Wheelchair user's perceived access to maintenance and repair services: a qualitative study.

IF 1.9 4区 医学 Q2 REHABILITATION Disability and Rehabilitation-Assistive Technology Pub Date : 2024-12-29 DOI:10.1080/17483107.2024.2442713
Kathryn M Hiles, Richard M Schein, Gede Pramana, Mark R Schmeler
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Abstract

Purpose: Wheelchairs and associated seating and positioning systems require maintenance and repair services to sustain essential functions for wheelchair users. This study aims to amplify wheelchair users' opinions and experiences related to their perceived access to crucial wheelchair maintenance and repair services.

Methods: We conducted semi-structured interviews with four full-time wheelchair users using five semi-structured interview questions. The collected data was analyzed using a reflexive thematic analysis approach. Six interconnected themes were inductively, reflexively, and collaboratively constructed through critical discussions and mind-mapping techniques.

Results: These themes are as follows: "improving accessibility and efficiency: service delivery," "access challenges: diversifying repair options and locations," "systemic challenges: the role of policy," "design, durability, and dependability: meeting the user's needs," "empowering accessibility: bridging the knowledge gap," and "The system Itself: a call for change."

Conclusions: Our findings suggest that wheelchair users prioritize not only the revision of existing barriers to access but also the implementation of preventative measures to minimize repair needs. Stakeholders are encouraged to collaborate to critically analyze existing wheelchair service delivery processes and associated policies. Practical implications include adjusting current policies, establishing best practice guidelines, and enacting preventative measures to facilitate improved user access to maintenance and repair services and optimize related outcomes.

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轮椅使用者对保养和维修服务的感知:一项定性研究。
目的:轮椅及相关座椅和定位系统需要维护和修理服务,以维持轮椅使用者的基本功能。本研究旨在了解轮椅使用者对获得重要轮椅保养和维修服务的看法和经验:我们使用五个半结构化访谈问题对四名全职轮椅使用者进行了半结构化访谈。我们采用反思性主题分析方法对收集到的数据进行了分析。通过批判性讨论和思维导图技术,以归纳、反思和合作的方式构建了六个相互关联的主题:这些主题如下结果:这些主题如下:"改善无障碍环境并提高效率:提供服务"、"无障碍环境的挑战:多样化的维修选择和地点"、"系统性挑战:政策的作用"、"设计、耐用性和可靠性:满足用户需求"、"增强无障碍环境的能力:缩小知识差距 "以及 "系统本身:呼吁变革":我们的研究结果表明,轮椅使用者不仅优先考虑修改现有的无障碍设施,还优先考虑实施预防措施,以尽量减少维修需求。我们鼓励利益相关者合作,对现有的轮椅服务流程和相关政策进行批判性分析。其实际意义包括调整现行政策、制定最佳实践指南和颁布预防措施,以方便用户更好地获得维护和修理服务,并优化相关结果。
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来源期刊
CiteScore
5.70
自引率
13.60%
发文量
128
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