Article

OBJECTIVES: To determine the efficacy of a web-based transfer training module at
improving transfer technique across 3 groups: web-based training, in-person
training (current standard of practice), and a waitlist control group (WLCG); and
secondarily, to determine subject factors that can be used to predict
improvements in transfer ability after training. DESIGN: Randomized controlled
trials. SETTING: Summer and winter sporting events for disabled veterans.
PARTICIPANTS: A convenience sample (N=71) of manual and power wheelchair users
who could transfer independently. INTERVENTIONS: An individualized, in-person
transfer training session or a web-based transfer training module. The WLCG
received the web training at their follow-up visit. MAIN OUTCOME MEASURE:
Transfer Assessment Instrument (TAI) part 1 score was used to assess transfers at
baseline, skill acquisition immediately posttraining, and skill retention after a
1- to 2-day follow-up period. RESULTS: The in-person and web-based training
groups improved their median (interquartile range) TAI scores from 7.98
(7.18-8.46) to 9.13 (8.57-9.58; P<.01), and from 7.14 (6.15-7.86) to 9.23
(8.46-9.82; P<.01), respectively, compared with the WLCG that had a median score
of 7.69 for both assessments (baseline, 6.15-8.46; follow-up control, 5.83-8.46).
Participants retained improvements at follow-up (P>.05). A lower initial TAI
score was found to be the only significant predictor of a larger percent change
in TAI score after receiving training. CONCLUSIONS: Transfer training can improve
technique with changes retained within a short follow-up window, even among
experienced wheelchair users. Web-based transfer training demonstrated comparable
improvements to in-person training. With almost half of the United States
population consulting online resources before a health care professional,
web-based training may be an effective method to increase knowledge translation.
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