Exploring the use of powered mobility devices and occupational participation for people with obesity.
chronic disease
community mobility
electric wheelchair
mobility scooter
obesity
occupational therapy
quality of life
Journal
Australian occupational therapy journal
ISSN: 1440-1630
Titre abrégé: Aust Occup Ther J
Pays: Australia
ID NLM: 15420200R
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
revised:
19
06
2023
received:
17
11
2022
accepted:
20
06
2023
medline:
5
12
2023
pubmed:
2
8
2023
entrez:
1
8
2023
Statut:
ppublish
Résumé
The increasing prevalence of obesity is a global issue with the World Health Organization estimating that more than 650 million adults are impacted by obesity. Those living with obesity are impacted by both physical and psychological issues. The physical consequences of living with obesity can lead to decreased mobility and reduced occupational participation. The aim of this research is to understand how the use of a powered mobility device influences occupational participation and quality of life from the perspective of people with obesity. Semi-structured qualitative interviews (n = 7) were undertaken with a phenomenological approach to gain an understanding of the lived experience of using a powered mobility device. Thematic analysis occurred resulting in inter-connected themes that describe the positive experiences associated with using a powered mobility device: (1) autonomous mobility; (2) enhanced occupational participation; and (3) improved self-efficacy creates increased confidence in relation to participation. In addition, two themes emerged that were barriers to usage of powered mobility devices: (4) physical environmental barriers and (5) difficulty transporting the powered mobility device. For those with obesity, a powered mobility device provided autonomous mobility allowing them to engage in an increased range of activities. This was hampered by physical environmental barriers and difficulties transporting the powered mobility device. Further research is required to verify the results of this study with a wider population and to explore the benefits and barriers to use of a powered mobility device in the home and community.
Sections du résumé
BACKGROUND
BACKGROUND
The increasing prevalence of obesity is a global issue with the World Health Organization estimating that more than 650 million adults are impacted by obesity. Those living with obesity are impacted by both physical and psychological issues. The physical consequences of living with obesity can lead to decreased mobility and reduced occupational participation. The aim of this research is to understand how the use of a powered mobility device influences occupational participation and quality of life from the perspective of people with obesity.
METHOD
METHODS
Semi-structured qualitative interviews (n = 7) were undertaken with a phenomenological approach to gain an understanding of the lived experience of using a powered mobility device.
RESULTS
RESULTS
Thematic analysis occurred resulting in inter-connected themes that describe the positive experiences associated with using a powered mobility device: (1) autonomous mobility; (2) enhanced occupational participation; and (3) improved self-efficacy creates increased confidence in relation to participation. In addition, two themes emerged that were barriers to usage of powered mobility devices: (4) physical environmental barriers and (5) difficulty transporting the powered mobility device.
CONCLUSION
CONCLUSIONS
For those with obesity, a powered mobility device provided autonomous mobility allowing them to engage in an increased range of activities. This was hampered by physical environmental barriers and difficulties transporting the powered mobility device. Further research is required to verify the results of this study with a wider population and to explore the benefits and barriers to use of a powered mobility device in the home and community.
Identifiants
pubmed: 37527930
doi: 10.1111/1440-1630.12898
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
690-700Informations de copyright
© 2023 The Authors. Australian Occupational Therapy Journal published by John Wiley & Sons Australia, Ltd on behalf of Occupational Therapy Australia.
Références
Australian Institute of Health and Welfare. (2020). Australia's health 2020: In brief. https://www.aihw.gov.au/reports/australias-health/australias-health-2020-in-brief
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295X.84.2.191
Batsis, J. A., Zagaria, A. B., Brooks, E., Clark, M. M., Phelan, S., Lopez-Jimenez, F., Bartels, S. J., Rotenberg, S., & Carpenter-Song, E. (2020). The use and meaning of the term obesity in rural older adults: A qualitative study. Journal of Applied Gerontology, 40(4), 423-432. https://doi.org/10.1177/0733464820903253
Bazeley, P., & Jackson, K. (2013). Qualitative data analysis with NVivo (2nd ed.). SAGE Publications Limited.
Beauchamp, T. L., & Childress, J. F. (2001). Principles of biomedical ethics. Oxford University Press.
