ASSISTIVE DEVICES FACTOR ANALYSIS
The results of the survey's Likert-scaled questions were factor analyzed
to determine whether the questions could be explained by underlying
factors. The factor analysis with one rotation revealed three factors.
The questions that loaded most heavily on the first factor were
those related to the looks, color, and style, thus, the first factor
was labeled "Appearance." The questions related to control, self-sufficiency,
and ease of use compared to everyday use of assistive devices loaded
most heavily on the second factor. Consequently, the second factor
was labeled "Independence." Questions related to the devices' stability
and safety loaded positively on the third factor. The degree to
which users felt self-conscious using the device loaded negatively
on the third factor. As self-consciousness might indicate a level
of psychological safety as opposed to the physical safety indicated
by the other questions, the third factor was labelled "Safety."
Subject responses to Likert-scaled questions were analyzed according to
the three identified factors; appearance, independence, and safety.
As three of the devices; Cobra, Knobby Tires, and Marvel, were only
tested at the Florida site, consequently, the results of those tests
are listed separately in the tables of this report.
Appearance
The means and standard deviations for subjects' scores on the appearance
factor at each site as well as the combined sites are listed in
Table 3. Two of the
three devices tested only at the Indiana site, the Cobra and the
Knobby Tires, were rated highest in appearance. Of the devices tested
at both sites, the Surf Chair was perceived as most attractive when
the scores of the two sites were combined, however, there was a
significant difference between the sites. Subjects at the Florida
site had significantly more favorable perceptions of the Surf Chair's
appearance than those subjects at the Indiana site (t=3.71, p<.05).
There were no significant differences between sites for subjects'
ratings of appearance for any of the other devices.
The Marvel, which was only tested at the Florida site, received a slightly
lower rating on appearance than the Surf Chair, but it rated higher
than the Surf Chair on two of the three questions that made up the
Appearance Factor (Table 6). Subjects reported a slightly greater
preference for the color and style of the Marvel.
Independence
The means and standard deviations for subjects' scores on the Independence
Factor at each site as well as the combined sites are listed in
Table 4.
The Marvel received the most favorable rating for independence,
however, it was formally tested at only one site and with only six
subjects. Interestingly, the Marvel was the only device with a disclaimer
printed on the device to warn users about the dangers in using it
unattended.
Of the other devices, the Sport Wheeler received the highest score for
independence. Its design allowed the passenger to steer the device
as it was being pushed from behind by someone standing. Thus, the
passenger was able to actively participate in moving the device.
Safety
The means and standard deviations for subjects' scores on the Safety
Factor are listed in Table
5. The Marvel once again was rated highest on safety, but it
ws only formally tested at the Florida site with only six subjects.
The Knobby Tires rated next highest, but it was only tested at the
Indiana site with only three subjects. Of the devices tested at
both sites, the ratings on safety were not significantly different
from one another.
A more detailed analysis of each device was completed. Discussion of those
findings are included under the headings of Comfort and Safety,
Independence, Appearance, and Maintenance and Transport.
Fun Wheeler
The Fun Wheeler is a rickshawstyle cart designed for children. It's frame
is constructed of one-inch PVC tubing. It is equipped with a rear-tilt
bar and a cushioned vinyl seat with a short seat back that folds.
The Fun Wheeler uses two Roleez 18-inch balloon wheels, which are
made of an elastic, puncture resistant plastic. The Fun Wheeler
weighs 40 pounds.
Comfort and Safety
Although users generally felt the device was comfortable, especially
the younger users for whom the device was designed, users and their
companions expressed several comfort and safety concerns with the
Fun Wheeler. The most often mentioned concern was the tendency for
the Fun Wheeler to tip forward and backward. In a stationary position
the device would tilt the person forward at a severe angle, making
it very uncomfortable. There was nothing to hold the device in a
level position, unless the companion held it. This was not acceptable
to users or their companions. A majority of the users felt the Fun
Wheeler would tip back too easily, giving the impression they would
fall. The design would actually prevent the device from tilting
too far in the back, but it did not allay the concerns of users.
Several users and companions noted a need for arm rests or side supports
on the Fun Wheeler. The Fun Wheeler sets very close to the ground,
so the real danger to the user is minimal, nevertheless, users'
perceptions of danger is important. Removable arm rests would give
those users the added support while not interfering with transfers.
