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Disability and Rehabilitation-Assistive Technology最新文献

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Correction. 更正。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-04-22 DOI: 10.1080/17483107.2024.2334638
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引用次数: 0
The influence of assistive technologies on experiences of risk among older adults with age-related vision loss (ARVL). 辅助技术对老年性视力丧失(ARVL)老年人风险体验的影响。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-05-22 DOI: 10.1080/17483107.2024.2353860
Colleen McGrath, Yvonne Galos, Emmanuel Bassey, Bernice Chung

Purpose: Living with risk is a salient part of everyday living and although risk affects everyone, older adults are often regarded as a high-risk group, particularly older adults who are aging with a disability, such as vision loss. A prominent focus within low vision rehabilitation is the provision, and training, of older adults in the use of low vision assistive devices as a strategy to manage risks in both the home and community environment. This study aimed to unpack the influence of assistive technologies on experiences of risk among eleven older adults (aged 65+) with age-related vision loss.

Materials and methods: This critical ethnographic study used home tours, the go-along method, and a semi-structured in-depth interview.

Results: The study identified five prevailing themes including: 1) Moving away from the individualization of risk; 2) The cost of assistive technologies as a risk contributor; 3) Practicing 'responsible living'; Technology as an adaptive strategy to risk taking; 4) Resisting the label of 'at risk'; The influence of technology on self-identity; and 5) Technology as a substitution versus supplement for social connectedness.

Conclusions: The study findings highlight the importance of moving beyond a technico-scientific perspective of risk, in which risk is framed as an objective phenomenon located in older adults' bodies, and instead framing risk within a broader sociocultural perspective which moves our attention to those contextual or environmental factors that shape experiences of risk for older adults with vision loss.

目的:与风险共存是日常生活的一个重要组成部分,尽管风险影响着每一个人,但老年人通常被视为高风险群体,尤其是患有视力丧失等残疾的老年人。低视力康复的一个突出重点是为老年人提供使用低视力辅助设备的培训,以此作为在家庭和社区环境中控制风险的一种策略。本研究旨在了解辅助技术对 11 名患有老年性视力损失的老年人(65 岁以上)的风险体验的影响:这项批判性人种学研究采用了家庭参观、同行法和半结构式深度访谈等方法:研究确定了五大主题,包括1) 摆脱风险的个人化;2) 辅助技术的成本是造成风险的一个因素;3) 实践 "负责任的生活";技术是承担风险的一种适应策略;4) 抵制 "有风险 "的标签;技术对自我认同的影响;以及 5) 技术是社会联系的替代品还是补充品:研究结果强调了超越从技术科学角度看待风险的重要性,在技术科学角度,风险被视为老年人身体中的一种客观现象,而从更广泛的社会文化角度来看待风险,将我们的注意力转移到那些影响视力丧失老年人风险体验的背景或环境因素上。
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引用次数: 0
A pilot randomised controlled trial of ride-on cars and postural combinations of standing and sitting for mobility and social function in toddlers with motor delays. 针对运动迟缓的学步儿童,开展了一项乘骑汽车和站坐姿势组合的试点随机对照试验,以促进他们的行动能力和社交功能。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-01-05 DOI: 10.1080/17483107.2023.2299712
Hsiang-Han Huang, Yu-Wen Chu, Ai-Tzu Chan, Chia-Ling Chen

Purpose: Locomotor experiences in upright postures are essential for developing toddlers' mobility and social functions. This pilot randomised controlled trial aimed to examine the effectiveness of using a modified ride-on car (ROC) with postural combinations of standing and sitting on mobility and social function in toddlers with motor delays.

Materials and methods: Nineteen participants aged 1-3 years with mild, moderate or severe motor delays were randomly assigned to four ROC groups. The ROC groups had different combinations of standing and sitting, namely standing for 70 min (ROC-Stand70, five participants), standing for 45 min (ROC-Stand45, four participants), standing for 25 min (ROC-Stand25, five participants) and sitting for 70 min (ROC-Sit70, five participants). All participants participated in 2-h sessions twice a week for 12 weeks. The Pediatric Evaluation of Disability Inventory, Goal Attainment Scaling and Bayley-III tests were administered before and after the intervention, and after 12 weeks of follow-up. A mixed-model analysis of variance was used to compare inter- and intra-group differences. This trial was registered at ClinicalTrials.gov (NCT03707405).

