Views of wheelchair users and caregivers regarding a passive safety monitoring system for electric powered wheelchair operators with cognitive impairment.
William D Kearns, Adam J Becker, John P Condon and 4 others
PMID 31710274WHAT IT FOUND
Wheelchair users and caregivers accepted the concept of a passive wheelchair safety monitor only if it protected independence and privacy, kept cost low, and did not single users out.
They wanted training, insurance coverage, and reliable design.
Key findings
01Thematic analysis of focus groups and written responses identified five major themes: safety, design, communication, legal/ethical issues, and marketing.
02In the post-focus group questionnaire, 8 of 8 caregivers and 5 of 7 wheelchair users said they would recommend the system.
03Caregivers gave an average suggested price of $450 within the $100 to $1000 range, while wheelchair users gave an average suggested price of $185.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study used a convenience sample of 17 participants from a single congregate facility, so the views may be specific to that setting. No mental status exam was used, and users were chosen not to be significantly cognitively impaired, so the people who would be monitored were not asked. Family caregivers were not included. Age, cognitive ability, functional or mobility status, and ethnicity were not controlled or reported in enough detail. The questionnaire was created by the authors and its reliability and validity were not assessed. Some wheelchair users had difficulty understanding the concept, even with a toy model. The authors who ran the focus groups also designed the concept and hold a related patent. Their role and patent may have biased participants or analysis.
Declared interests
Publication types list research support from N.I.H., Extramural. The authors declared that Professors Kearns and Fozard are co-inventors of a US patent described in this research.
The easy way to misread this
Do not read this as evidence that a passive safety monitoring system reduces accidents or improves wheelchair driving. It reports opinions about a concept from 9 wheelchair users and 8 caregivers at a single facility, and the users were chosen not to be significantly cognitively impaired.