ArticleThe journal of spinal cord medicine2024
Wheelchair users' satisfaction after provision using the WHO 8-step guidelines: A pilot study.
Article in The journal of spinal cord medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Manual wheelchair training for individuals with chronic and progressive conditions: a critical realist approach to improving practice.BMC health services research · 2025Article
- Prevalence and characteristics of community-dwelling older adults using mobility devices: a cross-national comparison between the United States and China.American journal of epidemiology · 2025Article
- Manual wheelchair training approaches and intended training outcomes for adults who are new to wheelchair use: A scoping review.Australian occupational therapy journal · 2025Article
- Manual wheelchair training programs: a scoping review of educational approaches and intended learning outcomes.BMC medical education · 2025Article
- Incidence and dynamics of mobility device use among community-dwelling older adults in the United States.Journal of elder policy · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
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Abstract
backgroundWheelchairs are vital for the successful rehabilitation and inclusion of people with mobility disabilities; 10% of the population with disabilities needs a wheelchair, but only 15% have access to an adequate one. Not user-configured wheelchairs may lead to postural deformities and pressure ulcers, thus negatively impact user satisfaction, wheelchair skills, and quality of life.
objectiveTo assess the impact of the 8-step "Guidelines on the provision of manual wheelchairs in less-resourced settings" from the World Health Organization (WHO) on user satisfaction, wheelchair skills, and quality of life of Mexican manual wheelchair users.
methods12 wheelchair users with spinal cord injury that received rehabilitation were recruited. Volunteers were provided a wheelchair and cushion following the WHO 8-step guidelines. Assessment of QUEST, WHOQOL-Bref, and WST-Q was performed at the beginning of the study and 12 months later.
resultsSignificant improvement was observed in terms of satisfaction (QUEST; P = 0.009) after receiving the wheelchair and the foam cushion (QUEST; P = 0.004). WHOQol-Bref did not denote significant differences. 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).
conclusionsThe 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. According to the WST-Q, functional capacity and mobility may also be improved by following the 8-step guidelines.
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