Results: All groups showed significantly improved mobility, social function and goal achievement at the post-test (p < .001). However, no significant changes were observed in Bayley scores.

Conclusions: Combining physical and social environmental modifications with active exploration is crucial for early power mobility training in toddlers with motor delays. To enhance the robustness and generalisability of our findings, future studies should include larger sample sizes, consider variations in motor delays, and measure energy expenditure during the intervention.Implications for rehabilitationProviding active exploratory experience using ride-on cars (ROCs) with various postural combinations can improve a child's mobility.The ROC training with various postural combinations can improve social function, and the degree of improvement may depend on the severity of motor delays.Setting goals with caregivers and incorporating their roles in the training process can empower them to interact with children more frequently and actively.

目的:直立姿势下的运动经验对幼儿的活动能力和社交功能的发展至关重要。本随机对照试验旨在研究使用改装的乘骑车(ROC),结合站姿和坐姿,对运动迟缓幼儿的活动能力和社交功能的影响:19名患有轻度、中度或重度运动迟缓的1-3岁幼儿被随机分配到四个乘骑车组。ROC组有不同的站立和坐姿组合,即站立70分钟(ROC-Stand70,5名参与者)、站立45分钟(ROC-Stand45,4名参与者)、站立25分钟(ROC-Stand25,5名参与者)和坐70分钟(ROC-Sit70,5名参与者)。所有参与者每周两次,每次 2 小时,共持续 12 周。在干预前后和 12 周的随访后,进行了儿科残疾评估量表、目标达成量表和 Bayley-III 测试。采用混合模型方差分析比较组间和组内差异。该试验已在ClinicalTrials.gov(NCT03707405)上注册:结果:所有组别在后期测试中的活动能力、社会功能和目标实现情况均有明显改善(P将物理和社会环境改造与积极探索相结合,对于运动迟缓幼儿的早期力量移动训练至关重要。为了提高我们研究结果的稳健性和普遍性,未来的研究应包括更大的样本量、考虑运动迟缓的差异以及测量干预过程中的能量消耗。与照护者一起设定目标并将他们的角色纳入训练过程中,可以增强他们与儿童更频繁、更积极互动的能力。
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引用次数: 0
A review of adaptive equipment and technology for exercise and sports activities for people with disabilities. 残疾人运动和体育活动辅助设备和技术回顾。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-07-04 DOI: 10.1080/17483107.2024.2372323
Alexandra R Jamieson, Helara D Wijesundara

Individuals with disabilities face psychological, environmental, and resource-related barriers to participating in exercise and sports. The lack of participation in exercise observed in the disability community poses great concern to this population's health. This review discusses commercially available adaptive equipment and technology for exercise and sports that help people with disabilities circumvent barriers to exercise. The methods section highlights various categories of adaptive tools and their cost, accessibility, ease of learning, and progress level to help people with disabilities determine points of entry to fitness that align with their needs. Additionally, fitness-related businesses, fitness device developers, and researchers can leverage the discussed findings to understand gaps in this field to further advance adaptive equipment and technology and help facilitate widespread use. The paper serves as a comprehensive resource to researchers, entrepreneurs, and consumers to guide developing, accessing, and marketing adaptive exercise technology.

