Original article
Daily Utility and Satisfaction With Rollators Among Persons With Chronic Obstructive Pulmonary Disease

Presented to the European Respiratory Society Annual Scientific Congress, September 2007, Stockholm, Sweden.
https://doi.org/10.1016/j.apmr.2007.11.032Get rights and content

Abstract

Hill K, Goldstein R, Gartner EJ, Brooks D. Daily utility and satisfaction with rollators among persons with chronic obstructive pulmonary disease.

Objective

To characterize the daily utility and satisfaction with rollators in patients with chronic obstructive pulmonary disease (COPD).

Design

Cross-sectional observational study.

Setting

Community.

Participants

COPD patients describing dyspnea during activities of living, who had been provided with a rollator by a health care professional within the preceding 5-year period.

Interventions

Not applicable.

Main Outcome Measures

Three questionnaires were administered in random order. The St. George's Respiratory Questionnaire was used to measure health-related quality of life, version 2.0 of the Quebec User Evaluation of Satisfaction with Assistive Technology was used to assess satisfaction with the rollator, and a structured questionnaire was used to obtain information regarding daily utility of the device and barriers to its use. Demographic data were obtained through patient interview. Anthropometric data, measurements of resting lung function, and 6-minute walk distance were extracted from the medical records.

Results

Twenty-seven (10 men) patients (forced expiratory volume in 1 second, 35.1%±22.3% predicted) completed the study. Sixteen (59%) patients reported daily rollator use. All patients used the rollator to assist with ambulation outdoors, but 16 (59%) patients stated that they did not use the rollator for any activity in their home. Although satisfaction with the rollator was high, women were less satisfied with the weight of the device than men (P=.008). Thirteen (48%) patients reported being embarrassed while using the device.

Conclusions

COPD patients provided with a rollator for use during daily life were most satisfied with its effectiveness and least satisfied with its weight. Daily use was generally high with over half the patients using the rollator on a daily basis. Rollators were more often used outdoors than indoors.

Section snippets

Patients and Study Design

This was a cross-sectional observational study. Inclusion criteria comprised: (1) a medical diagnosis of COPD, (2) reports of dyspnea during activities of living, (3) the provision of a rollator by a health care professional within the preceding 5-year period, (4) currently living in the community, and (5) use of the rollator at least once over the preceding 1-month period. Exclusion criteria comprised: (1) a comorbid condition for which the rollator was prescribed, such as severe arthritis or

Results

Seventy-four patients were mailed a letter of invitation and 18 (24%) contacted the first author and expressed an interest in participating. Of these, 3 did not meet the study criteria, 2 were unable to be contacted to schedule an interview, and 13 completed the study. An additional 4 of these 74 patients agreed to participate following discussion with clinical staff during a scheduled visit to the hospital. Eleven other patients, identified by pulmonary rehabilitation staff were approached, 10

Discussion

This is the first study to address the satisfaction and utility of rollators in patients with COPD. The key findings of this study are: (1) approximately 60% of COPD patients provided with a rollator for use in the community used the device every day, (2) rollators were consistently used to assist with ambulation outdoors with less than half the patients using the rollator in their home, (3) almost half of the patients had been embarrassed by using the rollator, and (4) overall satisfaction

Conclusions

COPD patients with functional disability resulting from dyspnea reported frequent use of their rollator in the community. Use of the rollator to assist with ambulation outdoors exceeded its use indoors. Patients with COPD were highly satisfied with the device, however, women were less satisfied with its weight than men. From a practical standpoint, health care workers need to be aware that many women COPD patients will not be able to lift a rollator in and out of a car, without assistance. The

Acknowledgment

We gratefully acknowledge the contribution of the staff at our hospital to the recruitment patients for this study.

References (19)

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Cited by (0)

Supported by the Ontario Respiratory Care Society (grant no. 481320).

No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

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