Experiences of Persons With Disabilities Regarding Home Adaptation and Assistive Products in a Rural Community of Northern Thailand: Qualitative Study

Background: Chiang Mai Province, located in northern Thailand, is a well-known tourist destination. Its rural areas are characterized by mountainous and valley landscapes, where residents primarily engage in agricultural activities and maintain traditional ways of life rooted in Northern Thai culture. However, persons with disabilities in rural areas of Chiang Mai face significant challenges in enhancing their quality of life and well-being. Home adaptations and assistive products are essential for these individuals, as they facilitate daily activities and improve overall living conditions. To address the needs of persons with disabilities in these communities effectively, it is crucial to gather insights and perspectives that reflect their everyday experiences. Objective: This study aimed to explore the experiences of persons with disabilities, focusing on the needs and obstacles they encounter in accessing home adaptation and using assistive products. Methods: A qualitative approach was used for this study. Individual interviews were conducted with 11 persons with disabilities residing in rural communities of the Doilor Subdistrict in Chiang Mai, Thailand. The data were analyzed using thematic analysis. Results: Five themes emerged: (1) financial and personal burdens of home adaptations, (2) living with safety risks in the home environment, (3) the need for assistive products aligned with individual health conditions and contexts, (4) challenges in accessing mobility support and essential services, and (5) emotional impact and sociocultural support. Conclusions: The findings indicate that persons with disabilities in rural northern Thailand encounter multifaceted barriers to enhancing their mobility and adapting to their home environments. More effort is needed to enhance home modification support, integrate assistive products, and provide transportation accessibility that promotes community inclusion for persons with disabilities. This study highlights the influence of organizational priorities on community practice and the need for person-centered practice to ensure that modifications lead to meaningful outcomes valued by persons with disabilities in the future.