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Influence of Cognitive Functioning on Powered Mobility Device Use: Protocol for a Systematic Review.

Alice Pellichero1,2, Lisa K Kenyon3, Krista Lynn Best1,2

  • 1Center for Interdisciplinary Research in Rehabilitation and Social Integration, Québec, QC, Canada.

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This systematic review examines how cognitive functioning impacts power mobility device (PMD) use. Findings will guide the development of better PMD training programs and assessment tools for improved clinical practice.

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clinicianscognitive functioningnursespower mobility devices

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Area of Science:

  • Rehabilitation Science
  • Clinical Psychology
  • Human Factors Engineering

Background:

  • Power mobility devices (PMDs) are crucial for independence in individuals with mobility impairments.
  • Cognitive functioning is a significant, yet often overlooked, factor in PMD provision and use.
  • Current assessment tools for PMD readiness do not adequately address cognitive influences.

Purpose of the Study:

  • To identify existing assessments of cognitive functioning and PMD use.
  • To classify cognitive functions relevant to PMD use.
  • To explore the relationship between cognitive functions (executive functions, attention) and PMD use.

Main Methods:

  • Systematic review of literature from multiple electronic databases (MEDLINE, CINAHL, Embase, PsycINFO, Web of Science).
  • Inclusion criteria: PMD users, assessment of cognitive functioning, and assessment of PMD capacity/performance.
  • Classification of cognitive functions using the International Classification of Functioning, Disability and Health (ICF); quality appraisal using Mixed Methods Appraisal Tool; convergent synthesis of qualitative and quantitative data.

Main Results:

  • The protocol for this systematic review is registered with PROSPERO (CRD42019118957).
  • Study funded by the Quebec Rehabilitation Research Network and approved in February 2019.
  • This section will present the synthesized results upon completion of the review.

Conclusions:

  • Results will inform the development of a PMD driving program focused on cognitive enhancement.
  • Enhanced understanding of cognitive influences on PMD use will improve clinical decision-making.
  • Support for clinicians in selecting appropriate evaluative tools for PMD users.