A portion of the findings from the study were presented at the 15th World Congress of the World Federation of Occupational Therapy, Santiago, Chile: Mortenson WB, Miller WC, Backman CL, Oliffe JL. 2010. Predictors of the frequency of engagement in occupation among long-term care residents who use wheelchairs as their primary means of mobility.
Association Between Mobility, Participation, and Wheelchair-Related Factors in Long-Term Care Residents Who Use Wheelchairs as Their Primary Means of Mobility
Article first published online: 15 JUN 2012
© 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 60, Issue 7, pages 1310–1315, July 2012
How to Cite
Mortenson, W. B., Miller, W. C., Backman, C. L. and Oliffe, J. 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: 1310–1315. doi: 10.1111/j.1532-5415.2012.04038.x
- Issue published online: 12 JUL 2012
- Article first published online: 15 JUN 2012
- Canadian Institutes of Health Research (CIHR) . Grant Number: 175794
- Canadian Occupational Therapy Foundation
- Michael Smith Foundation for Health Research (MSFHR)
- Quality of Life Strategic Training Fellowship
- nursing home
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.
Eleven residential care facilities in the lower mainland of British Columbia, Canada.
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.
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.
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.
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.