Blach Rossen, C., Sørensen, B., Würtz Jochumsen, B., & Wind, G. (2012). Everyday life for users of electric wheelchairs-A qualitative interview study. Disability and Rehabilitation. Assistive Technology, 7(5), 399-407. https://doi.org/10.3109/17483107.2012.665976
Chu, D. T., Minh Nguyet, N. T., Nga, V. T., Thai Lien, N. V., Vo, D. D., Lien, N., Nhu Ngoc, V. T., Son, L. H., Le, D. H., Nga, V. B., Van Tu, P., Van To, T., Ha, L. S., Tao, Y., & Pham, V. H. (2019). An update on obesity: Mental consequences and psychological interventions. Diabetes & Metabolic Syndrome, 13(1), 155-160. https://doi.org/10.1016/j.dsx.2018.07.015
Ejiri, M., Kawai, H., Fujiwara, Y., Ihara, K., Watanabe, Y., Hirano, H., Kim, H. K., Ishii, K., Oka, K., & Obuchi, S. (2019). Social participation reduces isolation among Japanese older people in urban area: A 3-year longitudinal study. PLoS ONE, 14(9), e0222887. https://doi.org/10.1371/journal.pone.0222887
Farrell, E., Hollmann, E., le Roux, C. W., Bustillo, M., Nadglowski, J., & McGillicuddy, D. (2021). The lived experience of patients with obesity: A systematic review and qualitative synthesis. Systematic Reviews, 10, 181. https://doi.org/10.1111/obr.13334
Fisk, M., Livingstone, A., & Pit, S. W. (2020). Telehealth in the context of COVID-19: Changing perspectives in Australia, the United Kingdom, and the United States. Journal of Medical Internet Research, 22(6), e19264. https://doi.org/10.2196/19264
Forhan, M., & Gill, S. V. (2013). Obesity, functional mobility and quality of life. Best Practice & Research. Clinical Endocrinology & Metabolism, 27(2), 129-137. https://doi.org/10.1016/j.beem.2013.01.003
Forhan, M. A., Law, M. C., Vrkljan, B. H., & Taylor, V. H. (2010). The experience of participation in everyday occupations for adults with obesity. Canadian Journal of Occupational Therapy, 77(4), 210-218. https://doi.org/10.2182/cjot.2010.77.4.3
Forhan, M. A., Law, M. C., Vrkljan, B. H., & Taylor, V. H. (2012). Factors associated with the satisfaction of participation in daily activities for adults with class III obesity. OTJR Occupation, Participation and Health, 32(3), 70-78. https://doi.org/10.3928/15394492-20111028-01
Frank, A., Neophytou, C., Frank, J., & de Souza, L. (2010). Electric-powered indoor/outdoor wheelchairs (EPIOCs): Users' views of influence on family, friends and carers. Disability and Rehabilitation. Assistive Technology, 5(5), 327-338. https://doi.org/10.3109/17483101003746352
Fredriksson, C., Pettersson, I., Hagberg, L., & Hermansson, L. (2020). The value of powered mobility scooters from the perspective of elderly spouses of the users-A qualitative study. Disability and Rehabilitation. Assistive Technology, 17, 1-5. https://doi.org/10.1080/17483107.2020.1804632
Giesbrecht, E. M., Smith, E. M., Mortenson, W. B., & Miller, W. C. (2017). Needs for mobility devices, home modifications and personal assistance among Canadians with disabilities. Health Reports, 28(8), 9-15. https://pubmed.ncbi.nlm.nih.gov/29044443/
Gill, S. (2016). Changes in motor performance: Indicators of fall risks after bariatric surgery. The American Journal of Occupational Therapy, 70(4_Supplement_1), 7011505085. https://doi.org/10.5014/ajot.2016.70S1-RP103C
Groven, K. S., & Glenn, N. M. (2016). The experience of regaining weight following weight loss surgery: A narrative-phenomenological exploration. Health Care for Women International, 37(11), 1185-1202. https://doi.org/10.1080/07399332.2016.1195386
Holmgren, M., Lindgren, A., de Munter, J., Rasmussen, F., & Ahlström, G. (2014). Impacts of mobility disability and high and increasing body mass index on health-related quality of life and participation in society: A population-based cohort study from Sweden. BMC Public Health, 14(1), 381. https://doi.org/10.1186/1471-2458-14-381
Kemmis, E., Ashby, S., & MacDonald-Wicks, L. (2021). The impact of a power mobility device on occupational participation and quality of life for people with chronic diseases: A scoping review. British Journal of Occupational Therapy, 84(12), 745-764. https://doi.org/10.1177/03080226211034420
Korstjens, I., & Moser, A. (2018). Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing. The European Journal of General Practice, 24(1), 120-124. https://doi.org/10.1080/13814788.2017.1375092
Labbé, D., Mortenson, W. B., Rushton, P. W., Demers, L., & Miller, W. C. (2020). Mobility and participation among ageing powered wheelchair users: Using a lifecourse approach. Ageing and Society, 40(3), 626-642. https://doi.org/10.1017/S0144686X18001228
Lim, P. Y., Hui Chia, C. W., Ong, S. L., Lim, M. L., & Xu, T. (2022). The impact of mobility scooter on occupational participation among older adults in Singapore: An exploratory study. Disability and Rehabilitation. Assistive Technology, 1-9, 1-9. https://doi.org/10.1080/17483107.2022.2121008
Löfqvist, C., Pettersson, C., Iwarsson, S., & Brandt, A. (2012). Mobility and mobility-related participation outcomes of powered wheelchair and scooter interventions after 4-months and 1-year use. Disability and Rehabilitation. Assistive Technology, 7(3), 211-218. https://doi.org/10.3109/17483107.2011.619224
Minichiello, V., Sullican, G., Greenwood, K., & Axford, R. (2004). Research methods for nursing and health science (2nd ed.). Pearson Education Australia.
