Satisfaction with wheelchairs and associated factors among older adults with disabilities in Sichuan, China: a...

There is a lack of literature examining the level of satisfaction with assistive devices among older adults with disabilities and the related factors that affect their satisfaction in China. This study aimed to assess satisfaction with wheelchairs and identify associated factors among older adults with disabilities. A cross-sectional survey was conducted in Sichuan Province, China, utilising a facility-based approach to recruit participants from rehabilitation centres and community care facilities. A total of 710 older adults with disabilities who use wheelchairs were surveyed using a baseline data questionnaire designed by the authors. Convenience sampling was employed to recruit participants. The satisfaction level was assessed using the Quebec User Evaluation of Satisfaction with Assistive Technology. K-means clustering categorised satisfaction profiles, and binary logistic regression analysed predictors. Two distinct clusters emerged: a High-Rating group (62.3%, n = 442) and a Low-Rating group (37.7%, n = 268). Formal assistive device education was the strongest predictor of high satisfaction (aOR = 2.44, 95% CI:1.56-3.84, p < 0.001), followed by self-perceived education need (aOR = 1.52, 95% CI:1.02-2.27, p = 0.041). The largest satisfaction gaps were in professional services (Δ = 1.46, Cohen's d = 2.35), follow-up services (Δ = 1.42, d = 2.29), and ease of use (Δ = 1.45, d = 2.39). Cost dissatisfaction was pervasive across groups. Device education and service quality-particularly post-purchase support-are critical drivers of satisfaction. Policy priorities include: 1) mandatory training at device provision points, 2) standardised after-sales service systems, and 3) cost-reduction initiatives.