Cecilia Pettersson, Åse Brandt, Eva Månsson Lexell, Susanne Iwarsson; Autonomy and Housing Accessibility Among Powered Mobility Device Users. Am J Occup Ther 2015;69(5):6905290030. https://doi.org/10.5014/ajot.2015.015347
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© 2021 American Occupational Therapy Association
OBJECTIVE. To describe environmental barriers, accessibility problems, and powered mobility device (PMD) users’ autonomy indoors and outdoors; to determine the home environmental barriers that generated the most housing accessibility problems indoors, at entrances, and in the close exterior surroundings; and to examine personal factors and environmental components and their association with indoor and outdoor autonomy.
METHOD. This cross-sectional study was based on data collected from a sample of 48 PMD users with a spinal cord injury (SCI) using the Impact of Participation and Autonomy and the Housing Enabler instruments. Descriptive statistics and logistic regression were used.
RESULTS. More years living with SCI predicted less restriction in autonomy indoors, whereas more functional limitations and accessibility problems related to entrance doors predicted more restriction in autonomy outdoors.
CONCLUSION. To enable optimized PMD use, practitioners must pay attention to the relationship between client autonomy and housing accessibility problems.
Assessment of environmental components related to housing and of users’ perceptions of autonomy is important in enabling optimized use of PMDs.
Environmental barriers that generate accessibility problems for PMD users at entrances may be associated with restriction in their autonomy outdoors.
By being aware of the negative influence of environmental barriers on autonomy, practitioners providing PMDs may help prevent accessibility problems and facilitate mobility, everyday activities, and participation among their clients.
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