Companions noted two other safety concerns. The users and their companions
were not instructed on how to use the device nor was information
printed on the device. As the device resembled a rickashaw, several
of the companions pulled the device from within the extended front
pipes of the Fun Wheeler. The width and length of the device made
this very difficult for the companion and uncomfortable for both
the companion and the user.
Companions also reported a potential hazard with the umbrella holder on
the rear of the device. The concern was with a person's bare foot
or leg coming contact with the exposed edge of the holder when the
umbrella is not being used. A cap to cover the holder or rounding
the edge of the holder would eliminate any potential danger.
Independence
The Fun Wheeler was not designed for independent propulsion and
consequently received very low scores for independence. The users
liked being able to easily move across the sand but disliked "being
stuck in one spot when no one was pushing." the emphasis on dependence
was expressed by both users and companions. The fact that companions
were required to hold the device even when sitting still, enhanced
the feelings of dependency.
The Fun Wheeler also sits very close to the ground, which made it difficult
for many of the users to enter and exit the device. Transferring
from wheelchair seats, which were generally higher than the Fun
Wheeler seat, was demanding.
Though the Fun Wheeler could not be used independently, the companions
found it much easier than a wheelchair to move across the sand.
This seemed to be more a factor of the Roleez wheels than the rickshaw
design of the Fun Wheeler.
Appearance
For the most part, users and their companions did react very strongly
to the appearance of the Fun Wheeler. It seemed that the younger
users liked the rickshaw design of the device but their companions
did not. One young girl commented she liked "my dad having to be
the horse," as her dad despairingly commented that it "looked like
a horse and cart."
Several individuals commented on the color of the Fun Wheeler, most expressing
a desire for a brighter color than the beige upholstery on the model
used. Consistent with this, several users and companions expressed
approval for the bright orange Roleez wheels used on the Fun Wheeler.
Two other comments seemed particularly relevant. One youngster commented
that the Fun Wheeler "didn't make me look disabled" and another
stated, "I felt special having the only one on the beach."
Maintenance and Transport
The Fun Wheeler would be relatively easy to maintain. The frame,
constructed of PVC pipe, is resistant to the effects of water, salt,
and sand. The Fun Wheeler has very few moving or metal parts. It
does have a vinyl seat that could crack or split with prolonged
exposure to the sun and water.
Though not collapsible, the Fun Wheeler is easily and quickly disassembled
for transportation by automobile.
Sport Wheeler
The Sport Wheeler is an "all terrain" cart designed for adults. It has
an aluminum frame, cushioned seats, no armrest, and three 18-inch
Roleez balloon wheels made of an elastic, puncture resistant plastic.
It is pushed from behind by an attendant and the steering is controlled
by the user with a large triangular handle in the front of the unit.
It is equipped with wheel locks, a seat belt, and a chest strap.
The Sport Wheeler weights 55 pounds.
Comfort and Safety
Comfort was not one of the strong points of the Sport Wheeler.
Users at both the Indiana and Florida sites mentioned the cramped
leg and foot room of the device. The rigid chair back was also reported
to be uncomfortable.
The Sport Wheeler sits close to the ground, which caused problems when
entering and exiting the device. Transfers were complicated further
by the steering device, which protruded into the seating area.
No safety concerns were noted by users or their companions. The Sport Wheeler
is solidly constructed of metal tubing. Though not reported by any
of the subjects, there is the potential for the metal to become
hot after extended exposure to the sun.
Independence
The Sport Wheeler provides an element of independence not present
with most of the other assistive devices. Though it can only be
propelled by an ambulatory companion, the Sport Wheeler allows
the user to steer. Users and companions at both sites commented
that they enjoyed having the increased involvement of guiding
the device, which could account for the Sport Wheeler's relatively
high mean score on the independence factor (Table
4).
The Roleez Wheels enable the Sport Wheeler to be pushed across the sand
more easily than a standard wheelchair. This was true on both the
coarse sand at the Indiana site and the fine sand at the Florida
site.
Appearance
The Sport Wheeler has a distinctive look that was appreciated by
users and their companions at both sites. The device seems well
named, as its "sporty" look was noted. One user also remarked that
the device "didn't make me look disabled."
Maintenance and Transport
The Sport Wheeler consists of relatively few movable parts, which
would seem to ease the maintenance requirements for the device.
The metal frame may be problematic in beach environments, however,
no difficulties were evident during the time the Sport Wheeler was
tested.
The Sport Wheeler was relatively light and compact enabling easy transport.
