Older Wheelchair Users Recommend Age-Friendly Design Improvements to a Wheelchair Maintenance App: Mixed Methods Development Study

BackgroundWheelchair part failures have doubled over the past decade. Preventative wheelchair maintenance reduces wheelchair failures and prevents user consequences. We are developing a smartphone app called WheelTrak, which alerts users when maintenance is required, to encourage maintenance practices and compliance. ObjectiveThis mixed methods study aimed to develop a wheelchair maintenance app using broad stakeholder advice and investigate older adults’ interaction experience with the app and their perceived barriers to and facilitators of maintenance. MethodsInterviews were conducted with stakeholders, including mobility device users, to generate needs statements and app specifications. The app was designed in 2 stages. Stage 1 involved the development of the app according to the specifications and evaluation of the app interface by lead users. Stage 2 included the revision of the app screens and manual functionality testing. Usability testing and semistructured interviews were conducted with older wheelchair and scooter users. The System Usability Scale was used to measure app usability. ResultsInterviews with power and manual wheelchair users (37/57, 65%), wheelchair service providers (15/57, 26%), manufacturers (2/57, 4%), seating and mobility researchers (1/57, 2%), and insurance plan providers (2/57, 4%) informed the needs and specifications of the app technology. The 2-stage development process delivered a fully functional app that met the design specifications. In total, 12 older adults (mean age 74.2, SD 9.1 years; n=10, 83% women; and n=2, 17% men) participated in the usability testing study. Of the 12 participants, 9 (75%) agreed to use WheelTrak for preventative maintenance. WheelTrak scored an average System Usability Scale score of 60.25 (SD 16). Four overarching themes were identified: WheelTrak app improvements, barriers to maintenance, consequences related to mobility device failure, and smart technology use and acceptance. Older adults preferred the simplicity, readability, personalization, and availability of educational resources in the app. Barriers to maintenance pertained to health issues and lack of maintenance knowledge among older adults. Facilitators of maintenance included notification for maintenance, app connectivity with the service provider, reporting of device failure, and the presence of a caregiver for maintenance. ConclusionsThis study highlighted age-friendly design improvements to the app, making it easy to be used and adopted by older wheelchair users. The WheelTrak app has close to average system usability. Additional usability testing will be conducted following app revision in the future

Assistive Technology Makerspaces Promote Capability of Adults with Intellectual and Developmental Disabilities

Makerspaces can engage people with disabilities in the design and development of assistive technology (AT) that can enhance their capabilities to perform new activities and function. However, the adoption of makerspaces in the environments and institutions serving people with disabilities remains challenging. The authors modeled a makerspace training program, an environmental intervention, based on the capability approach framework. This mixed methods study investigates the feasibility of an 8-week program to train adults (n = 5) with intellectual and developmental disabilities (IDD) and staff members (n = 5) at a community services center. Study outcomes were measured using knowledge tests, surveys, QUEST 2.0 and interviews. Results indicate a significant increase in staff’s knowledge (p = 0.035) and familiarity with program topics (p \u3c 0.05). Participants with IDD were highly satisfied with the ease of use, weight and effectiveness of the AT devices they created. Five themes emerged from the thematic analysis of interviews: (1) inclusive environment, (2) freedom and improved Capability for building technology for self or client, (3) multidisciplinary collaboration, (4) interactive program elements, (5) makerspace challenges. Overall, the makerspace training program is a valuable program that empowers people with disabilities and ensures the realization of their right of autonomy to create their own AT