残疾人在参加锻炼和运动时面临着心理、环境和资源方面的障碍。据观察,残疾人群体缺乏参与运动的机会,这对他们的健康构成了极大的威胁。本综述讨论了市场上可帮助残疾人克服运动障碍的运动和体育辅助设备和技术。方法部分重点介绍了各类适应性工具及其成本、可及性、易学性和进步程度,以帮助残障人士确定符合其需求的健身切入点。此外,与健身相关的企业、健身设备开发商和研究人员可以利用所讨论的结果来了解该领域的差距,从而进一步推动适应性设备和技术的发展,并帮助促进其广泛使用。本文可作为研究人员、企业家和消费者的综合资源,为自适应运动技术的开发、获取和营销提供指导。
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引用次数: 0
Leaders' experiences of successfully implementing health and welfare technology in sparsely populated Nordic areas. 领导人在人口稀少的北欧地区成功实施保健和福利技术的经验。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-05-10 DOI: 10.1080/17483107.2024.2352130
Christine Gustafsson, Petra Dannapfel

Purpose: This study examines the effective implementation of health and welfare technology (HWT) in sparsely populated Nordic regions within healthcare and social care settings.

Materials and methods: Through re-analysing 12 semi-structured interviews conducted in 2020 across three successfully implementing Nordic regions, the research utilised inductive thematic analysis with a reflexive approach to uncover key experiences.

Results: It identifies five critical success factors: Positive attitudes towards and understanding of digital transformation, Consensus on changing care delivery through HWT, Leadership and organisational readiness for change, Effective feedback mechanisms, and Trust and engagement in the learning process. Highlighting the significance of positive mindsets, leadership, collaboration, and adaptability, the findings underscore the theoretical underpinnings of Weiner's organisational readiness for change and Bronfenbrenner's ecological system theory for planning and understanding HWT implementation. Addressing challenges of adapting to HWT necessitates a comprehensive approach, including tailored training, robust support systems, strategic user engagement, feedback integration, and fostering open communication, ultimately ensuring technology serves the user's needs effectively.

Conclusion: In conclusion, successful HWT adoption in these areas hinges on fostering a culture of learning, strong leadership, and collaborative efforts. It suggests further research with a larger cohort to validate these insights, offering vital considerations for organisations navigating digital transformation in healthcare and social services.

目的:本研究探讨了人口稀少的北欧地区在医疗保健和社会护理环境中有效实施健康与福利技术(HWT)的情况:通过重新分析 2020 年在三个成功实施 HWT 的北欧地区进行的 12 次半结构式访谈,本研究采用了归纳式主题分析和反思式方法来揭示关键经验:结果:研究确定了五个关键的成功因素:结果:研究确定了五个关键的成功因素:对数字化转型的积极态度和理解、对通过 HWT 改变医疗服务的共识、领导力和组织对变革的准备程度、有效的反馈机制以及对学习过程的信任和参与。研究结果强调了积极心态、领导力、协作和适应性的重要性,突出了韦纳的组织变革准备度理论和布朗芬布伦纳的生态系统论在规划和理解实施 HWT 方面的理论基础。要应对适应人机工程技术的挑战,就必须采取全面的方法,包括有针对性的培训、强大的支持系统、战略性的用户参与、反馈整合以及促进开放式沟通,最终确保技术有效地满足用户的需求:总之,在这些领域成功采用 HWT 有赖于培养学习文化、强有力的领导和协作努力。它建议对更大的群体进行进一步研究,以验证这些见解,并为医疗保健和社会服务领域中正在进行数字化转型的组织提供重要的考虑因素。
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引用次数: 0
The maintenance and interface of two wheelchairs used by children with cerebral palsy in Kenya: a cross-sectional study. 肯尼亚脑瘫儿童使用的两种轮椅的维护和接口:一项横断面研究。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-07-01 DOI: 10.1080/17483107.2024.2374047
Jessica Tsotsoros, Hailey Chamberlin, Reagan Collins, Katlyn McDonald, Luke McAuley

