Efficacy and Retention of the French-Canadian Version of the Wheelchair Skills Training Program for Manual Wheelchair Users: A Randomized Controlled Trial (original) (raw)
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Topics in Geriatric Rehabilitation, 2015
To determine the proportion of wheelchair users who receive wheelchair skills training during an inpatient stay at a Canadian rehabilitation center. Methods: Each of 42 wheelchair-using inpatients completed a questionnaire within 72 hours of his or her expected discharge. Results: Twenty-three (54.8%) participants reported having received wheelchair skills training. The median number and duration of training sessions was fi ve 30-minute sessions. None (0%) of the other 19 participants knew of arrangements to receive training after discharge. Conclusion: Only 54.8% of wheelchair-using people nearing discharge from a rehabilitation center reported that they had received wheelchair skills training.
Paripex Indian Journal Of Research, 2018
The study evaluated immediate effects of Wheelchair Skills Training Program in Community Based Manual Wheelchair Skills users with Physical disabilities which had its impact on Quality of Life. 41 Manual Wheelchair users with physical disabilities who had little experience of wheelchair use but did not receive training were included in the study. Subjects were administered for Wheelchair Skills Test Questionnaire (Version 4.3) and WHOQOL-BREF Pre and Post Training. Subjects were trained for basic and intermediate level skills. Basic level training had huge impact on quality of life and wheelchair skills of applicable subjects. On the other hand, intermediate level training helps respective subjects enhance their scores in all the skills, thereby improving quality of life than that of prior to training.
Trials, 2013
Background: Many older adults rely on a manual wheelchair for mobility but typically receive little, if any, training on how to use their wheelchair effectively and independently. Standardized skill training is an effective intervention, but limited access to clinician trainers is a substantive barrier. Enhancing Participation in the Community by Improving Wheelchair Skills (EPIC Wheels) is a 1-month monitored home training program for improving mobility skills in older novice manual wheelchair users, integrating principles from andragogy and social cognitive theory. The purpose of this study is to determine whether feasibility indicators and primary clinical outcome measures of the EPIC Wheels program are sufficiently robust to justify conducting a subsequent multi-site randomized controlled trial. Methods: A 2 × 2 factorial randomized controlled trial at two sites will compare improvement in wheelchair mobility skills between an EPIC Wheels treatment group and a computer-game control group, with additional wheelchair use introduced as a second factor. A total of 40 community-dwelling manual wheelchair users at least 55 years old and living in two Canadian metropolitan cities (n = 20 × 2) will be recruited. Feasibility indicators related to study process, resources, management, and treatment issues will be collected during data collection and at the end of the study period, and evaluated against proposed criteria. Clinical outcome measures will be collected at baseline (pre-randomization) and post-intervention. The primary clinical outcome measure is wheelchair skill capacity, as determined by the Wheelchair Skills Test, version 4.1. Secondary clinical outcome measures include wheelchair skill safety, satisfaction with performance, wheelchair confidence, life-space mobility, divided-attention, and health-related quality of life.
Wheelchair Skills Training: A scoping review
Environment-Behaviour Proceedings Journal, 2021
This study aimed to examine the types of available evidence and knowledge gaps on wheelchair skills training among PWDs in literature. This study employed a scoping review method and was guided by Arksey and O'Malley's using five steps framework. A total of 15 peer-reviewed articles met the inclusion criteria. The results support the effectiveness of wheelchair skills training through personal feedbacks from participants, observation and the use of standardized outcome measures, including self-perceived assessment. This study highlights the importance and benefit of wheelchair skills training to wheelchair users, caregivers and health personnel. Keywords: Keywords: Skill Training; Disability; Wheelchair; Scoping Review eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility...
Canadian journal of occupational therapy. Revue canadienne d'ergothérapie, 2014
Manual wheelchairs (MWCs) can improve mobility and social participation for individuals who experience difficulty walking; however, older adults receive little training for wheelchair use. The Wheelchair Self-Efficacy Enhanced for Use (WheelSeeU) research program provides peer-led training that may positively influence wheelchair use while reducing clinician burden. The purpose of this study is to evaluate the feasibility and clinical outcomes of WheelSeeU. A randomized control trial (RCT) recruits and randomly assigns 40 MWC users (55+ years). Feasibility indicators assessing process, resource, management, and treatment issues are measured, and clinical outcomes (wheelchair skills, safety, confidence, mobility, social participation, quality of life, health utility) are collected at three time points. WheelSeeU provides an innovative approach for teaching wheelchair skills to an aging population that may improve wheelchair use and decrease clinician burden. Since RCTs are expensive ...
