Association between mobility, participation, and wheelchair-related factors in long-term care residents who use wheelchairs as their primary means of mobility

Mortenson, W. Ben, Miller, William C., Backman, Catherine L. and Oliffe, John L. (2012) Association between mobility, participation, and wheelchair-related factors in long-term care residents who use wheelchairs as their primary means of mobility. Journal of the American Geriatrics Society, 60 7: 1310-1315. doi:10.1111/j.1532-5415.2012.04038.x


Author Mortenson, W. Ben
Miller, William C.
Backman, Catherine L.
Oliffe, John L.
Title Association between mobility, participation, and wheelchair-related factors in long-term care residents who use wheelchairs as their primary means of mobility
Journal name Journal of the American Geriatrics Society   Check publisher's open access policy
ISSN 0002-8614
1532-5415
Publication date 2012-07
Sub-type Article (original research)
DOI 10.1111/j.1532-5415.2012.04038.x
Open Access Status
Volume 60
Issue 7
Start page 1310
End page 1315
Total pages 6
Place of publication Malden, MA, United States
Publisher Wiley-Blackwell
Language eng
Formatted abstract
Objectives: To explore how wheelchair-related factors, mobility, and participation are associated in a sample of long-term care residents who use wheelchairs as their primary means of mobility.

Design: Cross-sectional survey.

Setting: Eleven residential care facilities in the lower mainland of British Columbia, Canada.

Participants: One hundred forty-six self-responding residents and 118 proxy respondents: mean age 84 (range 60-103). Most were female (69%), and a small proportion (9%) drove a power wheelchair.

Measurements: The Nursing Home Life Space Diameter Assessment was used to measure resident mobility, and the Late Life Function and Disability Instrument: Disability Component was used to measure participation frequency in daily activities.

Results: Path analysis indicated that wheelchair-related factors were associated with participation frequency directly and indirectly through their relationship with mobility. The final model explained 46% of the variance in resident mobility and 53% of the variance in resident participation frequency. Wheelchair skills, which include the ability to transfer in and out of and propel a wheelchair, were important predictors of life-space mobility and frequency of participation, and life space mobility was a significant predictor of frequency of participation. Depression was associated with poorer wheelchair skills and mobility and less-frequent participation. Counterintuitively, perceived environmental barriers were positively associated with frequency of participation.

Conclusion: The findings suggest that, by addressing wheelchair-related factors, resident's mobility and participation may be improved, but the efficacy of this approach needs to be confirmed experimentally.
Keyword Wheelchair
Mobility
Participation
Nursing home
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Scopus Citation Count Cited 18 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Mon, 18 Aug 2014, 13:01:32 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work