Autonomy and Housing Accessibility Among Powered Mobility Device Users

American Journal of Occupational Therapy, 2015 · DOI: 10.5014/ajot.2015.015347 · Published: September 1, 2015

Simple Explanation

This study examines how accessible housing is for people with spinal cord injuries who use powered mobility devices (PMDs) like wheelchairs and scooters. It looks at the barriers they face both inside and outside their homes. The research also explores how these accessibility issues affect the users' sense of independence (autonomy) and ability to control their daily lives. By understanding these challenges, the study aims to help healthcare professionals better support PMD users in achieving greater participation and autonomy.

Study Duration

Not specified

Participants

48 PMD users with a spinal cord injury (SCI)

Evidence Level

Cross-sectional study

Key Findings

1
More years living with a spinal cord injury predicted less restriction in autonomy indoors, suggesting adaptation over time.
2
More functional limitations were associated with greater restriction in autonomy outdoors.
3
Accessibility problems related to entrance doors that do not stay open or close quickly predicted more restriction in autonomy outdoors.

Research Summary

This study investigates the relationship between housing accessibility, environmental barriers, and autonomy among powered mobility device (PMD) users with spinal cord injuries (SCI). The research identified key environmental barriers that generate accessibility problems indoors, at entrances, and in the exterior surroundings of the home. The study found that years lived with SCI, functional limitations, and entrance door accessibility significantly impacted autonomy indoors and outdoors.

Practical Implications

Comprehensive Assessment

Occupational therapists should assess both environmental components related to housing and users’ perceptions of autonomy to enable optimized use of PMDs.

Address Entrance Barriers

Practitioners need to be aware that environmental barriers at entrances may be associated with restriction in their autonomy outdoors.

Proactive Intervention

Practitioners providing PMDs can help prevent accessibility problems and facilitate mobility, everyday activities, and participation by addressing environmental barriers.

Study Limitations

1
The sample of people with SCI might not be generalizable to all PMD users.
2
The ranking of environmental barriers was based on the prevalence of functional limitations in the total sample, not individual profiles.
3
The Housing Enabler may not fully account for specific functions and characteristics of newer PMDs.

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