Factors Associated with Change in Functional Performance among Wheelchair Users
Factors Associated with Change in Functional Performance among Wheelchair Users, 2019
Objective: The main objective of this study was to explore demographics, wheelchair characteristics, and functional status indicators associated with changes in perceptions and functional performance of wheelchair users. Method: Nineteen wheelchair users were selected for this exploratory study. Utilizing Exhaustive Chi-Squared Automatic Interaction Detector (CHAID) analysis, seven models were generated to examine specific demographics, wheelchair characteristics, and functional status indicators associated with pretest to posttest change scores in perceptions and performance of everyday tasks over time of three target variables. Validation of the models generated by Exhaustive CHAID analyses was conducted through the n-fold cross-validation procedure. The Functioning Everyday with a Wheelchair (FEW), the FEW-Capacity (FEW-C), and the FEW-Performance (FEW-P) were the measures used in this study. Results: The means for the change score were larger for the FEW (1.08 ± 0.59) followed by the FEW-C (0.69 ± 0.63), and then the FEW-P (0.33 ± 0.45). Most of the factors identified in each model were derived from the pretest. Our study explored factors that were significantly associated with change scores of the FEW tools. Independence, number of physical assists, safety, and tasks related to Outdoor Mobility at pretest were the functional status indicators found to be of greatest importance and significantly associated with changes in perceptions and performance of everyday tasks over time in our models. For all analyses, the values of the Risk Estimate for the Risk Statistics and Cross-validation were close with relatively small differences, suggesting strong and reasonable confidence in the validity of the seven models. Conclusion: This study may suggest specific focus areas for assessment and intervention and may highlight the importance of some factors that influence changes in functional performance among clients who have been referred for, and prescribed, a wheeled mobility device.
Wheelchair skills performance between discharge and one year after
Objective: To study possible changes in wheelchair skills in participants with spinal cord injury between discharge and 1 year after rehabilitation, and to determine whether changes in wheelchair skills performance are related to lesion and personal characteristics, self-efficacy, and wheelchair satisfaction. Study design: Prospective cohort study. Setting: Eight rehabilitation centres with spinal cord injury units in the Netherlands. Methods: A total of 111 participants performed the Wheelchair Circuit twice: at discharge (t1) and 1 year after discharge (t2). Personal/lesion characteristics, self-efficacy, and wheelchair satisfaction were measured. Normalized ability score and performance time score were analysed with a linear multilevel regression analysis for possible associations with wheelchair skills. Results: No statistically significant changes were found in the ability and performance time scores of the Wheelchair Circuit over the first year after discharge. Younger persons, those with paraplegia, and those with a better self-efficacy score showed higher ability scores and faster performance time scores on both test occasions. Conclusion: Wheelchair skills performance, measured with the Wheelchair Circuit, did not change during the first year after discharge from inpatient rehabilitation. Wheelchair skills performance was associated with age, lesion level and self-efficacy perceptions.
Journal of …, 2005
This cross-sectional study describes the level of manual wheelchair skill performance and participation of persons with spinal cord injuries (SCIs) 1 year after discharge from inpatient rehabilitation and tests the hypothesis that wheelchair skill performance is positively related to participation. Participants included 81 persons with SCI from eight rehabilitation centers in the Netherlands. The Wheelchair Circuit consists of eight wheelchair skills and results in three test scores: ability, performance time, and physical strain. Participation was assessed with the sum of the subscales Mobility Range and Social Behavior of the 68-Item Sickness Impact Profile (SIP-SOC). SIPSOC was moderately related to the ability score (the Spearman rank correlation [r S ] =-0.49), the performance time score (r S = 0.54), and the physical strain score (r S = 0.38). The regression analyses showed that, after controlling for lesion and personal characteristics, manual wheelchair skill performance is positively related to participation, with the strongest association for the performance time score. In persons with SCI who are manual wheelchair users, wheelchair skill performance is moderately associated to participation. Training of wheelchair skills has to be an important goal of rehabilitation, and persons should be stimulated to maintain their wheelchair skills after discharge from rehabilitation.