Influence of Peer-led Wheelchair Training on Wheelchair Skills and Participation in Older Adults: Clinical Outcomes of a Randomized Controlled Feasibility Trial |
| |
| Authors: | William C. Miller Krista L. Best Janice J. Eng François Routhier |
| |
| Affiliation: | 1. Department of Occupational Sciences and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada;2. Rehabilitation Research Program, Vancouver Coastal Research Institute, GF Strong Rehabilitation Centre, Vancouver, British Columbia, Canada;3. Department of Rehabilitation, Laval University, Quebec City, Quebec, Canada;4. Center for Interdisciplinary Research in Rehabilitation and Social Integration, Integrated Health and Social Services Center of the National-Capital, Institute of Rehabilitation in Physical Disability of Quebec, Quebec City, Quebec, Canada;5. Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada |
| |
| Abstract: | ![]()
ObjectiveTo estimate treatment effect size of a peer-led Wheelchair Self-Efficacy Enhanced for Use (WheelSeeU) program on objective wheelchair skills (primary); and on perceived wheelchair skills capacity and performance, wheelchair use self-efficacy, satisfaction with participation, life-space mobility, and participation frequency (secondary); and to evaluate retention 6 months later (secondary).DesignRandomized controlled trial.SettingRehabilitation centers and communities.ParticipantsCommunity-living older adults (N=40).InterventionWheelSeeU comprised six 90-minute peer-led sessions of customized training (in pairs) according to participants’ goals. A support-trainer provided spotting. The control group comprised six 90-minute professional-led didactic information sessions (in pairs).Main Outcome MeasuresThe Wheelchair Skills Test (WST), Wheelchair Skills Test Questionnaire (WST-Q), Wheelchair Use Confidence Scale for Manual Wheelchair Users-Short Form (WheelCon-M-SF), Wheelchair Outcomes Measure (WhOM), Life-Space Mobility (LSA), and Late Life Function and Disability Index (LLFDI) were collected at baseline (T1), postintervention (T2), and 6 months postintervention (T3).ResultsOf 121 screened, 39 individuals did not meet the inclusion criteria and 41 declined to participate. Forty participants (64.5 years of age; 60% men) were randomized, 38 completed the intervention, and 35 completed T3 assessments. There were no adverse effects. WheelSeeU did not have a statistically significant greater effect on objective WST (primary) or WST-Q capacity, WheelCon, LSA, and LLFDI at T2 compared to the control group. Effect sizes were statistically significant and large for WST-Q performance (Cohen’s d=0.72) and the WhOM (Cohen’s d=0.82) at T2, and effects were retained at T3.ConclusionCompared to an active control group, WheelSeeU did not have a greater effect on wheelchair skills capacity. However, WheelSeeU should not be prematurely dismissed as an approach to potentially improve wheelchair skills performance and satisfaction with participation in meaningful activities. Sex and depression are important when designing interventions for older adults. |
| |
| Keywords: | Corresponding author William C. Miller, PhD, FCAOT, Rehabilitation Research Lab, University of British Columbia, Department of Occupational Science and Occupational Therapy, 4255 Laurel St, Vancouver, BC Canada V5Z 2G9. Peer group Randomized controlled trial Rehabilitation Self efficacy Wheelchairs ICF International Classification of Functioning, Disability, and Health iWheel Resources for Improving Wheelchair Use LLFDI Late Life Function and Disability Index LSA Life-Space Assessment MWC manual wheelchair RCT randomized controlled trial WheelCon-M-SF Wheelchair Use Confidence Scale for Manual Wheelchair Users-Short Form WheelSeeU Wheelchair Self-Efficacy Enhanced for Use WhOM Wheelchair Outcome Measure WST Wheelchair Skills Test version 4.1 WST-Q Wheelchair Skills Test Questionnaire |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