Adventure MK2
The Adventure MK2 is marketed as an "all terrain" wheelchair and must be
propelled by a companion from behind the user. It has a welded steel
tubular frame, three pneumatic all terrain tires, and hinged arm
rests. The seat and high back are cushioned with a grey vinyl upholstery.
The Adventure MK2 is equipped with hand breaks operated by the companion.
It is available in both youth and adult sizes.
Comfort and Safety
Many of those who preferred its appearance commented that the Adventure
MK2 "looked comfortable," which was confirmed when they used the
device. They particularly liked the feel of the seat, the arm rests,
and the unique hand grips on the arm rests. Users were also pleased
with the ease with which transfers could be made to and from the
device. This was facilitated by the height of the seat and the movable
arm rest.
According to users, the Adventure MK2 did not handle bumps well. The position
of the foot rest was reported to be uncomfortable and allowed some
users' feet to drag on the front wheel. The vinyl upholstery got
hot with prolonged exposure to the sun, which could be dangerous
for someone with impaired sensation in their lower extremities.
A number of users and companions also expressed concern with the design
of the front wheel, which caused the device to feel unbalanced.
At times, the front wheel didn't turn very well, creating maneuverability
problems.
Independence
The area in which the Adventure MK2 rated most poorly was independence.
Users seemed particularly frustrated with this device. Their comments:
"I'm disabled, but I'm not lazy"; "I want to interact with others,
not have them take care of me;" "people looked at me like I was
a pity case;" and "I felt self-conscious because I couldn't move
unless I was pushed." Many of the users commented on the their displeasure
with being pushed.
A majority of the users and companions found the Adventure MK2 difficult
to push across the sand. This was especially true on soft, wet sand.
Appearance
The Adventure MK2 mean score on the Appearance Factor
(Table 3) was relatively
high in comparison to the other assistive devices. Nevertheless,
the comments reflected sharp differences in opinions regarding the
device. Though some liked the subtle nature of the light grey upholstery,
others thought it was dull and "too bland for the beach." Some thought
the Adventure MK2 looked "sporty" while others thought it looked
like a "farm machine" or an "invalid carrier."
Maintenance and Transport
The metal tubular frame and vinyl upholstery are potential maintenance
problems with the Adventure MK2. The metal tubing is susceptible
to rusting. Even if not used in water, the continued proximity to
moisture increases the potential for rusting. The vinyl upholstery
seems prone to cracking and splitting with prolonged exposure to
sun and water.
The Adventure MK2 is large, heavy (70 lbs.), and bulky. It does not collapse
for easy transporting to and from a beach area by automobile.
Beachmaster
The Beachmaster is advertised as an "aquatic wheelchair". It resembles
a standard wheelchair with especially adapted wheels. The Beachmaster
is crafted of stainless steel with red vinyl upholstery. The two
rear wheels are perfectly flat four-inch wide bands of stainless
steel that are coated with 1/8 inch of plastic polymer. A foot rest
extends from the front of the chair to a large (8 inch) plastic
ball that serves as the front wheel. The Beachmaster has a folding
frame and removable arm rests. It also comes with optional front
pool wheel attachments and front sandshoes. The Beachmaster weighs
54 pounds.
Comfort and Safety
The Beachmaster, with its standard wheelchair style seat, provided
a comfortable sitting position for most users. The arm rests afforded
good side-to-side support but were considered too high. Otherwise,
there were no repeated comments, positive or negative, regarding
the comfort of the Beachmaster.
On safety the Beachmaster had a high mean score relative to other assistive
devices (Table
5). However, the vinyl upholstery and ample metal parts of the
Beachmaster pose potential safety concerns. The vinyl upholstery
doesn't allow moisture from the person's body to evaporate, which
can be both uncomfortable and unsafe. The moisture can be of particular
concern for those prone to skin problems. The metal can become very
hot with extended exposure to the sun.
Independence
Unlike the majority of the assistive devices, the Beachmaster allowed
some users to be more independent. The importance of this independence
was reflected in one user's comment, "I could get into the water
on my own and that was great." Nevertheless, the mean score on the
Safety Factor (Table
4) was low relative to other devices. The Beachmaster was not
as easy to propel across the sand as some devices (Table 6). The wide,
flat wheel was difficult for users to grasp, so many users were
still dependent on others to push. Several users commented that
"push rims" would make the device easier to push independently.
That the Beachmaster gave the appearance of independent function
seemed to frustrate some users more than those devices that obviously
could not be used independently, which was illustrated in several
users' comments of "it was hard to propel, and I wanted to do it
independently."
