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Hitzig SL, Donaghy S, Wang S, Tay C, Cimino SR, Szkudlarek S, Werle S, Lopez-Pollard W, Linkewich E. The influence of food packaging on independent eating in individuals with hand impairments. Disabil Rehabil 2024; 46:3373-3380. [PMID: 37623427 DOI: 10.1080/09638288.2023.2247982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 08/06/2023] [Accepted: 08/10/2023] [Indexed: 08/26/2023]
Abstract
PURPOSE Hand function plays a major role in the successful performance of activities of daily living (ADLs), such as eating. There is a lack of data exploring how persons with hand impairment manage food packaging and its impact on eating. METHODS A convenience sample of 12 inpatients with hand impairments undergoing rehabilitation participated in a qualitative interview where they were asked questions about their experiences with food packaging and independent eating, and asked to open a set of commonly available hospital food packages, first without any tools/aids, and then with tools/aids if they desired to use them. Audio data were transcribed and cross-referenced with video data. Data were analyzed using codebook thematic analysis. RESULTS An overarching theme of "Messiness" along with four major themes were identified: a) Inaccessibility of food packaging; b) Lack of control; c) Eating avoidance; and d) Preferred packaging and strategies. CONCLUSIONS Inpatients with a hand impairment often experience several challenges with independent eating while in hospital as a result of their difficulties with hard to open food packaging. A greater consideration of universal design principles may be relevant for designers to make packaging more accessible.
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Affiliation(s)
- Sander L Hitzig
- St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
- Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Siobhan Donaghy
- Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
- St. John's Rehab, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - Susan Wang
- Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Candice Tay
- Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Stephanie R Cimino
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | | | - Stuart Werle
- Faculty of Design, OCAD University, Toronto, ON, Canada
| | - Wendy Lopez-Pollard
- St. John's Rehab, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
- Practice-Based Research, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - Elizabeth Linkewich
- Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
- Practice-Based Research, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
- Hurvitz Brain Sciences Program, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
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Quintero C. A review: accessible technology through participatory design. Disabil Rehabil Assist Technol 2020; 17:369-375. [DOI: 10.1080/17483107.2020.1785564] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Christian Quintero
- University of Caldas, Design and Creation Program, Manizales, Colombia
- Militar Nueva Granada University, Multimedia Engineering Program, Bogotá, Colombia
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Lesher DAM, Mulcahey MJ, Hershey P, Stanton DB, Tiedgen AC. Alignment of Outcome Instruments Used in Hand Therapy With the Occupational Therapy Practice Framework: Domain and Process and the International Classification of Functioning, Disability and Health: A Scoping Review. Am J Occup Ther 2016; 71:7101190060p1-7101190060p12. [DOI: 10.5014/ajot.2017.016741] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
OBJECTIVE. We sought to identify outcome instruments used in rehabilitation of the hand and upper extremity; to determine their alignment with the constructs of the International Classification of Functioning, Disability and Health (ICF) and the Occupational Therapy Practice Framework: Domain and Process; and to report gaps in the constructs measured by outcome instruments as a basis for future research.
METHOD. We searched CINAHL, MEDLINE, OTseeker, and the Cochrane Central Register of Controlled Trials using scoping review methodology and evaluated outcome instruments for concordance with the ICF and the Framework.
RESULTS. We identified 18 outcome instruments for analysis. The findings pertain to occupational therapists’ focus on body functions, body structures, client factors, and activities of daily living; a gap in practice patterns in use of instruments; and overestimation of the degree to which instruments used are occupationally based.
CONCLUSION. Occupational therapy practitioners should use outcome instruments that embody conceptual frameworks for classifying function and activity.
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Affiliation(s)
| | - M. J. Mulcahey
- M. J. Mulcahey, PhD, OTR/L, is Professor, Occupational Therapy, Jefferson School of Health Professions, Thomas Jefferson University, Philadelphia, PA
| | - Peter Hershey
- Peter Hershey, OTD, CHT, is Practitioner, Hershey Occupational Therapy and Hand Therapy, Harleysville, PA
| | - Donna Breger Stanton
- Donna Breger Stanton, OTD, OTR/L, is Associate Professor and Academic Fieldwork Coordinator, Samuel Merritt University, Oakland, CA
| | - Andrea C. Tiedgen
- Andrea C. Tiedgen, MOT, OTR/L, is Practitioner, Penn State Health, Hershey, PA
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Yen WT, Sommerich CM, Lavender SA, Flinn SR, Sanders EBN. Evaluation of jar lid design characteristics by older women with hand use limitations. APPLIED ERGONOMICS 2016; 52:177-184. [PMID: 26360209 DOI: 10.1016/j.apergo.2015.07.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2014] [Revised: 06/30/2015] [Accepted: 07/09/2015] [Indexed: 06/05/2023]
Abstract
The study evaluated several lid design characteristics (diameter, height, top shape, side shape, and surface texture) by means of controlled laboratory testing with older women with hand function limitations. A subjective evaluation process was applied to examine main effects and interactions of lid design characteristics on usability, determined by participants' perceptions of effort and discomfort. Results showed that lid height was the most important design characteristic associated with usability. For 42 mm diameter lids, designs perceived as best were ones with taller height, hexagonal top shape, and convex side shape. For 28 mm diameter lids, the best designs were ones with taller height and hexagonal top shape. Additionally, when the smaller lid's side shape was flat, a serrate surface texture provided some advantages, particularly for subjects with more severe hand dysfunction. This information could be used by package designers to improve jar lid usability for a growing sector of consumers.
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Affiliation(s)
- Wei-Ting Yen
- Department of Integrated Systems Engineering, The Ohio State University, Columbus, OH 43210, USA
| | - Carolyn M Sommerich
- Department of Integrated Systems Engineering, The Ohio State University, Columbus, OH 43210, USA; School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH 43210, USA.
| | - Steven A Lavender
- Department of Integrated Systems Engineering, The Ohio State University, Columbus, OH 43210, USA
| | - Sharon R Flinn
- School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH 43210, USA
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