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Goal satisfaction improves with individualized powered wheelchair skills training
Authors:Megan K. MacGillivray  Bonita J. Sawatzky  William C. Miller  Francois Routhier  R. Lee Kirby
Affiliation:1. Rehabilitation Sciences, University of British Columbia, Vancouver, Canada;2. International Collaboration on Repair Discoveries (ICORD), Vancouver, Canada;3. International Collaboration on Repair Discoveries (ICORD), Vancouver, Canada;4. Department of Orthopaedics, University of British Columbia, Vancouver, Canada;5. Department of Occupational Therapy, University of British Columbia, Vancouver, Canada;6. Rehabilitation Research Program, Vancouver Coastal Health Research Institute (VCHRI), Vancouver, Canada;7. Department of Rehabilitation, Université Laval, Quebec City, Canada;8. Center for Interdisciplinary Research In Rehabilitation And Social Integration (CIRRIS), Centre intégré de santé et de services sociaux de la Capitale Nationale, Quebec City, Canada;9. Division of Physical Medicine and Rehabilitation, Dalhousie University, Halifax, Canada
Abstract:Purpose: To determine improvements in goal satisfaction following individualized mobility-related powered wheelchair skills training and whether changes in satisfaction are maintained 3 months post-training.

Materials and methods: Seventeen powered wheelchair users, from two centres, who were randomized to the training intervention from a larger multicentre study, were included in this secondary analysis. The intervention consisted of five 30-min individualized Wheelchair Skills Training Program sessions. Participants rated their current satisfaction with each of their goals from 0 to 10 (10 being the highest) prior to training, immediately after the intervention, and approximately 3 months following the intervention. Themes relating to the participants’ goals were also explored.

Results: Goal satisfaction scores improved statistically (p?r?=?0.387, n?=?17, p?=?.125). The majority of goals set fell into the broader “manoeuvring” category.

Conclusion: Goal satisfaction following the Wheelchair Skills Training Program improved years after initially learning how to operate a powered wheelchair. The five training sessions were effective in improving goal satisfaction. The quantification of goal satisfaction appears to be a sensitive outcome for powered wheelchair users undergoing mobility-related training.
  • Implications for rehabilitation
  • Goal satisfaction improved following the Wheelchair Skills Training Program.

  • Even with years of powered wheelchair experience, the majority of goals set fell into the broader “manoeuvring” category.

  • An individual’s goal satisfaction may not correlate with whether they have attained their goal as determined by a trainer.

Keywords:Goal satisfaction  powered wheelchair  mobility  Wheelchair Skills Training Program
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