Appearance
Appearance was the greatest weakness of the Beachmaster. It had
the lowest mean score on the Appearance Factor (Table 3) of all the
assistive devices tested. The Beachmaster used an outdated standard
wheelchair and adapted the wheels. It gave the appearance of a "hospital
chair", as several users referred to it, rather than a sporty, streamlined
device one might expect on a beach. Some users felt self conscious
using the device.
Maintenance and Transport
As with the Adventure MK2, the Beachmaster has potential problems
with its metal frame and vinyl upholstery. The metal tubing is inclined
to rust when exposed to moisture, which is inevitable with beach
chairs. The vinyl upholstery would seem prone to cracking and splitting
with prolonged exposure to sun and water.
Although heavy, the collapsible frame and removable front wheel apparatus
allow the Beachmaster to be transported by automobile.
Surf Chair
The Surf Chair is constructed of white PVC pipe and uses four 18-inch Roleez
balloon wheels made of an elastic, puncture resistant plastic. This
device is equipped with a cushioned seat and back rest covered in
a water resistant material. It also comes with a removable umbrella.
The seat of the Surf Chair tested for this study sat 17 inches above
the ground. As the testing was concluded, a low-profile version
of the Surf Chair has been developed, which sits 15 inches above
the ground.
Comfort and Safety
Comfort was one of the strengths of the Surf Chair. The cushioned
seat and back rest combined with the large Roleez wheels afforded
a very smooth, comfortable ride. Several users also commended
the Surf Chair for its detachable umbrella.
The arm rests and height of the seat diminished the comfort of
the Surf Chair for some users. The arm rests were fixed and therefore
complicated movement to and from the Surf Chair. Movable or removable
arm rests would facilitate transfers. Several users commented
that the height of the seat was 6"-8" too high for a comfortable
transfer.
The Surfchair that was tested had a high profile, a relatively
short wheelbase, and used the cushioned Roleez wheels. As a result
of those factors, it gave the sensation that the device would
easily tip. The Surfchair did become somewhat unstable when operated
in shallow water, but only one user tipped the device over when
it was on the sand, and he was attempting to tip it over and using
it incorrectly.
Independence
Although no user could use the Surf Chair independently, it received
relatively high mean scores on the Independence Factor (Table 4). This appeared to be a result of the
ease with which the Roleez Wheels moved across the sand rather
than its independent function. Users' mean score on the question
of the device's ease of pushing across the sand was relatively
high (Table 6) but
the mean score for control of the chair was very low.
This was consistent with users' frequent comments that the Surf
Chair made them feel "totally dependent" on another person.
Appearance
The Surf Chair received relatively high ratings for its appearance.
However, there was a significant difference (t=3.31, p<.05)
in the mean scores of Indiana and Florida users. The Florida users
rated the Surf Chair much higher on appearance than did Indiana
users (Table 3).
The Florida users raved about the color and brightness of the
chair. Many of the Indiana users and companions berated the Surf
Chair for its bright colors and large PVC tubing, feeling it drew
"a lot of attention" and caused the person to be "self-conscious."
Again, the differences in the two user groups' age and functional
abilities may have contributed to the differences in perceptions.
Maintenance and Transport
The Surf Chair would be very easy to maintain. The frame, made
of PVC pipe, is resistant to water, salt, and sand damage. The
seat and back cushions are made of a water-resistant material
that breathes, preventing the buildup of moisture.
The Surf Chair does not collapse, but it can be disassembled
with moderate effort for transportation by automobile.
Marvel
The Marvel aquatic wheelchair is an amphibious device that can be pushed
across the sand and into the water then paddled like a canoe. It
is designed to provide access across the the beach but also serve
as a safe and efficient boat. The front wheels are six-inch, hollow
plastic balls that can be raised once the device enters the water.
The rear wheels are mountain bike wheels that can be easily removed
and stored on top of the device once it enters the water. The cushioned
seat has an adjustable back. An opening in the front base of the
device is covered by mesh, which provides for convenient storage
of small items. There are cup holders on either side of the seat.
A collapsible kayak paddle is standard equipment.
Comfort and Safety
The Marvel proved to be an relatively comfortable device for those
who used it. None of the six users who tried the Marvel reported
any physical discomfort while using it (Table 6), despite
the fact that the majority felt the product did not fit their bodies.
Also, several users commented that the cushion was too
hard.
Transfers to the Marvel were performed immediately in front of either of
the rear wheels. The wide, flat surface made transfers relatively
easy. Once on the device, users had to pull themselves or be pulled
by someone else into the seat. None of the users reported any problems
in completing transfers.
