The use of power mobility aids : the experience of older persons living in the community

Abstract

In an aging society, it is increasingly important to understand the extent to which Assistive Technology (AT) can be beneficial. Older persons (OPs) are at an increased risk of experiencing limitations in mobility. As a result they may resort to the use of power mobility aids (PMAs) as a compensatory method. PMAs potentially increase the OP’s ability to be independent whilst facilitating inclusion and community participation through promoting community mobility. Study explored the experiences of community living OPs utilising a PMA, specifically powered wheelchairs and scooters.

This study adopted a qualitative approach. Data was collected through semi-structured interviews with 7 OPs. Participants were over 60 years, both males and females and made use of PMA within the community. Data was thematically analysed.

The study was exploratory in nature. Findings revealed various themes which deserved discussion. Main emerging themes were, (i) the role of the PMA in social and community participation, (ii) linking Independence, Quality of life and Social Policy, (iii) well-being of the OP participant using the PMA, (iv) experiencing the build and outdoor environment linked to the responsibility of authorities involved, (v) the natural environment and frequency of PMA use (vi) experiencing the PMA within a community context linked to the process of PMA acquisition (vii) social attitudes towards PMA use and users. Each theme subdivides into further sub-themes.

The OP participants presented the PMA as an instrument of social and community participation. Participants engaged regularly in leisure, religious, and productive activities related to community life using their PMAs. Participants highlighted the fact that using a PMA is not a necessity but rather a need towards remaining independent and active participants in the community. PMA use was linked to independence and aspects related to improved wellbeing and Quality of Life. Despite the reported benefits of PMA, results presented challenges which seemed to hinder the maximal positive impact of PMAs. Challenges revolved around (a) physical barriers related to the human made changes, (b) the natural environment, (c) the PMA and (d) to social barriers related to authorities in charge and the general public. Several implications related to the safe use of PMA within the community environment were also highlighted, (a) local legislation, (b) the role of local councils and policy makers in promoting the inclusion and safe use of PMAs, and (c) the process of PMA acquisition locally. Indeed the findings of this study revealed the complexity of factors related to PMA use amongst OP’s living in the community. Findings from this study provided a platform to further research on the inclusion and safe use of PMAs within the local community, as well as increasing awareness on the role of the AHP in the provision, acquisition and use of PMA amongst OPs living in the community.