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.
Pilot randomized controlled trial.
Rehabilitation center and community.
Community-living MWC users (N=28; mean MWC experience, 13y; mean age, 49y; 6 [21%] women).
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).
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.
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.
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)
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Published online: September 03, 2015
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.
© 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.