Of all of the devices, the Marvel received the highest mean score on the
Safety Factor (Table 5).
There were no sharp edges reported and the plastic body did not
seem to overheat with extended exposure to the sun. The lever mechanism
used to raise and lower the front wheels once the device enters
the water did jam several times and pinch a few fingers when it
was tested at the National Center on Accessibility in Indiana. However,
neither problem occurred on the model tested by users in Florida.
Although this study did not test the aquatic abilities of the device, the
Marvel was developed as an amphibious device. It was successfully
used in the Atlantic Ocean by subjects of this study. The Marvel
manufacturer has placed a warning sticker on the device cautioning
users not to use the device when unaccompanied.
Independence
Again, the Marvel received the highest mean score on the Independence
Factor of all the devices (Table 4).
It also scored highest on each of the questions that comprised the
Independence Factor. Users felt they could control the device and
felt more self- sufficient using it, both of which may have been
a function of the Marvel's amphibious design. Most users also perceived
that the device pushed across sand more easily than the chairs they
usually used each day. Some users, however, experienced difficulty
in reaching the wheels, which reduced their ability to push.
Appearance
The Marvel received relatively high mean scores on the Appearance
Factor. It received high scores on its style, color, and looks,
and was not perceived by most users as being "out of place" on a
beach. The Marvel was perceived by users and their companions as
sporty and "cool," a comment of numerous users.
Maintenance and Transport
The frame of the Marvel is a single molded plastic form. The frame
is durable and resistant to water, sand, or sun damage. All of the
metal parts are stainless steel.
The mechanism to raise the front wheels caused some early problems but
this seemed to have been remedied when the device was actually tested
with users. The rear wheels are easily detached and the seat folds
forward for transporting the device.
Cobra
The Cobra is an off-road wheelchair that was originally designed for mountain
trails. It has a rigid metal frame, 24-inch pneumatic mountain bike
tires in the rear and 9-inch pneumatic tires on the front. The cushioned
seat and back rest are covered with a water-resistant material.
A patented double-wide tire is designed to provide greater tire
surface contact with the sand thereby diminishing the tendency to
sink into the sand. It is equipped with hand brakes mounted near
the front wheels. The Cobra weighs 44 pounds.
Comfort and Safety
The Cobra was only available a short time for testing and therefore
was only used by three individuals. Each of the three users were
physically uncomfortable using the Cobra (Table 6). The seat
was too narrow, the seat sat "too low - hindering reach to the top
of the wheels," and the lack of push rims on the wheels caused discomfort
for some users.
Transfers to and from the Cobra were arduous for all but those who could
stand. The placement of the wheels and the frame surrounding the
seat made it difficult for someone in a wheelchair to get his or
her wheelchair close enough to complete a comfortable and safe transfer
to the Cobra.
The Cobra's mean score on the safety items was relatively low (Table 5), yet the
only safety concern expressed by users related to their arms hitting
the top of the wheels when pushing. Examination of the individual
items that comprised the Safety Factor revealed a relatively high
mean score on the individual safety items (Table 6). Another
of the items, stability (Table 6), was relatively low, yet one of
the strengths of the Cobra was the stability created by its long
wheelbase. These inconsistencies appeared to be a result of the
small sample of Cobra users.
More than any of the devices, the Cobra was designed to be used as independently
as possible, yet its mean score on the Independence Factor was modest.
Users found the Cobra easier to use on the beach than the chairs
they typically used but considered its control and self-sufficiency
relatively low. Again, the inconsistencies were probably due to
the small number of users who tested the Cobra.
Users comments indicated that the Cobra maneuvered "uphill on sand fairly
easily." The foot placement on steep inclines interfered with the
"power push." Also, the knobby tire made grasping the wheel difficult
for some.
Appearance
The Cobra had the highest mean score on appearance items among
all of the assistive devices (Table 3), although
that may have been a factor of the small sample for the Cobra and
testing at only one site. Nevertheless, the Cobra was well received
by those who used it. The Cobra has a "rugged' look that appealed
to younger, more independent users.
Maintenance and Transport
The manual disk brakes seem to be vulnerable to the effects of
water and sand. The frame is a rust resistant metal. The seat and
cushion are covered with a material that prevents the build up of
moisture.
The Cobra is not collapsible, although the rear wheels do have a quick
release mechanism. Its length would require it to be transported
by station wagon or van.
View the Surfaces study
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