Development of a wheelchair maintenance training programme and questionnaire for clinicians and wheelchair users

Development of a wheelchair maintenance training programme and questionnaire for clinicians and wheelchair users
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DOI:
10.1080/17483107.2016.1277792
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发表时间:
2017-01-01
影响因子:
2.2
通讯作者:
Pearlman, Jonathan
Pearlman, Jonathan
中科院分区:
医学4区
文献类型:
--
作者:
Toro, Maria Luisa;Bird, Emily;Pearlman, Jonathan

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国家目的:本研究的目的是制定轮椅维护培训计划(WMTP),作为临床医生在小组环境中教轮椅使用者(如果适用)在美国进行家庭基本维护的工具,并开发轮椅维护培训问卷(WMT-Q),以评估临床医生、手动轮椅用户和电动轮椅用户的轮椅维护知识。方法:通过迭代过程编制WMTP和WMT-Q。结果:临床医生(n=17)、手动轮椅(n=5)、电动轮椅使用者(n=4)和护理者(n=4)就培训方案提供了反馈。来自临床医生(n=38)、手动轮椅(n=25)和电动轮椅使用者(n=30)的方便样本回答了WMT-Q在不同发展阶段的问题。WMT-Q各分值的信度在ICC(3,1)=0.48到ICC(3,1)=0.89之间。使用所开发的材料对15名在美国接受面对面培训的临床医生实施了WMTP和WMT-Q,结果显示,在WMTP之后,除其中一个子分外,所有的WMT-Q子分都有显著的提高(p<0.007)。结论:随着WMTP的进一步实施,WMTP将继续修订。WMT-Q是一种可接受的测量培训前和培训后维护知识的工具。
Purpose of state: The aims of this study were to develop a Wheelchair Maintenance Training Programme (WMTP) as a tool for clinicians to teach wheelchair users (and caregivers when applicable) in a group setting to perform basic maintenance at home in the USA and to develop a Wheelchair Maintenance Training Questionnaire (WMT-Q) to evaluate wheelchair maintenance knowledge in clinicians, manual and power wheelchair users.Methods: The WMTP and WMT-Q were developed through an iterative process.Results: A convenience sample of clinicians (n = 17), manual wheelchair (n infinity 5), power wheelchair users (n = 4) and caregivers (n = 4) provided feedback on the training programme. A convenience sample of clinicians (n = 38), manual wheelchair (n = 25), and power wheelchair users (n = 30) answered the WMT-Q throughout different phases of development. The subscores of the WMT-Q achieved a reliability that ranged between ICC(3,1) = 0.48 to ICC(3,1) = 0.89. The WMTP and WMT-Q were implemented with 15 clinicians who received in-person training in the USA using the materials developed and showed a significant increase in all except one of the WMT-Q subscores after the WMTP (p < 0.007).Conclusion: The WMTP will continue to be revised as it is further implemented. The WMT-Q is an acceptable instrument to measure pre-and post-training maintenance knowledge.