A review of factors influencing participation in social and community activities for wheelchair users.

Objective: To systematically identify factors associated with participation in social and community activities for adult wheelchair users (WCUs).Data sources: PubMed/MEDLINE, CINAHL, PsycINFO and EMBASE.Study selection: Quantitative and qualitative peer-reviewed publications were included, which wer...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 11; no. 5; pp. 361 - 375
Autores principales: Smith, Emma M., Sakakibara, Brodie M., Miller, William C.
Formato: pictorial research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2016
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.3109/17483107.2014.989420
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        atl: A review of factors influencing participation in social and community activities for wheelchair users.
      aug:
        au:
          Smith, Emma M.
          Sakakibara, Brodie M.
          Miller, William C.
        affil: Graduate Program in Rehabilitation Sciences, University of British Columbia, Vancouver, BC, Canada
      sug:
        subj:
          Social Participation Evaluation
          Community Programs Evaluation
          Persons with Disabilities
          Wheelchairs Utilization
          Factor Analysis
          Leisure Activities
          Human
          Students
          Systematic Review
          PubMed
          CINAHL Database
          Embase
          Experimental Studies
          Psycinfo
          Quantitative Studies
          Qualitative Studies
      ab: Objective: To systematically identify factors associated with participation in social and community activities for adult wheelchair users (WCUs).Data sources: PubMed/MEDLINE, CINAHL, PsycINFO and EMBASE.Study selection: Quantitative and qualitative peer-reviewed publications were included, which were written in English, reported original research and investigated factors associated with social and community participation in adult WCUs.Data extraction: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used. Factors were organized using the International Classification of Functioning, Disability and Health (ICF).Data synthesis: Thirty-five studies were selected: two of power WCUs, 10 of manual WCUs and 23 of both. Six qualitative studies, ranging in quality from 8/10 to 9/10 and 29 quantitative studies were included, ranging in quality from 4/15 to 11/15. Fifteen body function, 4 activity, 5 participation, 15 environmental and 14 personal factors were found to be associated with social and community participation.Conclusions: Social and community participation of WCUs is associated with factors from all ICF domains. Wheelchair factors, accessibility, skills with wheelchair use, pain, finances and education are modifiable factors frequently reported to be associated with participation. Experimental research focusing on modifiable factors is needed to further our understanding of factors influencing participation among WCUs.Implications for RehabilitationWheelchair factors, including comfort and durability, are associated with participation and may be targeted in clinical intervention.Wheelchair skills are clinically modifiable and have been shown to improve participation in manual wheelchair users.Body functions (e.g. confidence, depression and fatigue) and personal factors (e.g. finances and level of education) may be considered for clinical intervention.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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