Current wheelchairs used in low-resource settings lack the adjustability required for children with cerebral palsy and are not well-suited for rough terrain environments. This study aimed to examine the durability and functional interface of two wheelchairs specifically designed for use in low-resource settings. This descriptive study assessed 14 wheelchairs used by children with cerebral palsy living in Kenya, Africa (Momentum Wheels for Humanity's Liberty II wheelchair n = 6, Beeline's Honey Bee wheelchair n = 8). Four physical and occupational therapists evaluated durability using the Wheelchair Components Questionnaire (WCQ) and functionality using the Wheelchair Interface Questionnaire (WIQ). Medians were used to compare differences in the chair types using the Wilcoxon-Mann-Whitney test in Statistical Analysis Software (SAS) 9.4 with an alpha = 0.05. Median scores on the WCQ were 8.3/10 for the Liberty II and 7.8/10 for Beeline's Honey Bee wheelchair; however, the durability of the wheel locks was lower in the Beeline wheelchair (5.1/10 compared to the Liberty II 8.1/10 (p = 0.002). Median scores on the WIQ were lower and significantly different in the area of preventing distal lower extremity pain (Liberty II =3.7/10 and Beeline = 7.6/10, p = 0.045). Low scores occurred in both chairs in the areas of transfers and transporting the chairs in the community. The Beeline wheelchairs demonstrated higher average ratings for all areas of the WIQ, indicating the wheelchairs fit the children better and were more functional for use in the home and community environment.

目前在低资源环境中使用的轮椅缺乏脑瘫儿童所需的可调节性,也不适合崎岖的地形环境。本研究旨在考察两款专为低资源环境设计的轮椅的耐用性和功能界面。这项描述性研究评估了生活在非洲肯尼亚的 14 名脑瘫儿童使用的轮椅(Momentum Wheels for Humanity 的 Liberty II 轮椅 n = 6,Beeline 的 Honey Bee 轮椅 n = 8)。四名物理和职业治疗师使用轮椅部件问卷(WCQ)对耐用性进行了评估,并使用轮椅界面问卷(WIQ)对功能性进行了评估。使用统计分析软件 (SAS) 9.4 中的 Wilcoxon-Mann-Whitney 检验(α = 0.05)来比较不同类型轮椅的差异。自由 II 轮椅的 WCQ 中位数为 8.3/10,Beeline 的 Honey Bee 轮椅为 7.8/10;但是,Beeline 轮椅的轮锁耐用性较低(5.1/10,而自由 II 为 8.1/10(P = 0.002))。在预防下肢远端疼痛方面,WIQ的中位数得分较低,且差异显著(Liberty II =3.7/10,Beeline =7.6/10,p =0.045)。两款轮椅在转移和在社区内搬运方面的得分都较低。Beeline 轮椅在 WIQ 各方面的平均得分都较高,这表明轮椅更适合儿童使用,在家庭和社区环境中的功能性更强。
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引用次数: 0
A thematic review on therapeutic toys and games for the elderly with Alzheimer's disease. 关于老年痴呆症老人治疗玩具和游戏的专题综述。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-02-01 DOI: 10.1080/17483107.2023.2299713
Donggui You, Saiful Hasley Bin Ramli, Rahimah Ibrahim, Muhammad Hibatullah Bin Romli, Ziming Li, Qingqing Chu, Xinxin Yu

Purpose: Alzheimer's disease (AD) is a common and devastating neurological ailment that affects millions of the elderly worldwide. Therapeutic toys and games have emerged as potential non-pharmacological interventions for AD. However, despite a growing number of documents on the subject, research on the future direction of therapeutic toys and games for AD remains scarce. To address this gap, this study aims to (1) map the future trends of therapeutic toys and games for AD and (2) identify the categories and design characteristics.

Materials and methods: Using a thematic review framework, a systematic literature search was conducted in two electronic databases (Scopus and WoS) using established criteria. Thematic analysis was done using ATLAS.ti 23 to identify prominent themes, patterns and trends.

Results: A total of 180 documents were found. Twenty-five articles met the inclusion criteria. A thematic review of these 25 articles identified 13 initial codes, which were been clustered into four themes: detection and evaluation; intervention; toy/game category; and design characteristics. The word "Cognitive" appears most frequently in documents according to word cloud.

Conclusions: Therapeutic toys and games are used to detect and as an intervention for AD. Most of the current studies focused on specific cognitive functions. More research is needed about play therapy for neuropsychiatric symptoms. This thematic review also proposed a conceptual framework for designing toys and games tailored to the needs of the elderly with AD, offering valuable insights to future researchers focusing on this domain.

