title: Experiences of mobility device use over time: A multiple case study among very old Latvian women.
abstract: OBJECTIVE
  To explore the experiences over time of using mobility devices (MDs) among very old women in the context of everyday life in Latvia.
  
  
  METHODS
  This study utilized a multiple case-study design that employed an explanatory mixed-methods approach. A combination of quantitative survey data on home and health and qualitative interview data for each participant were used to create three narratives to describe the experiences of MD use in everyday life over time, followed by a cross-case analysis.
  
  
  RESULTS
  The three cases illustrate that very old women accept and use MDs due to walking difficulties and related needs. Over time, functional decline combined with physical environmental barriers and changes in their social networks limited the supportive role that available MDs could offer these women.
  
  
  CONCLUSIONS
  The findings contribute to the understanding of the complexity of MD use in everyday life among very old women in Latvia and the need for different kinds of MDs. These findings illustrate the importance of considering the interaction between people's everyday life situation and their physical environment for their optimal use of MDs. This is important information for policy-makers who can optimize the services for old people in Latvia and support the need for occupational therapists' professional competence for the planning and development of MD provision.
authors.affiliation: a a Department of Health Sciences, Faculty of Medicine, Lund University , Lund, Sweden ;|b b Department of Rehabilitation, Faculty of Rehabilitation, Rīga Stradiņš University , Riga, Latvia.
authors.forename: Signe
authors.initials: S
authors.lastname: Tomsone
authors.affiliation: a a Department of Health Sciences, Faculty of Medicine, Lund University , Lund, Sweden ;
authors.forename: Maria
authors.initials: M
authors.lastname: Haak
authors.affiliation: a a Department of Health Sciences, Faculty of Medicine, Lund University , Lund, Sweden ;
authors.forename: Charlotte
authors.initials: C
authors.lastname: Löfqvist
mesh_terms: D000203:Activities of Daily Living; D000369:Aged, 80 and over; D002183:Canes; D004777:Environment; D005260:Female; D006801:Humans; D007844:Latvia; D051346:Mobility Limitation; D009788:Occupational Therapy; D036301:Qualitative Research; D012944:Social Support; D011795:Surveys and Questionnaires; D014910:Wheelchairs
keywords: Ageing; assistive technology; everyday life; mixed methods; occupational therapy