It is essential that the pedestrian environment accommodates all users so they can participate in everything the community has to offer. However, people with disabilities (PWDs) often find it difficult to navigate this environment because of physical and social accessibility factors. While we know a great deal about which factors act as barriers and facilitators to mobility, we do not know enough about how they influence navigation (i.e. planning a route, en route decisions, and route learning) or how they can be improved. A scoping review was conducted to identify these factors, assess their implications, and suggest future directions. In total, 3394 studies were found and screened, 163 full-text articles were reviewed, and 37 articles met the inclusion criteria for the final review. These studies focused on those with visual impairments, navigating crosswalks, and the cognitive elements of navigation. Future research is needed that includes more types of disabilities, considers the navigational process from planning to arrival, and evaluates interventions.
1 January 2014 in ALTER - European Journal of Disability Research / Revue Européenne de Recherche sur le Handicap
Persons with disabilities face challenges which impact on their ability to accomplish daily activities such as moving around, communicating and fulfilling social roles. Social participation assumes individuals with disabilities live within their community and interact with others. Shopping malls are public spaces used by individuals for various reasons. Here, all components of the social and physical environment interact and have an impact on social participation. This exploratory and qualitative study provides a multi-perspective assessment of the usability, as well as of the environmental facilitators and obstacles to social participation in shopping malls. The results also suggest necessary improvements. We interviewed 15 persons with disabilities, 15 rehabilitation professionals and 9 shopkeepers. Participants viewed the mall as a multifunctional place for everyday use, but at times, also as a limiting place. Multiple facilitators and obstacles were identified; the most important were interaction with shopkeepers and the mall’s design for mobility or wayfinding. All participants agreed shopkeeper training and an improved awareness of the needs of persons with disabilities would be beneficial. Multiple stakeholders’ perceptions provide a basis for further investigation about needed changes and their potential for making malls more welcoming and inclusive to all.
About 65 million people use wheelchairs worldwide. Powered wheelchairs offer independent mobility for those who find it difficult to propel a manual wheelchair. Previous studies have described powered wheelchairs as a mixed blessing for the users in terms of usability, accessibility, safety, cost and stigma; however, few studies have explored their impact on mobility and participation over time. Therefore, as part of a larger longitudinal study, we used a combined retrospective and prospective lifecourse perspective to explore the experiences of older adult powered wheelchair users. Based on the interpretive description approach, 19 participants took part in a series of semi-structured interviews over a two-year period about their mobility, social participation and ageing process. The participants were powered wheelchair users, at least 50 years of age, recruited in Vancouver, Montreal and Quebec City (Canada). We identified three themes that highlighted how the powered wheelchair experience was integrated into the life continuum of the users. ‘It's my legs’ emphasised how powered wheelchairs are a form of mobility that not only enables users to take part in activities, but also impacts their identities, past and present. ‘Wheels of change’ explored the dynamic nature of powered wheelchair use and changes related to ageing. ‘Getting around’ illustrated how users’ mobility was affected by the interaction with their physical and social environments. Developing public policies to advance social and environmental changes could help countries to ensure equity of access and social inclusion of those ageing with disabilities.
The neighbourhood built environment influences mobility and participation of persons using mobility assistive technology (MAT). Documentation of environmental barriers/facilitators by MAT users can enable them to vocalize and advocate their needs. This article presents results from a study with 24 MAT users who collected observational and photographic data on neighbourhood environments in three municipalities in Metro Vancouver, British Columbia, Canada using the Stakeholders Walkability/Wheelability Audit in Neighbourhoods (SWAN) tool. The SWAN tool is a checklist enabling participants to assess the walkability/wheelability of their neighbourhood in both an objective and a subjective manner across five domains of functionality, safety, appearance and maintenance, land use and support features, and social aspects. Study findings documenting barriers and facilitators to mobility and participation were later used to engage community stakeholders through community forums. This type of participant-centred approach is a resource for MAT users to become informed and engaged partners in neighbourhood physical planning and decision-making processes.