目的:阿尔茨海默病(AD)是一种常见的破坏性神经系统疾病,影响着全球数百万老年人。治疗性玩具和游戏已成为治疗阿尔茨海默病的潜在非药物干预措施。然而,尽管有关这一主题的文献越来越多,但有关治疗性玩具和游戏治疗老年痴呆症的未来方向的研究仍然很少。为了填补这一空白,本研究旨在:(1)绘制AD治疗玩具和游戏的未来趋势图;(2)确定其类别和设计特点:采用专题综述框架,使用既定标准在两个电子数据库(Scopus 和 WoS)中进行了系统的文献检索。使用 ATLAS.ti 23 进行了专题分析,以确定突出的主题、模式和趋势:结果:共找到 180 篇文献。有 25 篇文章符合纳入标准。对这 25 篇文章进行的主题审查确定了 13 个初始代码,并将其归类为四个主题:检测和评估;干预;玩具/游戏类别;以及设计特点。根据词云,"认知 "一词在文献中出现的频率最高:治疗性玩具和游戏可用于检测和干预注意力缺失症。目前的大多数研究侧重于特定的认知功能。需要对游戏疗法治疗神经精神症状进行更多研究。这篇专题综述还提出了一个概念框架,用于设计符合患有注意力缺失症的老年人需求的玩具和游戏,为未来关注这一领域的研究人员提供了宝贵的见解。
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引用次数: 0
Concerns regarding the accessibility of self-service interactive devices for people with disabilities. 对残疾人无障碍使用自助互动设备的关切。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-05-15 DOI: 10.1080/17483107.2024.2353280
Gaya Bin Noon, Larissa Ugaya Mazza, Gillian Morgan, Stephanie Singh, Dragica Jeremic Nikolic, Plinio Pelegrini Morita

Purpose: Self-service interactive devices allow users to access information or services without directly interacting with service personnel. As the prevalence of disability increases, it is important to consider the barriers individuals face in using these devices and explore opportunities to increase accessibility through assistive and adaptive technologies. This study aimed to establish recommendations to enhance the accessibility of self-service interactive devices, with the objective of understanding users' experiences with these devices.

Materials and methods: Nineteen semi-structured interviews were held with stakeholders focusing on accessible design for people with disabilities, categorized as (a) persons with lived experiences with disability, (b) disability advocates, or (c) assistive technology industry experts. The study used content analysis to identify recurring concepts and opportunities to improve accessibility. Participants discussed the potential benefits of updating or incorporating additional accessibility technologies into self-service devices and proposed solutions to existing deficiencies.

Results: Common concerns expressed among participants included the privacy and security of self-service devices, protection of personal information, and the consistency and usability of devices. Participants also suggested how this inconsistency could be mitigated and how to improve existing accessibility functionalities. Accessible functionalities in self-service devices have the potential to help address the unmet needs of Canadians with disabilities.

Conclusions: With the breadth of available accessible and adaptive technologies, the study concludes that it is imperative to understand (1) what technologies are useful to people with disabilities, (2) whether the inclusion of these technologies is feasible in self-service devices, and (3) how user experience can be improved.

