Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

Pilot study of a peer-led wheelchair training program to improve self-efficacy using a manual wheelchair: a randomized controlled trial
Best KL, Miller WC, Huston G, Routhier F, Eng JJ
Archives of Physical Medicine and Rehabilitation 2016 Jan;97(1):37-44
clinical trial
8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To evaluate the effect of a peer-led wheelchair training program on self-efficacy for manual wheelchair (MWC) use. Secondary outcomes were to explore influences of the intervention on MWC skills, life-space mobility and satisfaction with participation. DESIGN: Pilot randomized controlled trial. SETTING: Rehabilitation centre and community. PARTICIPANTS: Community-living, MWC users, mean MWC experience 13y, mean age 49y, 21% female. INTERVENTIONS: The experimental group (n = 16) received 6, 1.5 hour sessions of a peer-led self-efficacy enhanced wheelchair training program (WheelSee). Based on individualized goals, peer-trainers administered WheelSee to pairs of MWC users. The control group (n = 12) receive no intervention. MAIN OUTCOME MEASURES: The primary outcome, wheelchair use self-efficacy, was assessed using the Wheelchair Use Confidence Scale (WheelCon3.0). Secondary outcomes included wheelchair skills capacity and performance (Wheelchair Skills Test-Questionnaire (WST-Q 4.1)), life-space mobility (Life-space Assessment (LSA)), and satisfaction with participation (Wheelchair Outcome Measure (WhOM)). RESULTS: Controlling for baseline scores, analysis of co-variance revealed that WheelSee had a large statistically significant effect on MWC use self-efficacy (Cohen's d = 1.4, p = 0.002) compared to a control group. WheelSee also had a large statistically significant effect on MWC skills capacity (Cohen's d = 1.3, p = 0.003) and performance (Cohen's d = 1.0, p = 0.02). There were no statistically significant differences between the groups for life-space mobility or satisfaction with participation. CONCLUSION: A peer-led MWC training program improves wheelchair use self-efficacy in adult MWC users, and had a positive influence on other wheelchair-related outcomes. WheelSee may offer a promising intervention strategy to accommodate the training needs of community-living manual wheelchair users.

Full text (sometimes free) may be available at these link(s):      help