Published Paper Details:

BACKGROUND: Wheelchair is one of the commonest mobility devices for improving functional independence and active participation among persons with mobility limitations. However, there is limited understanding of how a wheelchair affects self-care and health management. The aim of this research is to understand the perspective of manual wheelchair users in completing self-care and health management. METHOD: This study used the Qualitative Research method. In which Focus Group Discussion (FGD) was used. Wheelchair users with manual wheelchairs were selected as participants. A convenient sampling was adopted for the study. A total number of 7 manual wheelchair users were placed in the group. The duration of discussion lasted for 1 hour 30 minutes which included a warmup session, discussion session, and feedback session. The sessions were audio recorded and Recordings were transcribed in the Tamil language and translated into English for study purposes. Data collected during the focus group discussion was analysed using inductive thematic analysis. RESULTS: Three themes- wheelchair product, barriers, and personal factors were found, along with nine subthemes- wheelchair durability, problems in day-to-day activities, suggestions for modification, environmental and non-environmental, environmental adaptation, condition-specific challenges, and economic condition. Offering a comprehensive understanding of the challenges and adaptive strategies of wheelchair users. CONCLUSION: The study concluded the importance of a holistic approach for wheelchair users, highlighting barrier removal, inclusive wheelchair design, and customized interventions. The government, healthcare professionals, and designers can work together to create an environment that supports wheelchair users' independence and improves their quality of life by incorporating user perspectives.