目的:自助互动设备允许用户在不直接与服务人员互动的情况下获取信息或服务。随着残疾发生率的增加,考虑个人在使用这些设备时面临的障碍并探索通过辅助和适应性技术提高无障碍性的机会非常重要。本研究旨在为提高自助服务互动设备的无障碍性提出建议,目的是了解用户使用这些设备的体验:我们对关注残疾人无障碍设计的利益相关者进行了 19 次半结构式访谈,这些利益相关者可分为:(a)有残疾生活经历的人;(b)残疾倡导者;或(c)辅助技术行业专家。研究采用内容分析法来确定反复出现的概念和改善无障碍设计的机会。参与者讨论了更新自助服务设备或在自助服务设备中加入更多无障碍技术的潜在益处,并针对现有缺陷提出了解决方案:与会者表达的共同关切包括自助设备的隐私和安全、个人信息保护以及设备的一致性和可用性。与会者还就如何减少这种不一致性以及如何改进现有的无障碍功能提出了建议。自助设备中的无障碍功能有可能有助于满足加拿大残疾人尚未得到满足的需求:随着无障碍技术和适应性技术的广泛应用,本研究得出结论认为,当务之急是了解:(1)哪些技术对残疾人有用;(2)在自助设备中加入这些技术是否可行;以及(3)如何改善用户体验。
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引用次数: 0
Assistive technology and daily living challenges among students with disabilities at University of Gondar, Ethiopia: a qualitative study. 埃塞俄比亚贡达尔大学残疾学生的辅助技术和日常生活挑战:一项定性研究。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-07-01 DOI: 10.1080/17483107.2024.2362248
Alemu Kassaw Kibret, Tesfahun Melese Yilma, Theresa Claire Davies, Zelalem Alemayehu Genetu, Samuel Tesfaye Mekonone, Bruhtesfa Mouhabew Alene, Birhanu Mulat Addis, Kalkidan Nigussie, Rediet Getachew Ayele, Bilen Mekonnen Araya

Background: Disability influences activities of daily living, leading to unsafe conditions, poor quality of life, and dependence on others and assistive technologies. Despite limited access and unmet needs, assistive technology enables users to participate in education and be independent members of their community. Students with disabilities in higher education face many challenges in their day-to-day activities and evidence is limited in the study area. Therefore, this study aimed to explore assistive technology experience and daily living challenges among students with disabilities in higher education.

Method: A descriptive qualitative study design was employed at the University of Gondar, Gondar, Ethiopia, between December 20, 2022, and January 20, 2023. A purposive sampling method was employed to recruit 14 students with disabilities. An in-depth interview was employed using semi-structured questionnaires. Open Code version 4 software for coding and reflexive thematic analysis approach was employed for the analysis.

Result: A total of 14 students with disabilities were included in an in-depth interview. Four main themes emerged, which included activities of daily living, attitudes toward people with disabilities, barriers to accessibility, and access to assistive technology.

Conclusion: Barriers to activities of daily living among students with disabilities were poor accessibility of infrastructural facilities, lack of teaching/learning materials in an accessible format, and negative attitudes. The present study's finding is needed to support students in higher education for their academic achievement and to design appropriate rehabilitation strategies and policies on the accessibility of physical infrastructures, inclusive education, and the provision of assistive technology.

背景:残疾影响日常生活活动,导致不安全状况、生活质量低下以及对他人和辅助技术的依赖。尽管使用机会有限且需求未得到满足,但辅助技术使用户能够参与教育并成为社区的独立成员。接受高等教育的残疾学生在日常活动中面临许多挑战,而研究领域的证据却很有限。因此,本研究旨在探讨高校残疾学生的辅助技术体验和日常生活挑战:采用描述性定性研究设计,于 2022 年 12 月 20 日至 2023 年 1 月 20 日在埃塞俄比亚贡德尔市贡德尔大学进行。采用目的取样法招募了 14 名残疾学生。采用半结构化问卷进行深度访谈。采用 Open Code version 4 软件进行编码,并采用反思性主题分析方法进行分析:结果:共有 14 名残疾学生参加了深度访谈。结果:共有 14 名残疾学生参加了深入访谈,访谈中出现了四个主要专题,包括日常生活活动、对残疾人的态度、无障碍障碍和辅助技术:结论:残疾学生在日常生活中遇到的障碍包括基础设施的无障碍性差、缺乏无障碍格式的教学/学习材料以及消极的态度。需要根据本研究的结果来支持接受高等教育的学生取得学业成绩,并在无障碍物质基础设施、全纳教育和提供辅助技术方面制定适当的康复战略和政策。
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引用次数: 0
Should I stay or should I go? An exploratory study comparing wheelchair-adapted rowing at home vs. in community gyms. 我应该留下还是离开?一项探索性研究,比较在家与在社区健身房进行适应轮椅的划船运动。
IF 1.9 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-01 Epub Date: 2024-07-01 DOI: 10.1080/17483107.2024.2362895
Mine Celebi, Anika Cheng, Bonita Sawatzky, Johanne Mattie, Jaimie Borisoff, James J Laskin, W Ben Mortenson

Purpose: Wheelchair users experience many barriers to physical activity as affordable and accessible exercise equipment options are limited. Thus, the home-based adapted rower (aROW) and gym-based aROW were developed. The objectives were to determine: 1) wheelchair users' preferences, perspectives, facilitators, and barriers to using the home-based versus the gym-based aROW, 2) perceived usability of the home and gym aROWs, and 3) recommendations to adapt the aROW further for home and community use.

