Barriers and facilitators of older adults' usage of mobility devices: a scoping review

Abstract

The study aims to explore the barriers and facilitators related to the use of mobility devices among older adults. A total of 815 studies conducted between 2000-2020 were retrieved from Scopus. Eight primary research studies met the eligibility criteria for the scoping review. Systematic processes of study identification, data extraction, and data synthesis were used. The barriers and facilitators were identified in terms of three aspects: environment, user, and device. The environmental barriers comprised external and internal environmental factors that hinder use, including limited indoor and outdoor accessibility, limited transportation options, and weather. External environmental factors such as curb ramps and amenities for anti-fatigue were identified as the environmental facilitators. The negative perceptions of older adults and related stigma prevented them from using mobility devices, particularly when they considered them a sign of disability and dependence. However, users' adoption of mobility devices was facilitated if the devices were perceived as an aid for balancing and preventing older adults from falling or if recommended by a physician. In addition, the design of the devices influenced the positive or negative acceptance of older adults. The issue of cost was identified as a device-related barrier, and it can be improved with a government support system. In addition, the design and functions of mobility devices need to meet the needs and preferences of older adults while preserving their self-image and dignity.