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Availability and need of home adaptations for personal mobility among individuals with spinal cord injury.


ABSTRACT: To identify the availability and unmet need of home adaptations (HAs) among the Swiss population with spinal cord injury (SCI).Cross-sectional study.Swiss Spinal Cord Injury Community Survey 2012.Individuals aged 16 or older with chronic SCI living in Switzerland.Not applicable.The availability of ten HAs (self-report) was analyzed by sex, age, living situation, indoor mobility, SCI severity, SCI etiology and time since SCI. The unmet need (self-report of not having a HA but needing it) of HAs was analyzed by financial hardship.Among the 482 study participants (mean age 55.2 years, standard deviation 15.0 years, 71.6% males), 85.1% had at least one HA. The most frequent HA was a wheelchair accessible shower (62.7%). Availability of HAs markedly varied with indoor mobility (e.g. 38.4% of participants using a wheelchair had a stair lift compared to 17.4% of those walking) and with SCI severity (e.g. 54.8% of those with complete paraplegia had a wheelchair accessible kitchen worktop compared to 26.0% of those with incomplete paraplegia). Unmet need was highest for adjustable kitchen worktops (78.7% of those with a need) and adjustable kitchen cabinets (75.7%) and lowest for wheelchair accessible showers (9.4%) and grab bars next to the toilet (8.5%). No significant differences in unmet need were found when stratifying for financial hardship.Availability of HAs is dependent on indoor mobility and SCI severity. There is a considerable degree of unmet need for selected HAs, which couldn't be explained by financial hardship.

SUBMITTER: Hertig-Godeschalk A 

PROVIDER: S-EPMC5810812 | biostudies-other | 2018 Jan

REPOSITORIES: biostudies-other

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Availability and need of home adaptations for personal mobility among individuals with spinal cord injury.

Hertig-Godeschalk Anneke A   Gemperli Armin A   Arnet Ursina U   Hinrichs Timo T  

The journal of spinal cord medicine 20170330 1


<h4>Objective</h4>To identify the availability and unmet need of home adaptations (HAs) among the Swiss population with spinal cord injury (SCI).<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>Swiss Spinal Cord Injury Community Survey 2012.<h4>Participants</h4>Individuals aged 16 or older with chronic SCI living in Switzerland.<h4>Interventions</h4>Not applicable.<h4>Outcome measures</h4>The availability of ten HAs (self-report) was analyzed by sex, age, living situation, indoor mobility, S  ...[more]

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