Materials and methods: In this two-phase exploratory mixed-methods study, participants completed one month of using a home aROW, followed by one month of using a community gym aROW. After each phase, participants completed a semi-structured interview and the System Usability Scale (SUS) questionnaire. Interview data were analyzed using conventional content analysis and effect size comparing SUS data was calculated.

Results and conclusions: Four categories were identified: what worked well, barriers to using the aROWs, what could be improved and important considerations. There was a large effect size in perceived usability between the aROWs with participants preferring the home aROW. Overall, rowing was enjoyable, and participants achieved positive physical outcomes. As preferences are individual, the home aROW provides wheelchair users with a potential choice between home or gym exercise.

目的:轮椅使用者在进行体育锻炼时会遇到很多障碍,因为可负担得起且方便使用的锻炼设备非常有限。因此,我们开发了家用适应划船器(aROW)和健身房用适应划船器。目标是确定1) 轮椅使用者使用家用划船器和健身房划船器的偏好、观点、促进因素和障碍;2) 家用划船器和健身房划船器的可用性;3) 进一步调整家用划船器和社区划船器的建议:在这项分两个阶段进行的探索性混合方法研究中,参与者先使用一个月的家用 aROW,然后再使用一个月的社区健身房 aROW。每个阶段结束后,参与者都要完成一次半结构化访谈和系统可用性量表(SUS)问卷调查。访谈数据采用传统的内容分析法进行分析,并计算了与 SUS 数据比较的效应大小:结果和结论:确定了四个类别:运行良好的方面、使用 aROWs 的障碍、可改进的方面和重要的考虑因素。不同的 aROWs 在可用性方面有很大的影响,参与者更喜欢家用 aROW。总的来说,划船是一件令人愉快的事情,参与者取得了积极的身体效果。由于个人喜好不同,家用划船器为轮椅使用者提供了在家或健身房锻炼的可能选择。
{"title":"Should I stay or should I go? An exploratory study comparing wheelchair-adapted rowing at home vs. in community gyms.","authors":"Mine Celebi, Anika Cheng, Bonita Sawatzky, Johanne Mattie, Jaimie Borisoff, James J Laskin, W Ben Mortenson","doi":"10.1080/17483107.2024.2362895","DOIUrl":"10.1080/17483107.2024.2362895","url":null,"abstract":"<p><strong>Purpose: </strong>Wheelchair users experience many barriers to physical activity as affordable and accessible exercise equipment options are limited. Thus, the home-based adapted rower (aROW) and gym-based aROW were developed. The objectives were to determine: 1) wheelchair users' preferences, perspectives, facilitators, and barriers to using the home-based versus the gym-based aROW, 2) perceived usability of the home and gym aROWs, and 3) recommendations to adapt the aROW further for home and community use.</p><p><strong>Materials and methods: </strong>In this two-phase exploratory mixed-methods study, participants completed one month of using a home aROW, followed by one month of using a community gym aROW. After each phase, participants completed a semi-structured interview and the System Usability Scale (SUS) questionnaire. Interview data were analyzed using conventional content analysis and effect size comparing SUS data was calculated.</p><p><strong>Results and conclusions: </strong>Four categories were identified: what worked well, barriers to using the aROWs, what could be improved and important considerations. There was a large effect size in perceived usability between the aROWs with participants preferring the home aROW. Overall, rowing was enjoyable, and participants achieved positive physical outcomes. As preferences are individual, the home aROW provides wheelchair users with a potential choice between home or gym exercise.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"211-221"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Disability and Rehabilitation-Assistive Technology
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