Effectiveness of a Web-Based Direct-to-User Transfer Training Program: A Randomized Controlled Trial.
Effectiveness of a Web-Based Direct-to-User Transfer Training Program: A Randomized Controlled Trial.
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DOI：
10.1016/j.apmr.2021.05.007
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发表时间：
2022-04
影响因子：
4.3
通讯作者：
Worobey LA
中科院分区：
文献类型：
--
作者：
Rigot SK;DiGiovine KM;Boninger ML;Hibbs R;Smith I;Worobey LA
确定基于网络的直接面向用户的传输培训计划与对照组相比，在提高传输质量和在培训后一个月内保持改进方面的有效性。随机对照研究，参与者被随机分配到立即干预组 (IIG) 或候补对照组 (WLCG)，这些组在延迟 6 个月后接受培训。无论参与者在哪里访问基于网络的培训，都可能是在家庭环境中。患有脊髓损伤或疾病、能够独立进行侧向移动转移的全职轮椅使用者的便利样本（IIG n = 34，WLCG n = 38，用于组间分析，n = 48，用于组合内分析）。自定进度、基于网络的转学培训模块。基线、基线后 1 个月和 6 个月（仅限 WLCG）、培训后立即和培训后 1 个月的转移评估工具问卷 (TAI-Q) 分数。 TAI-Q 是一项包含 18 项的自我评估，涵盖质量转移的多个方面。训练后 1 个月，IIG 的基线 TAI-Q 评分从 6.91±0.98 显着提高到 7.79±1.12 (p<0.001)。 WLCG 也从基线增加到基线后 1 个月评估（6.52±1.13 至 7.00±1.09，p=0.014），这可能是由于 TAI-Q 自我评估继发的学习效果。从基线到 1 个月，IIG 组和 WLCG 组之间随时间变化的程度没有显着差异 (p=0.169)。然而，在 WLCG 训练后，TAI-Q 分数的显着改善仍然很明显 (p<0.001)。那些训练前 TAI-Q 分数较低且肩部疼痛较多的人最有可能从训练中受益。重复的 TAI-Q 自我评估可能有助于提高传输质量，而基于网络的培训具有附加效果。轮椅使用者可能会从家庭环境中的转移培训和转移质量自我评估中受益。这有可能降低受伤风险，同时避免现场培训的障碍。
To determine the effectiveness of a web-based, direct-to-user transfer training program in improving transfer quality and maintaining improvements for up to one-month post-training as compared to a control group. Randomized control study with participants randomized to an immediate intervention (IIG) or waitlist control group (WLCG) that received the training after a 6-month delay. Wherever the participants accessed the web-based training, likely the home environment. Convenience sample of full-time wheelchair users (IIG n=34, WLCG n=38 for between-group analysis, n=48 for combined within-group analysis) with spinal cord injury or disorder who were able to independently perform a lateral scoot transfer. Self-paced, web-based transfer training module. Transfer Assessment Instrument Questionnaire (TAI-Q) score at baseline, 1- and 6-months post-baseline (WLCG only), immediately post-training, and 1-month post-training. The TAI-Q is an 18-item self-assessment that covers several aspects of a quality transfer. The IIG significantly increased their baseline TAI-Q score from 6.91±0.98 to 7.79±1.12 (p<0.001) by 1-month post-training. The WLCG also increased from baseline to the 1-month post-baseline assessment (6.52±1.13 to 7.00±1.09, p=0.014), potentially from learning effects secondary to self-assessment with the TAI-Q. The extent of change over time did not differ significantly between the IIG and WLCG groups from baseline to 1-month (p=0.169). However, significant improvements in TAI-Q scores were still evident following the training for the WLCG (p<0.001). Those with a lower pre-training TAI-Q score and more shoulder pain were most likely to benefit from the training. Repeated TAI-Q self-assessments likely contributed to improved transfer quality, with web-based training having an additive effect. Wheelchair users are likely to benefit from transfer training and self-assessment of transfer quality in their home environments. This has the potential to decrease injury risk while avoiding barriers to in-person training.
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影响因子：
1.8
作者：
Koontz, Alicia M.;Kankipati, Padmaja;Boninger, Michael L.
通讯作者：
Boninger, Michael L.
在线试验中的方法论挑战。
影响因子：
7.4
作者：
Murray E;Khadjesari Z;White IR;Kalaitzaki E;Godfrey C;McCambridge J;Thompson SG;Wallace P
通讯作者：
Wallace P
DOI：
10.1016/j.apmr.2011.11.017
发表时间：
2012-04-01
影响因子：
4.3
作者：
Fliess-Douer, Osnat;Vanlandewijck, Yves C.;Van der Woude, Lucas H. V.
通讯作者：
Van der Woude, Lucas H. V.
影响因子：
2.1
作者：
Hogaboom, Nathan S.;Diehl, Jessica A.;Boninger, Michael L.
通讯作者：
Boninger, Michael L.
影响因子：
3.5
作者：
Alm, Marie;Saraste, Helena;Norrbrink, Cecilia
通讯作者：
Norrbrink, Cecilia