Understanding barriers and facilitators to accessibility in the built and natural environment for people with lower limb loss: A qualitative study.

IF 1.4 4区医学 Q4 ORTHOPEDICS

Prosthetics and Orthotics International Pub Date : 2025-08-01 DOI:10.1097/PXR.0000000000000471

Stephanie R Cimino, Kristin Nugent, Michael W Payne, Ricardo Viana, Sander L Hitzig, Crystal MacKay, Amanda Mayo, Steven Dilkas, William C Miller, Susan W Hunter

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引用次数: 0

Abstract

Objectives: To explore the facilitators and barriers to community accessibility from the perspective of persons with lower limb amputation (LLA).

Methods: A qualitative study using an adapted version of the Photovoice methods described by Wang and Burris was undertaken. Analysis of the interviews and photos was conducted following thematic content analysis.

Results: Seven adults with LLA who were ambulating with a prosthesis at the time of the interview participated in the Photovoice interviews. From the interviews with the participants, 3 main themes were developed: (1) current state of accessibility, (2) impact of community inaccessibility, and (3) hope for the future. Participants described what accessibility currently involved in their community (eg, the positive and negative structures) as well as the impact of inaccessibility on their physical and emotional health. Participants also spoke about what improvements they would like to see in the future regarding community accessibility.

Conclusions: By using the Photovoice methods, participants were able to provide tangible examples of what influences their community accessibility. This study highlights the broad range of changes that could provide accessibility opportunities for individuals with LLA from simple changes (eg, adding handrails to arenas) to more complex changes (eg, improvements in parking lot accessibility).

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了解残疾人在人造环境和自然环境中无障碍的障碍和促进因素：一项定性研究。

目的：从下肢截肢者的角度探讨社区可达性的促进因素和障碍因素。方法：采用Wang和Burris描述的Photovoice方法的改编版本进行定性研究。在专题内容分析之后，对访谈和照片进行分析。结果：7名成人LLA患者在访谈时带着义肢行走，他们参加了Photovoice访谈。通过对参与者的访谈，我们得出了3个主题：(1)无障碍的现状；(2)社区无障碍的影响；(3)对未来的希望。参与者描述了他们的社区目前所涉及的可及性（例如，积极和消极结构）以及不可及性对他们的身心健康的影响。与会者还谈到了他们希望未来在社区无障碍方面看到哪些改进。结论：通过使用Photovoice方法，参与者能够提供影响其社区可访问性的具体例子。这项研究强调了可以为LLA患者提供无障碍机会的广泛变化，从简单的变化（例如，在竞技场增加扶手）到更复杂的变化（例如，改善停车场的可达性）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Prosthetics and Orthotics International 医学-康复医学

CiteScore

2.30

自引率

13.30%

发文量

208

审稿时长

6-12 weeks

期刊介绍： Prosthetics and Orthotics International is an international, multidisciplinary journal for all professionals who have an interest in the medical, clinical, rehabilitation, technical, educational and research aspects of prosthetics, orthotics and rehabilitation engineering, as well as their related topics.