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Titre : | Investigating the Efficacy of Web-Based Transfer Training on Independent Wheelchair Transfers Through Randomized Controlled Trials (2018) |
Auteurs : | Lynn A. Worobey ; Stéphanie K. Rigot ; Nathan S. Hogaboom |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 1, 2018) |
Article en page(s) : | p. 9-16 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Education ; Rééducation et réadaptation |
Mots-clés: | Web browser ; Navigateur ; Wheelchairs ; Fauteuils roulants |
Résumé : |
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 (7.188.46) to 9.13 (8.579.58; P<.01 and from to p respectively compared with the wlcg that had a median score of for both assessments follow-up control participants retained improvements at>.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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317304951 |