Lived Experience of Persons with Disabilities during the Transition from Manual to Power Wheelchair: A Qualitative Study

Abstract

Background: Power wheelchairs are increasingly prescribed to individuals with disabilities to enhance mobility and independence. In Bangladesh, approximately 10% of the population lives with a disability, and an estimated 1.6 million people require wheelchairs, yet access to appropriate assistive technology and accessible environments remains limited. Despite the benefits of power wheelchairs, qualitative evidence in Bangladesh on users’ lived experiences during the transition from manual to power wheelchairs—particularly regarding physical health, participation, and occupational identity—remains scarce. Aim: This study aimed to explore the lived experiences of persons with disabilities during the transition from manual to power wheelchairs, focusing on mobility, physical comfort, participation, psychosocial adjustment, and occupational identity. Methods: A qualitative descriptive design was employed. Semi-structured, in-depth interviews were conducted with individuals with disabilities who had transitioned from manual to power wheelchairs. Data were analyzed using Braun and Clarke’s six-step thematic analysis approach. Trustworthiness was ensured through systematic coding, reflexivity, and peer review. Results: Six overarching themes emerged: (1) reclaiming independence through enhanced mobility, (2) transformation in mobility and occupational performance, (3) physical comfort, health concerns, and body management, (4) environmental and device-related barriers to participation, (5) reconstruction of occupational identity and psychosocial adjustment, and (6) user-led recommendations for sustainable mobility. Participants reported increased independence, reduced physical strain, and improved access to work and community environments. However, concerns related to reduced physical activity, environmental inaccessibility, device limitations, and long-term health were also highlighted. Conclusion: The transition to power wheelchairs enhances independence and participation for individuals with disabilities; however, sustainable mobility depends on individualized prescription, accessible environments, and balanced use. User-centered occupational therapy interventions are essential to support meaningful participation and long-term well being in Bangladesh. Keywords: Power wheelchair; Manual wheelchair; Occupational identity; Mobility; Qualitative study