Article

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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS