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. Author manuscript; available in PMC: 2024 Aug 1.
Published in final edited form as: Disabil Rehabil Assist Technol. 2021 Aug 26;18(6):974–988. doi: 10.1080/17483107.2021.1963330

Table 3.

(A) Outcome measures used in each article. See 3B for article citations. (B) Outcomes separated by the domains of the ICF framework.

(A)

1 2 3 4 5 6 7 8a 9a 10 11 12b 13b 14c 15 16 17 18 19d 20c 21 22d 23
Behavioural video coding
 Driving mobility X X X X X X X X X
 Visual attention to switch X X X X X
 Switch contacts X
 Stop at target X X
 Reaches X X X
 Facial expressions X X X X X X
 Vocalizations X
 Natural play X X X
 Play/social behaviours X X X X
Standardized assessments
 PEDI X X X X X
 Bayley X
Use tracking
 Activity log X X X X X X X X X
 Electronic tracking X
Interview methods
 Family interview X X X X X X X
 Clinician interview X
 Anecdotal X X
 Photo narration X
Personal factors
 Goal Attainment Scaling X
 Mastery questionnaire X
 Power mobility skills checklist X X
Family factors
 Parental Stress Index X X
 Affordance in the Home Environment for Motor Development (AHEMD) X
(B)

Article Body structure and function Activity Participation Environmental and personal factors
1. Zazula & Foulds (1983) None Child was able to fully control MROC None None
2. Chiulli et al. (1988) Improved symmetry of trunk alignment and upright postural stance None None None
3. Deitz et al. (2002) None Increased movement for both children Mixed results for contact behaviours with peers and adults No substantial changes in affect
4. Huang et al. (2014) Visual attention to switch decreased Increased upright head and trunk position, and more head and arm movements Learned to independently press the activation switch Learned to stop independently at a target Improvement in functional mobility (PEDI) Increased reaching during MROC play but not natural play Increased physical and social interaction with family Improvement in functional social skills (PEDI) Demonstrated new play behaviours Dad started playing ball with child - family noted that these were some of the first father-son play sessions Increased positive facial expressions for MROC and natural play High enjoyment Family’s understanding of child’s abilities increased Vocalized more during intervention to express positive emotions
5. Logan et al. (2014) Visual attention to switch increased from baseline to intervention, then declined during follow-up Learned to independently press the activation switch Little reaching during MROC sessions Decreased reaching during natural play over the course of the intervention.
Improvement in functional and caregiver assisted mobility (PEDI)
Improved functional and caregiver assisted self-care and social skills (PEDI) Increased socialisation with sister Positive facial expressions increased. High variability with negative facial expressions High enjoyment Changed parents’ perception of powered mobility device use
Family noticed frustration during follow-up period due to lack of MROC
6. Logan et al. (2016) None All children learned to independently press the activation switch Two of three children used the MROC for open exploration of the environment Child C used MROC to play hide-and-seek and interact with peers Two of the three children displayed a majority of positive facial expressions One child displayed a majority of negative facial expressions Changed caregiver’s expectations of child’s abilities
7. Logan et al. (2017) None Child was less fatigued and faster when using a MROC compared to forearm crutches Engaged in less solitary play and more parallel play in the gymnasium while using a MROC compared to forearm crutches Engaged in more peer interaction, including complex social games like tag and role playing, and less teacher interaction on the playground when using a MROC compared to forearm crutches None
8. Huang & Chen (2017)a None Treatment group: Significant improvement in mobility function. 4 of 10 children demonstrated clinically significant gains in mobility function (PEDI).
Control group: No
improvement in mobility function. 2 of 10 children demonstrated clinically significant gains in functional mobility (PEDI).
Treatment group: Significant improvement in social function. 3 of 10 children demonstrated clinically significant gains in social function (PEDI).
Control group: Significant improvement in social function. 1 of 10 children demonstrated clinically significant gains in social function (PEDI).
Treatment group: Significantly decreased scores of parenting stress.
Control group: No changes in parenting stress.
9. Huang et al. (2017)a Visual attention to switch decreased All children learned to independently press the activation switch All children learned to stop independently at target. Few child-initiated social interactions. Social interactions with children from adults increased slightly. Positive facial expressions did not increase during MROC play but did increase during natural play
10. Ross et al. (2018) None None Child B increased direct peer interactions.
Child C decreased solitary play and increased adult interactions.
Child E increased parallel peer play.
More interactions between children with and without disabilities
Friendships established during the inclusive playgroup continued after the study
None
11.. Logan et al. (2018) Two of three children demonstrated a co-occurrence trend between visual attention and switch contacts All children learned to independently press the activation switch Two children demonstrated clinically significant changes in functional and caregiver assisted mobility (PEDI) Child B noticed a cat 20 feet away, pointed to it, and used the MROC to go play with it High enjoyment
12. Huang, Chen, et al. (2018)b None Treatment group: Significant improvement in mobility function. Caregivers reported that children were more active and mobile outside of the ROC than before the intervention.
Control group: Significant improvement in mobility function
Treatment group: Significant improvement in social function. Significant improvement in goal achievement at posttest compared to the control group Treatment group: Significantly decreased parental stress Control group: No changes in parenting stress
13. Huang, Huang, et al. (2018)b None None Treatment group: Significantly greater improvements of object persistence compared to control group Treatment and control groups: Significant improvements in mastery pleasure and home affordances scores
14. Feldner et al. (2019)c None MROC and powered mobility device facilitated mobility Mom and child both
independently identified an increase in participation Played tag and chase
Mom still did not want a powered wheelchair following end of study but was very supportive of MROC use
Mom reported she would not have pursued MROC without support of a physical therapist
15. Logan, Catena et al. (2019) Families reported that the children practiced pulling to stand and supported standing more often in the MROC compared to outside of the MROC Three of four children learned to independently press the activation switch in both seated and standing modes Three of the four children learned to engage in goal directed mobility Children used MROC to openly explore environment Increased sibling play Displayed a majority of positive facial expressions High enjoyment
16. Plummer (2019) None Increased scores on power mobility skills checklist Increased social interaction Increased environmental interaction Increased positive facial expressions and vocalizations
17. Restrepo et al. (2019) None All children learned how to press the activation switch None All parents rated the experience as “extremely fun”
18. Pritchard-Wiart et al. (2019) One family reported increased crawling outside of the MROC after the study began Four of five children were able to be fitted into a MROC Three of four children learned to press the activation switch with low assistance Increased opportunities to play and socialize with siblings and children in the community Greater engagement in activities as a family Primarily used MROC outdoors Parents reported being more open to the idea of other powered mobility options and therapists agreed it encouraged conversation High enjoyment Parents rated children as highly motivated
19. Logan, Hospodar, et al. (2019)d None Greater use of MROCs in the first 45 days compared to the last 45 days Child with the most severe mobility limitations used the MROC the most MROC used in home, outdoors, and community spaces Moderate enjoyment
20. Feldner (2019)c None Able to activate and manoeuvre the MROC Increased participation in the classroom and on the playground Changed parental perceptions regarding child’s ability and disability identity
21. Hospodar et al. (2020) Most motor milestones achieved earlier than expected for DS norms All children learned to independently press the activation switch in both seated and standing modes None None
22. Logan et al. (2020)d None None None Environmental and device barriers were the most frequently reported at pre- and post-intervention
23. Livingstone et al. (2020) None Children able to activate car None Environmental factors were not related to parent device preference.
Children’s ability to use difference devices and parent device preferences were varied depending upon several factors.

Superscript letters denote pairs of articles that used the same sample (e.g., 8a and 9a are different papers published from the same study).