title: Actual use of and satisfaction associated with rollators and "shopping carts" among frail elderly Japanese people using day-service facilities.
abstract: Purpose This study aimed at clarifying the actual use of and satisfaction with rollators and "shopping carts" (wheeled walkers with storage) among frail elderly people, who were certified by a long-term care insurance system as users of facilities that provide day-service nursing care and rehabilitation. Methods We identified 1247 frail elderly people who used day-service facilities, and evaluated their actual use of, and satisfaction with, rollators and shopping carts. Results Forty-four (3.5%) individuals used rollators, and 53 (4.3%) used shopping carts. The shopping cart group contained more individuals who were certified as care level 1 (26.4%), than the rollator group (20.5%), and 52.8% of the shopping cart group was certified as care levels 1-3. The scores for "repairs and services" and "follow-up" from the Quebec User Evaluation of Satisfaction with assistive Technology second version (QUEST 2.0) survey were significantly higher in the rollator group than in the shopping cart group. Conclusions The QUEST 2.0 scores revealed that shopping cart users exhibit insufficient "repairs and services" and "follow-up" scores. As frail elderly people with poor care status accounted for >50% of the shopping cart group, these individuals urgently need walking aids that are tailored to their care status. Implications for Rehabilitation We conclude that walking aid fitting must be tailored to each persons care status, and suggest that a system should be established to allow occupational or physical therapists to provide this fitting Moreover, our analysis of the QUEST2.0 service scores revealed that repairs, services, and follow-up are insufficient to meet the needs of shopping cart users.
authors.affiliation: a Unit of Rehabilitation Sciences , Nagasaki University Graduate School of Biomedical Sciences , Nagasaki , Japan.|b Center for Industry , University and Government Cooperation, Nagasaki University , Nagasaki , Japan.
authors.forename: Eiji
authors.initials: E
authors.lastname: Kitajima
authors.affiliation: a Unit of Rehabilitation Sciences , Nagasaki University Graduate School of Biomedical Sciences , Nagasaki , Japan.|c Medical Corporation , Tojinkai Miharadai Hospital , Nagasaki , Japan.
authors.forename: Takefumi
authors.initials: T
authors.lastname: Moriuchi
authors.affiliation: a Unit of Rehabilitation Sciences , Nagasaki University Graduate School of Biomedical Sciences , Nagasaki , Japan.|c Medical Corporation , Tojinkai Miharadai Hospital , Nagasaki , Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Iso
authors.affiliation: a Unit of Rehabilitation Sciences , Nagasaki University Graduate School of Biomedical Sciences , Nagasaki , Japan.|d Japanese Red Cross Society , Nagasaki Genbaku Hospital , Nagasaki , Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Sagari
authors.affiliation: e Unit of Physical and Occupational Therapy , Nagasaki University Graduate School of Biomedical Sciences , Nagasaki , Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Kikuchi
authors.affiliation: a Unit of Rehabilitation Sciences , Nagasaki University Graduate School of Biomedical Sciences , Nagasaki , Japan.
authors.forename: Toshio
authors.initials: T
authors.lastname: Higashi
mesh_terms: D000203:Activities of Daily Living; D000069537:Adult Day Care Centers; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D016330:Frail Elderly; D006304:Health Status; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D014853:Walkers / Q000706:statistics & numerical data*
keywords: Frail elderly people; QUEST 2.0; rollator; shopping cart