Discontinuation or abandonment of mobility assistive technology among people with neurological conditions
*Correspondence: Dra. Estíbaliz Jiménez Arberas. Facultad Padre Ossó. c/ Prado Picón, s/n. E-33008 Oviedo.
E-mail: estibaliz@facultadpadreosso.es
Introduction: Among other limitations, people with neurological conditions often experience problems with functional mobility. One of the intervention strategies employed to mitigate or compensate this limitation is the use of mobility assistive technology such as manual and electric wheelchairs, walkers, canes, crutches, etc. Although assistive technology is a commonly used intervention strategy among disabled people, the use of this technology is sometimes discontinued or abandoned due to a failure to meet the user's needs or a lack of training, among other reasons.
Patients and methods: The sample used in this study comprises 80 users of mobility assistive technology, 14 of whom have abandoned or discontinued their use of Assistive Technology. The study variables include the Psychosocial Impact of Assistive Devices Scale for outcome measurement, as well as specific sociodemographic variables relating to the sample and the assistive device used.
Results: Significant values were obtained in the three subscales of the Psychosocial Impact of Assistive Devices Scale. 50% of abandonments of assistive technology occurred among people diagnosed with stroke.
Conclusion: The Psychosocial Impact of Assistive Devices Scale can be a useful tool for assessing potential abandonment or non-use of Assistive Technology. More longitudinal studies are required to avoid this limitation on the use of assistive technology.
Pacientes y métodos La muestra del análisis está formada por 80 usuarios de productos de apoyo para la movilidad, de los cuales 14 abandonaron o interrumpieron el uso del producto de apoyo. Las variables del estudio incluyen la escala Psychosocial Impact of Assistive Devices Scale (PIADS) como medida de resultados, además de variables sociodemográficas específicas de la muestra y del producto de apoyo empleado.
Resultados Se obtienen valores significativos en las tres subescalas de la PIADS. Un 50% de los productos de apoyo abandonados corresponde a personas con diagnóstico de ictus.
Conclusiones La PIADS puede ser una herramienta adecuada para evaluar el posible abandono o la falta de uso de los productos de apoyo. Aunque los productos de apoyo son una correcta estrategia de intervención para mitigar las limitaciones en la movilidad, algunos usuarios abandonan o interrumpen su uso por diferentes factores. Es necesario realizar más estudios longitudinales para evitar esta limitación en el uso de productos de apoyo.