Article

This qualitative, multi-site study compared and contrasted the outcomes
of mobility technology (MT) and the factors influencing these outcomes from the
perspective of MT users, caregivers, and professionals involved in MT service
delivery. METHOD: Qualitative focus groups were held in the USA and Canada with
multiple stakeholder groups (consumer: n = 45, caregiver: n = 10, service
provider: n = 10). Data were analyzed thematically. RESULTS: MT outcomes were
conceptualized by participants as a match between expectations for MT and the
actual outcomes experienced. Several factors influenced the match including a) MT
features, b) environmental factors (e.g. built/physical environment, societal
context of acceptance, MT delivery systems/policies), and c) the ability to
self-manage the interaction across person, technology and environment, which
involved constant negotiation and strategizing. Stakeholders identified MT
outcomes that corresponded to ICF levels including body structure and function,
activity, and participation across environments; however, varied on their
importance and influence on MT impact. CONCLUSIONS: The conceptual fit model and
factors related to self-management of MT represent new knowledge and provide a
framework for stakeholder-based evaluation of MT outcomes. Implications for MT
assessment, service delivery, outcomes research, and interventions are discussed.

Langue : ANGLAIS