Influence of Cognitive Functioning on Powered Mobility Device Use: Protocol for a Systematic Review

Alice Pellichero; Lisa K Kenyon; Krista Lynn Best; Éric Sorita; Marie-Eve Lamontagne; Marie Denise Lavoie; François Routhier

doi:10.2196/16534

Influence of Cognitive Functioning on Powered Mobility Device Use: Protocol for a Systematic Review

JMIR Res Protoc. 2020 Mar 25;9(3):e16534. doi: 10.2196/16534.

Authors

Alice Pellichero^{1

2}, Lisa K Kenyon³, Krista Lynn Best^{1

2}, Éric Sorita⁴, Marie-Eve Lamontagne^{1

2}, Marie Denise Lavoie⁵, François Routhier^#^{1

2}

Affiliations

¹ Center for Interdisciplinary Research in Rehabilitation and Social Integration, Québec, QC, Canada.
² Université Laval, Quebec, QC, Canada.
³ The Department of Physical Therapy, Grand Valley State University, Grand Rapids, MI, United States.
⁴ Laboratoire EA 4136, Handicap Activité Cognition Santé, Université de Bordeaux, Bordeaux, France.
⁵ Bibliothèque, Université Laval, Québec, QC, Canada.

^# Contributed equally.

PMID: 32209537
PMCID: PMC7142732
DOI: 10.2196/16534

Abstract

Background: Power mobility devices (PMD) are critical to achieving independent mobility and social participation for many individuals who have trouble walking. Provision of PMDs is complex, with cognitive functioning expressed by clinicians as a major concern. Even if PMD use can be predicted by the level of cognitive functioning, outcome tools used to assess readiness do not consider how cognitive functioning may affect PMD use.

Objective: The specific aims of this review are to identify existing assessments used to assess cognitive functioning and PMD use, classify cognitive functions that are identified within existing assessments related to PMD use, and explore the relationships between cognitive functioning (ie, executive functions and attention) and PMD use.

Methods: A systematic review will be conducted using the electronic databases MEDLINE (Ovid), CINAHL, Embase, PsycINFO (Ovid), and Web of Science based on the concepts of PMD performance and capacity, and cognitive functioning. To be included, studies must have: a sample of PMD users (inclusive of age and diagnoses), an assessment of cognitive functioning, and an assessment of PMD capacity or performance. The International Classification of Functioning, Disability and Health will be used to classify cognitive functions. Study quality will be assessed using the Mixed Methods Appraisal Tool. Qualitative and quantitative studies will be analyzed in a complementary manner depending on their designs; a result-based convergent synthesis design will be applied.

Results: This proposed systematic review protocol has been registered in PROSPERO (CRD42019118957). It was funded by the Quebec Rehabilitation Research Network and approved on February 2019.

Conclusions: Results will inform the development of a PMD driving program that aims to enhance cognition. The results of this study will enhance understanding of the influence of cognitive functioning on PMD use and will support the clinical practice in choosing appropriate evaluative tools.

Trial registration: PROSPERO CRD42019118957; https://www.crd.york.ac.uk/PROSPERO/display_record.php? RecordID=118957.

International registered report identifier (irrid): DERR1-10.2196/16534.

Keywords: clinicians; cognitive functioning; nurses; power mobility devices.

©Alice Pellichero, Lisa K Kenyon, Krista Lynn Best, Éric Sorita, Marie-Eve Lamontagne, Marie Denise Lavoie, François Routhier. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 25.03.2020.