Perspectives of Persons With Disabilities Toward Home Adaptations and Assistive Products in Rural Northern Thailand: Comparative Study
Notice bibliographique
Résumé
Background: Persons with disabilities in rural northern Thailand face significant challenges in accessing appropriate support, particularly in Chiang Mai's rural community, where limited infrastructure and socioeconomic barriers hinder their independence. Home adaptations (HAs) and assistive products (APs) play a crucial role in enhancing the safety and quality of life; however, perspectives on their use remain underexplored. Objective: This study aimed to compare the views of persons with disabilities with and without experience of using HAs and APs, focusing on their perceptions of the environmental conditions, safety, benefits, and barriers. Methods: A comparative cross-sectional survey was conducted among persons with disabilities living in rural communities of the Doilor Subdistrict, Chiang Mai. Data were analyzed using descriptive statistics and the Mann-Whitney U test. Results: In 96 participants, 84 completed the questionnaire (48 without and 36 with experience using HAs and APs). Most individuals without HAs and APs were dissatisfied with their living conditions (36/48, 75%) and felt unsafe at home (33/48, 69%), whereas experienced users reported higher satisfaction (21/36, 58%) and safety confidence (25/36, 69%). While those without HAs and APs believed these adaptations could enhance their engagement at home, 75% (27/36) of experienced users reported that they had improved their participation skills. Significant differences were found between groups in perspectives on home conditions, living environment, and APs (P<.001), confidence in safety (P<.001), and skills for home engagement (P<.03). Both groups recognized the benefits of HAs and APs, with 94% (45/48) and 91% (33/36; without and with experience, respectively) agreeing that they improve daily functioning, and 95% (46/48) and 92% (33/36) acknowledging their role in reducing accident risks. HAs and APs significantly enhanced social participation (P<.04), with 41% (15/36) of experienced users strongly agreeing, compared with 19% (9/48) of those without experience. Financial constraints were the main barrier to HAs and APs adoption for over 90% of both groups. Service access challenges were more common among experienced users (32/36, 89%) than those without experience (36/48, 75%), with no significant differences in difficulties accessing services for home modifications and assistive devices. Conclusions: The study indicates that persons with disabilities face various problems. Both with and without experience of HAs and APs need to enhance their home modification and support to bridge the gaps in accessibility and practical solutions to improve the quality of life for persons with disabilities in rural communities. This study recommends that policymakers should focus on increasing funding, improving service delivery, and enhancing awareness programs to support individuals in need. Future research should explore the long-term impacts of HAs on quality of life and independence.
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Prédiction machine sur la base complète
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Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».