TY - JOUR
T1 - Factors associated with provision of wheelchairs in older adults
AU - Karmarkar, Amol M.
AU - Dicianno, Brad E.
AU - Graham, James E.
AU - Cooper, Rosemarie
AU - Kelleher, Annmarie
AU - Cooper, Rory A.
N1 - Funding Information:
The study was funded by the VA Center for Excellence in Wheelchairs and Associated Rehabilitation Engineering (Grant# B3142C) and the National Science Foundation—Engineering Research Center on Quality of Life Technology (QoLT) (#EEC 0540865).
PY - 2012/9/1
Y1 - 2012/9/1
N2 - The objectives of this study were: to identify the factors that are associated with prescription of wheeled mobility devices for older adults, and to determine the effect that living setting has on the types of devices that older adults receive. Retrospective medical chart review at the Center for Assistive Technology on 337 older individuals. These individuals were aged >60 years, and each of them received a new wheeled mobility device from the center during 2007 or 2008. Data were analyzed in three tiers: tier 1 (manual versus powered mobility devices); tier 2 (motorized scooters versus power wheelchairs); and tier 3 (customized versus standard power wheelchairs). For tier 1, the factor associated with higher odds for receipt of manual wheelchairs versus powered were: cognitive limitations (OR =.03). For tier 2, diagnosis of cardio-vascular and pulmonary conditions were associated with prescription of motorized scooters (OR = 3.9). For tier 3, neurological conditions (OR = 3.1), male gender (OR =.37), institutional living (OR =.23), and lower age (OR =.96) were associated with receipt of customized power wheelchairs. This study objectively describes factors associated with prescription of wheeled mobility for older adults. This information can aid in development of guidelines and improving standards of practice for prescription of wheelchairs for older adults.
AB - The objectives of this study were: to identify the factors that are associated with prescription of wheeled mobility devices for older adults, and to determine the effect that living setting has on the types of devices that older adults receive. Retrospective medical chart review at the Center for Assistive Technology on 337 older individuals. These individuals were aged >60 years, and each of them received a new wheeled mobility device from the center during 2007 or 2008. Data were analyzed in three tiers: tier 1 (manual versus powered mobility devices); tier 2 (motorized scooters versus power wheelchairs); and tier 3 (customized versus standard power wheelchairs). For tier 1, the factor associated with higher odds for receipt of manual wheelchairs versus powered were: cognitive limitations (OR =.03). For tier 2, diagnosis of cardio-vascular and pulmonary conditions were associated with prescription of motorized scooters (OR = 3.9). For tier 3, neurological conditions (OR = 3.1), male gender (OR =.37), institutional living (OR =.23), and lower age (OR =.96) were associated with receipt of customized power wheelchairs. This study objectively describes factors associated with prescription of wheeled mobility for older adults. This information can aid in development of guidelines and improving standards of practice for prescription of wheelchairs for older adults.
KW - older adults
KW - standard of care
KW - wheelchair prescription
KW - wheelchair seating and mobility clinic
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U2 - 10.1080/10400435.2012.659795
DO - 10.1080/10400435.2012.659795
M3 - Review article
C2 - 23033733
AN - SCOPUS:84865202796
SN - 1040-0435
VL - 24
SP - 155
EP - 167
JO - Assistive Technology
JF - Assistive Technology
IS - 3
ER -