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  4. Wheelchair users’ satisfaction after provision using the WHO 8-step guidelines: A pilot study

Wheelchair users’ satisfaction after provision using the WHO 8-step guidelines: A pilot study

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2023.2171627 · Published: July 1, 2024

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

Wheelchairs are essential for people with mobility issues, but many lack access to suitable ones, leading to health problems and reduced quality of life. This study looks at how following the World Health Organization's (WHO) 8-step guidelines for providing wheelchairs impacts user satisfaction, skills, and overall well-being for Mexican wheelchair users. The results showed that using these guidelines can significantly improve how satisfied people are with their wheelchairs and cushions, as well as enhance their mobility and abilities.

Study Duration
12 Months
Participants
12 wheelchair users with spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    Significant improvement was observed in terms of satisfaction (QUEST; P = 0.009) after receiving the wheelchair and the foam cushion (QUEST; P = 0.004).
  • 2
    For the dimensions assessed by the WST-Q scores, a significant 10.9% improvement was observed in both, capacity (P = 0.022) and performance (P = 0.009).
  • 3
    Wheelchairs endline mean weight was 15.3 ± 0.86 kg, significantly lower (P = 0.002) than the baseline value of the mean weight that was 19.03 ± 2.92 kg.

Research Summary

This study assessed the impact of the WHO 8-step guidelines on user satisfaction, wheelchair skills, and quality of life of Mexican manual wheelchair users with spinal cord injury. The study found significant improvements in user satisfaction regarding the wheelchair and cushion devices, as well as improvements in functional capacity and mobility, as determined by the QUEST and WST-Q questionnaires, respectively. The application of the WHO 8-step guidelines for wheelchair provision may contribute to increase user satisfaction regarding the wheelchair and cushion devices as well as the prescription process as determined by the QUEST.

Practical Implications

Improved User Satisfaction

Following the WHO 8-step guidelines leads to greater satisfaction with wheelchairs and cushions.

Enhanced Mobility and Functionality

Adhering to the guidelines improves users' functional capacity and mobility skills.

Potential for Secondary Impairment Reduction

Proper wheelchair provision can reduce the risk of developing secondary health problems.

Study Limitations

  • 1
    Limited number of participants due to funding.
  • 2
    Lack of a control group.
  • 3
    The need for a more specific quality of life questionnaire for SCI population.

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