Effectiveness of a Wheelchair Skills Training Program for Powered Wheelchair Users: A Randomized Controlled Trial
Effectiveness of a Wheelchair Skills Training Program for Powered Wheelchair Users: A Randomized Controlled Trial
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DOI：
10.1016/j.apmr.2015.07.009
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发表时间：
2015-11-01
影响因子：
4.3
通讯作者：
Sawatzky, Bonita
中科院分区：
文献类型：
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作者：
Kirby, R. Lee;Miller, William C.;Sawatzky, Bonita
目的：为了检验这一假设，即与接受标准护理的对照组相比，接受轮椅技能培训计划（WSTP）的电动轮椅使用者提高了他们的轮椅技能，其次是评估目标实现情况、对培训的满意度、保持力、受伤率、对轮椅使用的信心和参与度。设计：随机对照试验。设置：康复中心和社区。参与者：电动轮椅使用者（N = 116）。干预：5次30分钟的WSTP培训课程。主要结果测量：在基线（t1）、培训后（t2）和培训后3个月（t3）使用轮椅技能测试问卷进行评估（WST-Q版本4.1），目标达成评分（GAS），满意度问卷，受伤率，电动轮椅使用者轮椅使用信心量表（WheelCon）和生命空间评估（LSA）。结果：两组WST-Q能力评分无显著t2 t1差异（P = 0.600），但WST-Q表现评分的差异是显著的（P = 0.016），干预组的中位数评分相对（t2/t1 x 100%）改善了10.8%。培训后干预组的平均GAS +/- SD为92.8%+/-11.4%，对培训的满意度很高。WST-Q增益在t3时未保留。t3时两组的损伤率无显著性差异，WheelCon或LSA评分无显著性差异。结论：接受正式轮椅技能训练的电动轮椅使用者在训练后WST-Q表现评分有适度、短暂的改善，在个性化目标上有实质性改善，对训练持积极态度。(C)2015年美国康复医学大会
Objectives: To test the hypothesis that powered wheelchair users who receive the Wheelchair Skills Training Program (WSTP) improve their wheelchair skills in comparison with a control group that receives standard care, and secondarily to assess goal achievement, satisfaction with training, retention, injury rate, confidence with wheelchair use, and participation.Design: Randomized controlled trial.Setting: Rehabilitation centers and communities.Participants: Powered wheelchair users (N = 116).Intervention: Five 30-minute WSTP training sessions.Main Outcome Measures: Assessments were done at baseline (t1), posttraining (t2), and 3 months posttraining (t3) using the Wheelchair Skills Test Questionnaire (WST-Q version 4.1), Goal Attainment Score (GAS), Satisfaction Questionnaire, injury rate, Wheelchair Use Confidence Scale for Power Wheelchair Users (WheelCon), and Life Space Assessment (LSA).Results: There was no significant t2 t1 difference between the groups for WST-Q capacity scores (P = .600), but the difference for WST-Q performance scores was significant (P = .016) with a relative (t2/t1 x 100%) improvement of the median score for the intervention group of 10.8%. The mean GAS +/- SD for the intervention group after training was 92.8%+/- 11.4%, and satisfaction with training was high. The WST-Q gain was not retained at t3. There was no clinically significant difference between the groups in injury rate and no statistically significant differences in WheelCon or LSA scores at t3.Conclusions: Powered wheelchair users who receive formal wheelchair skills training demonstrate modest, transient posttraining improvements in their WST-Q performance scores, have substantial improvements on individualized goals, and are positive about training. (C) 2015 by the American Congress of Rehabilitation Medicine