evans,et al.  The Effect of Electrically Powered Indoor/Outdoor Wheelchairs on Occupation: A Study of Users' Views , 2000 .

[20]  A. Frank,et al.  Introduction of a new NHS electric-powered indoor/outdoor chair (EPIOC) service: benefits, risks and implications for prescribers , 2000, Clinical rehabilitation.

[21]  P. Fayers,et al.  Quality of Life: Assessment, Analysis, and Interpretation , 2000 .

[22]  A Hofman,et al.  Frequency of stroke in Europe: A collaborative study of population-based cohorts. ILSA Working Group and the Neurologic Diseases in the Elderly Research Group. Italian Longitudinal Study on Aging. , 2000, Neurology.

[23]  A. Jacoby,et al.  Evaluation of measures used to assess quality of life after stroke. , 2000, Stroke.

[24]  C L Bays.  Quality of Life of Stroke Survivors: A Research Synthesis , 2001, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.

[25]  M E Buning,et al.  Occupational performance and the transition to powered mobility: a pilot study. , 2001, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[26]  M J Fuhrer,et al.  Assistive Technology Outcomes Research: Challenges Met and Yet Unmet , 2001, American journal of physical medicine & rehabilitation.

[27]  Renzo Andrich,et al.  IPPA, a user-centred approach to assess effectiveness of assistive technology provision , 2001 .

[28]  C. Wolfson,et al.  Reliability, validity, and applicability of the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST 2.0) for adults with multiple sclerosis , 2002, Disability and rehabilitation.

[29]  Renzo Andrich,et al.  Preference based assessment of the quality of life of disabled persons , 2002 .

[30]  S. Jedeloo,et al.  Client satisfaction with service delivery of assistive technology for outdoor mobility , 2002, Disability and rehabilitation.

[31]  M. T. J. Buñuales,et al.  La clasificación internacional del funcionamiento de la discapacidad y de la salud (CIF) 2001 , 2002 .

[32]  Gert Jan Gelderblom,et al.  The Assessment of Assistive Technology Outcomes, Effects and Costs , 2002 .

[33]  A. Térent,et al.  High Incidence Rates of Stroke in Örebro, Sweden: Further Support for Regional Incidence Differences within Scandinavia , 2002, Cerebrovascular Diseases.

[34]  J. Jutai,et al.  Development of a scale to measure the psychosocial impact of assistive devices: lessons learned and the road ahead , 2002, Disability and rehabilitation.

[35]  J. Persson,et al.  Balancing societal costs and users' quality of life—priority setting of interventions for the hard-of-hearing , 2003, International journal of audiology.

[36]  Frank de Charro,et al.  The Measurement and Valuation of Health Status Using EQ-5D: A European Perspective , 2003, Springer Netherlands.

[37]  A. Frank,et al.  Changes in the quality of life in severely disabled people following provision of powered indoor/outdoor chairs , 2003, Disability and rehabilitation.

[38]  Jill Dawson,et al.  Can Patients with Unilateral Neglect following Stroke Drive Electrically Powered Wheelchairs? , 2003 .

[39]  Joy Adamson,et al.  Is stroke the most common cause of disability? , 2004, Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association.

[40]  M. Joore,et al.  Response shift in the measurement of quality of life in hearing impaired adults after hearing aid fitting , 2002, Quality of Life Research.

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

[42]  L. Rochester,et al.  Community ambulation after stroke: how important and obtainable is it and what measures appear predictive? , 2004, Archives of physical medicine and rehabilitation.

[43]  Denise Reid,et al.  Acceptance and meanings of wheelchair use in senior stroke survivors. , 2004, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[44]  C. Paterson.  Seeking the Patient's Perspective: A Qualitative Assessment of EuroQol, COOP-WONCA Charts and MYMOP , 2004, Quality of Life Research.

[45]  J. Gladman,et al.  Using an interview study of transport use by people who have had a stroke to inform rehabilitation , 2004, Clinical rehabilitation.

[46]  M. Koopmanschap,et al.  Assessment of post-stroke quality of life in cost-effectiveness studies: The usefulness of the Barthel Index and the EuroQoL-5D , 2004, Quality of Life Research.

[47]  Jeffrey W Jutai,et al.  The Effect of Wheelchair Use on the Quality of Life of Persons with Multiple Sclerosis , 2004, Occupational therapy in health care.

[48]  R Lee Kirby,et al.  Wheelchair skills training program: A randomized clinical trial of wheelchair users undergoing initial rehabilitation. , 2004, Archives of physical medicine and rehabilitation.

[49]  Hearing specific and generic measures of the psychosocial impact of hearing aids. , 2004, Journal of the American Academy of Audiology.

[50]  K. Fung,et al.  Quality of Life following Small Fenestra Stapedotomy , 2005, The Annals of otology, rhinology, and laryngology.

[51]  G. Miscio,et al.  How does stroke restrict participation in long‐term post‐stroke survivors? , 2005, Acta neurologica Scandinavica.

[52]  Lifeworld perspectives on assistive devices: Lived experiences of spouses of persons with stroke , 2005, Scandinavian journal of occupational therapy.

[53]  W. Miller,et al.  Perceptions of Power Mobility Use and Safety within Residential Facilities , 2005, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[54]  J W Jutai,et al.  Issues for selection of outcome measures in stroke rehabilitation: ICF Participation , 2005, Disability and rehabilitation.

[55]  L. Gunnarsson,et al.  A comprehensive rehabilitation programme tailored to the needs of adults with muscular dystrophy , 2006, Clinical rehabilitation.

[56]  C. McKevitt,et al.  Relationships between long-term stroke disability, handicap and health-related quality of life. , 2006, Age and ageing.

[57]  C. Mathers,et al.  Stroke incidence and prevalence in Europe: a review of available data , 2006, European journal of neurology.

[58]  D. Rastenytė,et al.  [Quality of life in stroke survivors]. , 2007, Medicina.

[59]  Anne Forster,et al.  Review of longer-term problems after disabling stroke , 2007 .