دورية أكاديمية
أعرض في EDS

Theories, models and frameworks to understand barriers to the provision of mobility-assistive technologies: a scoping review.

التفاصيل البيبلوغرافية
العنوان: Theories, models and frameworks to understand barriers to the provision of mobility-assistive technologies: a scoping review.
المؤلفون: Aldawood A; School of Medicine and Population Health, The University of Sheffield, Sheffield, UK aaldawood2@Sheffield.ac.uk.; College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia., Hind D; School of Medicine and Population Health, The University of Sheffield, Sheffield, UK., Rushton S; Department of Politics and International Relations, University of Sheffield, Sheffield, UK., Field B; School of Medicine and Population Health, The University of Sheffield, Sheffield, UK.
المصدر: BMJ open [BMJ Open] 2024 May 15; Vol. 14 (5), pp. e080633. Date of Electronic Publication: 2024 May 15.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Disabled Persons*/rehabilitation , Self-Help Devices*, Humans ; Health Services Accessibility ; Models, Theoretical ; Quality of Life ; Mobility Limitation
مستخلص: Objectives: There is strong evidence that mobility-assistive technologies improve occupational performance, social participation, educational and employment access and overall quality of life in people with disabilities. However, people with disabilities still face barriers in accessing mobility products and related services. This review aims to summarise and synthesise: (1) theories, models and frameworks that have been used to understand mobility-assistive technology access, (2) determinants of access and (3) gaps in knowledge.
Design: A scoping review using the five-step framework by Arksey and O'Malley.
Data Sources: We searched the MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature and SCOPUS databases for publications published between 2000 and 2024. We searched for articles published up to 20 March 2024.
Eligibility Criteria: We included English-published literature in peer-reviewed journals that reported (a) barriers to the provision of mobility-assistive technologies, (b) including at least one theory, model or framework and (c) between 2000 and 2024.
Data Extraction and Synthesis: We extracted the study characteristics, theories, models, framework usage, research recommendations, key findings on mobility-assistive technology barriers and theoretical propositions. We conduct a theoretical synthesis guided by Turner's approach.
Results: We included 18 articles that used 8 theories, models and frameworks, synthesised into 9 propositions. The synthesised theory emphasises that mobility is essential for human flourishing, and that certain health conditions may impose restrictions on mobility. This impact can be alleviated by two direct determinants: (1) the provision of suitable services and (2) their comprehensive provision. Policies and costs influence these services indirectly. Environmental and personal factors also affect the use of these services. Ineffectively addressing these determinants can limit access to mobility-assistive technologies and subsequent disabilities.
Conclusion: Our synthetic model describes the logic of providing evidence-based mobility-assistive technologies, and we identify the determinants of access that can act as targets for future work to improve the provision of mobility-assistive technologies.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: disabled persons; health services accessibility; review; self-help devices
تواريخ الأحداث: Date Created: 20240515 Date Completed: 20240515 Latest Revision: 20240524
رمز التحديث: 20240525
مُعرف محوري في PubMed: PMC11097887
DOI: 10.1136/bmjopen-2023-080633
PMID: 38749698
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2023-080633