Abstract
Objectives
To evaluate the effect of a peer-led wheelchair training program on self-efficacy
of manual wheelchair (MWC) use and to explore influences of the intervention on MWC
skills, life-space mobility, and satisfaction with participation.
Design
Pilot randomized controlled trial.
Setting
Rehabilitation center and community.
Participants
Community-living MWC users (N=28; mean MWC experience, 13y; mean age, 49y; 6 [21%]
women).
Interventions
The experimental group (n=16) received six 1.5-hour sessions of a peer-led self-efficacy–enhanced
wheelchair training program (WheelSee). On the basis of individualized goals, peer
trainers administered WheelSee to pairs of MWC users. The control group (n=12) received
no intervention.
Main Outcome Measures
The primary outcome—wheelchair use self-efficacy—was assessed using the Wheelchair
Use Confidence Scale (WheelCon) version 3.0. Secondary outcomes included wheelchair
skills capacity and performance (Wheelchair Skills Test Questionnaire version 4.1),
life-space mobility (Life Space Assessment), and satisfaction with participation (Wheelchair
Outcome Measure).
Results
Controlling for baseline scores, an analysis of covariance revealed that WheelSee
had a large statistically significant effect on MWC use self-efficacy in community-living
adult MWC users (Cohen d=1.4; P=.002) than in a control group. WheelSee also had a large statistically significant
effect on MWC skills capacity (Cohen d=1.3; P=.003) and performance (Cohen d=1.0; P=.02). There were no statistically significant differences in life-space mobility
or satisfaction with participation scores between the groups.
Conclusions
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
MWC users.
Keywords
List of abbreviations:
CI (confidence interval), MWC (manual wheelchair), WheelCon (Wheelchair Use Confidence Scale), WheelSee (self-efficacy--enhanced wheelchair training program), WhOM (Wheelchair Outcome Measure), WST-Q (Wheelchair Skills Test Questionnaire)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 03, 2015
Footnotes
Supported by British Columbia Rehab Foundation, Vanier Canada Graduate Scholarship, Fonds de recherche du Québec - Santé, and Michael Smith Foundation for Health Research.
Clinical Trial Registration No.: NCT01837888.
Disclosures: none.
Identification
Copyright
© 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
