Evidence map›Paper›PMID 25126995›Full record

ArticleDisability and health journal2015

Human factors/usability barriers to home medical devices among individuals with disabling conditions: in-depth interviews with positive airway pressure device users.

Constance H Fung, Uyi Igodan, Cathy Alessi, Jennifer L Martin, Joseph M Dzierzewski, Karen Josephson, B Josea Kramer

Open access · greenAbstract read
In one paragraph

Article in Disability and health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Experiences of noninvasive ventilation in adults with hypercapnic respiratory failure: a review of evidence.European respiratory review : an official journal of the European Respiratory Society · 2016
    Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Constance H FungDavid Geffen School of Medicine at University of California, Los Angeles, 16111 Plummer Street (11E), North Hills, CA 91343, USA; Department of Veterans Affairs (VA) Greater Los Angeles Healthcare System, 16111 Plummer Street (11E), North Hills, CA 91343, USA. Electronic address: Connie.Fung@va.gov.
Uyi IgodanDepartment of Veterans Affairs (VA) Greater Los Angeles Healthcare System, 16111 Plummer Street (11E), North Hills, CA 91343, USA.
Cathy AlessiDavid Geffen School of Medicine at University of California, Los Angeles, 16111 Plummer Street (11E), North Hills, CA 91343, USA; Department of Veterans Affairs (VA) Greater Los Angeles Healthcare System, 16111 Plummer Street (11E), North Hills, CA 91343, USA.
Jennifer L MartinDavid Geffen School of Medicine at University of California, Los Angeles, 16111 Plummer Street (11E), North Hills, CA 91343, USA; Department of Veterans Affairs (VA) Greater Los Angeles Healthcare System, 16111 Plummer Street (11E), North Hills, CA 91343, USA.
Joseph M DzierzewskiDavid Geffen School of Medicine at University of California, Los Angeles, 16111 Plummer Street (11E), North Hills, CA 91343, USA; Department of Veterans Affairs (VA) Greater Los Angeles Healthcare System, 16111 Plummer Street (11E), North Hills, CA 91343, USA.
Karen JosephsonDepartment of Veterans Affairs (VA) Greater Los Angeles Healthcare System, 16111 Plummer Street (11E), North Hills, CA 91343, USA.
B Josea KramerDavid Geffen School of Medicine at University of California, Los Angeles, 16111 Plummer Street (11E), North Hills, CA 91343, USA; Department of Veterans Affairs (VA) Greater Los Angeles Healthcare System, 16111 Plummer Street (11E), North Hills, CA 91343, USA.
VA Greater Los Angeles Healthcare System · USUniversity of California, Los Angeles · US

Funding

UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI REUBEN, DAVID B. · 2006 to 2017
$9.8M
Improving Older Adults' Decision Making For Obstructive Sleep Apnea TreatmentK23AG045937 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FUNG, CONSTANCE · 2013 to 2017
$786k
NIA NIH HHS K23 AG045937NIA NIH HHS K23AG045937NIA NIH HHS P30 AG028748
6 · The paper itself

Abstract

backgroundEvidence suggests that medical equipment often fails to accommodate the needs of individuals with disabling conditions. Few studies have focused on the accessibility of home medical devices such as positive airway pressure (PAP), which is a type of home medical equipment prescribed for long-term therapy.

objectiveThe purpose of this study was to explore in detail the types of difficulties experienced by patients with physical/sensory impairments who use PAP devices, as an initial step in designing a questionnaire to survey users about this topic.

methodsIn this descriptive study, in-depth interviews were conducted with 19 participants (9 patients with physical/sensory impairment and 10 health care providers). Interviews were coded and analyzed for major topics.

resultsParticipants detailed the numerous ways in which current PAP devices fail to meet the needs of individuals with physical/sensory impairments (e.g., tremor, poor depth perception, paresis), by requiring patients to perform manually difficult tasks, such as inserting PAP parts through small apertures, attaching parts using a twisting motion, and lifting arms overhead to apply PAP headgear. These demands contributed to patients' frustration with and reduced usage of the home medical device.

conclusionsOur findings suggest that home medical devices such as PAP may not be currently designed to meet the needs of some users with physical/sensory impairments. Additional studies are needed to measure the prevalence and impact of impairment-related barriers on PAP adherence for this common medical equipment.

Indexed as

Continuous Positive Airway PressurePatient CompliancePersons with DisabilitiesAgedAged, 80 and overFemaleHumansInterviews as TopicMaleMiddle AgedMovementSelf-Help DevicesSurveys and QuestionnairesContinuous positive airway pressureDisabled personsEquipment designSleep apnea syndromes

Identifiers

PMID25126995
PMCPMC4268236
OpenAlexW2010128606

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.