PTQualitativePediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association2020

Perceived Barriers of Modified Ride-On Car Use of Young Children With Disabilities: A Content Analysis.

Samuel W Logan, Heather A Feldner, Kathleen R Bogart and 5 others

PMID 32150029

WHAT IT FOUND

Reported barriers to modified ride-on car use were most frequently device and environmental factors, then caregiver and child factors.

Space, weather, steering, tolerance, and time were among the concerns.

Key findings

01There were 11 studies that met the inclusion criteria and were included for analysis.

02Content analysis identified 43 perceived barriers reported in previous research studies.

03Device (25%) and environmental (19%) perceived barriers were most frequently reported, followed by caregiver-related physical requirements (12%), time (9%), and motivation (9%), and child-related health (12%), tolerance (9%), and abilities (5%).

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The barriers were extracted from studies that did not specifically assess perceived barriers, so the findings may miss how families actually experienced them. The percentages describe how often barrier types were reported in the included studies, not how common the barriers are among families or children. Only 11 studies were included, and the search reviewed the first 100 results of each search, so some relevant reports may have been missed. The analysis did not show how barriers relate to each other or whether they change over time. The suggested strategies are not tested interventions; they come from the authors' discussion of possible ways to address barriers.

Declared interests

The authors declared no conflict of interest. The work was supported by the John C. Erkkila, M.D.

The easy way to misread this

Do not treat these percentages as how often families encounter barriers. They are percentages of barriers extracted from studies that did not directly assess perceived barriers, and they do not show that education or modifications increase car use.

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