Morrow, R., Rodriguez, A., & King, N. (2015). Colaizzi's descriptive phenomenological method. The Psychologist, 28(8), 643-644.
Nossum, R., Johansen, A.-E., & Kjeken, I. (2018). Occupational problems and barriers reported by individuals with obesity. Scandinavian Journal of Occupational Therapy, 25(2), 136-144. https://doi.org/10.1080/11038128.2017.1279211
OECD. (2019). Health at a glance 2019: OECD indicators. OECD Publishing. https://doi.org/10.1787/4dd50c09-en
Pettersson, C., Iwarsson, S., & Mansson Lexell, E. (2015). Experiences of using powered wheelchair or powered scooter and accessibility in housings. Studies in Health Technology and Informatics, 217, 1017-1023. https://doi.org/10.3233/978-1-61499-566-1-1017
Pritchard, E. (2014). Body size and the built environment: Creating an inclusive built environment using universal design. Geography Compass, 8(1), 63-73. https://doi.org/10.1111/gec3.12108
Rosso, A. L., Taylor, J. A., Tabb, L. P., & Michael, Y. L. (2013). Mobility, disability, and social engagement in older adults. Journal of Aging and Health, 25(4), 617-637. https://doi.org/10.1177/0898264313482489
Standards Australia. (2014). AS 2047 Windows and external glazed doors in buildings. https://www.standards.org.au/standards-catalogue/sa-snz/building/bd-021/as--2047-colon-2014
Standards Australia. (2021). AS 1428.1 Design for access and mobility, part 1: General requirements for access-New building work. https://www.standards.org.au/standards-catalogue/sa-snz/building/me-064/as--1428-dot-1-colon-2021
Stanley, M., Moyle, W., Ballantyne, A., Jaworski, K., Corlis, M., Oxlade, D., Stoll, A., & Young, B. (2010). ‘Nowadays you don't even see your neighbours’: Loneliness in the everyday lives of older Australians. Health & Social Care in the Community, 18(4), 407-414. https://doi.org/10.1111/j.1365-2524.2010.00923.x
Sund, T., & Brandt, Å. (2018). Adult Scandinavians' use of powered scooters: User satisfaction, frequency of use, and prediction of daily use. Disability and Rehabilitation. Assistive Technology, 13(3), 212-219. https://doi.org/10.1080/17483107.2017.1306589
Taylor, R. (Ed.). (2017). Kielhofner's model of human occupation: Theory and application (Fifth ed.). Wolters Kluwer Health.
Taylor, J. (2022). Doors: Australian sizing by type. Retrieved 24/02/2023 from https://www.architectureanddesign.com.au/features/list/doors-australian-standard-sizing-by-type#
The Obesity Collective. (2019). Weighing in: Australia's growing obesity epidemic. https://static1.squarespace.com/static/57e9ebb16a4963ef7adfafdb/t/5c9a8961f4e1fc9deceb1ae4/1553631602322/Obesity+Collective_Australias+Growing+Obesity+Epidemic+report+27+03+19.pdf
World Health Organization. (2020). Obesity and overweight fact sheet. http://www.who.int/mediacentre/factsheets/fs311/en/