article · Scientific Reports
This study assessed the utilisation of mobility assistive devices (ADs) and associated factors among stroke survivors in public hospitals within Ethiopia's Amhara regional state. A cross-sectional study, conducted from July to August 2024, involved collecting data through structured interviews and chart reviews from systematically sampled participants. Logistic regression analysis identified significant factors. The findings revealed that 53.4% of stroke survivors used ADs for mobility. Factors positively associated with AD utilisation included being male, being unmarried, having higher educational attainment, experiencing prolonged hospitalisation, facing participation restriction, and exhibiting anxiety symptoms. This research provides crucial insights into AD use patterns and their determinants in the Ethiopian context.
This research highlights the current use of mobility assistive devices among stroke survivors in Ethiopia and identifies specific demographic and health-related factors influencing their adoption. Understanding these factors is crucial for developing targeted interventions and support programmes to improve rehabilitation outcomes and independence for stroke patients.
The abstract does not directly indicate an application pathway or commercialisation potential. This research is foundational, providing data on assistive device utilisation and associated factors. The findings could inform public health policy, rehabilitation programme design, and resource allocation for stroke care, potentially influencing the demand for specific assistive technologies in the region.
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stroke is a leading cause of long-term disability, associated with impaired activities of daily living, reduced independence living, poor functional outcomes, and lower quality of life. Although the use of assistive devices (ADs) for post-stroke mobility is essential, evidence from the Ethiopian context is limited. Therefore, this study aims to assess the utilization of ADs for mobility and associated factors among stroke survivors in public hospitals of the Amhara regional state, Ethiopia. An institutional-based cross-sectional study was conducted in tertiary hospitals in the Amhara region from July 01 to August 31 2024. Study participants were selected using a systematic random sampling techniques. Data were collected through a structured interview-administered questionnaire and chart review. Bivariable and multivariable logistic regression analysis were employed to identify factors significantly associated with the utilization of ADs. Variables with a p-value less than 0.05 in the multivariable analysis were considered statistically significant. Out of the total participants, 53.4% utilized ADs for mobility. Factors significantly associated with assistive device (AD) utilization included being male (AOR = 2.13, 95% CI: 1.22, 3.73), being unmarried (AOR = 2.54, 95% CI:1.39, 4.63), higher educational attainment (primary education: AOR = 2.66, 95% CI:1.29, 5.45); secondary education: AOR = 3.02, 95% CI:1.34, 6.78; diploma and above: AOR = 4.29,95% CI:2.01, 9.15), prolonged hospitalization (AOR = 2.97, 95% CI:1.34, 6.70), participation restriction (AOR = 2.58, 95% CI:1.24, 5.32), and anxiety symptoms (AOR = 2.41, 95% CI:1.29, 4.48). More than half of stroke survivors utilized ADs for mobility. Being male, being unmarried, higher educational attainment, prolonged hospitalization, participation restriction, and anxiety symptoms were positively associated with AD utilization.
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DOI: 10.1038/s41598-026-69586-0
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