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Titre : | Pilot Study of a Peer-Led Wheelchair Training Program to Improve Self-Efficacy Using a Manual Wheelchair: A Randomized Controlled Trial (2016) |
Auteurs : | Krista L. Best ; William C. Miller ; Grant Huston |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/1, 2016) |
Article en page(s) : | pp. 37-44 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation |
Mots-clés: | Peer group ; Groupe de pairs ; Self efficacy ; Auto-efficacité ; Wheelchairs ; Fauteuils roulants |
Résumé : |
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-efficacyenhanced 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 outcomewheelchair use self-efficacywas 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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315011521 |