Evidence map›Paper›PMID 29134178›Full record

ArticleAfrican journal of disability2017

Wheelchair services and use outcomes: A cross-sectional survey in Kenya and the Philippines.

Eva S Bazant, Elizabeth J Himelfarb Hurwitz, Brenda N Onguti, Emma K Williams, Jamie H Noon, Cheryl A Xavier, Ferdiliza D S Garcia, Anthony Gichangi, Mohammed Gabbow, Peter Musakhi and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in African journal of disability, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.9field-weighted citation impact, top 6% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Editorial.African journal of disability · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Eva S BazantJhpiego, Baltimore, United States.ORCID 0000-0002-1212-8410
Elizabeth J Himelfarb HurwitzJhpiego, Baltimore, United States.
Brenda N OngutiJhpiego, Nairobi, Kenya.
Emma K WilliamsJhpiego, Baltimore, United States.ORCID 0000-0002-7495-8946
Jamie H NoonNoon Design, Cerrillos, United States.
Cheryl A XavierPrivate Sector, Matale, Sri Lanka.
Ferdiliza D S GarciaCollege of Allied Medical Professions, University of the Philippines, Manila, Philippines.ORCID 0000-0001-8395-0439
Anthony GichangiJhpiego, Nairobi, Kenya.ORCID 0000-0001-9305-5374
Mohammed GabbowNational Council for Persons With Disabilities, Government of Kenya, Kenya.
Peter MusakhiMinistry of East African Community (EAC), Labour and Social Protection, Government of Kenya, Kenya.
R Lee KirbyDivision of Physical Medicine & Rehabilitation, Dalhousie University, Canada.ORCID 0000-0002-0005-1209
Dalhousie University · CAGovernment of KenyaKenya School of Government · KEUniversity of the Philippines Manila · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organisation recommends that services accompany wheelchair distribution. This study examined the relationship of wheelchair service provision in Kenya and the Philippines and wheelchair-use-related outcomes.

methodWe surveyed 852 adult basic manual wheelchair users. Participants who had received services and those who had not were sought in equal numbers from wheelchair-distribution entities. Outcomes assessed were daily wheelchair use, falls, unassisted outdoor use and performance of activities of daily living (ADL). Descriptive, bivariate and multivariable regression model results are presented.

resultsConditions that led to the need for a basic wheelchair were mainly spinal cord injury, polio/post-polio, and congenital conditions. Most Kenyans reported high daily wheelchair use (60%) and ADL performance (80%), while these practices were less frequent in the Philippine sample (42% and 74%, respectively). Having the wheelchair fit assessed while the user propelled the wheelchair was associated with greater odds of high ADL performance in Kenya (odds ratio [OR] 2.8, 95% confidence interval [CI] 1.6, 5.1) and the Philippines (OR 2.8, 95% CI 1.8, 4.5). Wheelchair-related training was associated with high ADL performance in Kenya (OR 3.2, 95% CI 1.3, 8.4). In the Philippines, training was associated with greater odds of high versus no daily wheelchair use but also odds of serious versus no falls (OR 2.5, 95% CI 1.4, 4.5).

conclusionSelect services that were associated with some better wheelchair use outcomes and should be emphasised in service delivery. Service providers should be aware that increased mobility may lead to serious falls.

Identifiers

PMID29134178
PMCPMC5675920
OpenAlexW2765771750

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.