Wheelchair skills training for caregivers of manual wheelchair users: a randomized controlled trial comparing self-study and remote training.

Autor:	Kirby RL; Division of Physical Medicine and Rehabilitation, Department of Medicine, Dalhousie University, Halifax, Canada., Smith C; Department of Occupational Therapy, Nova Scotia Health, Halifax, Canada., Miller MD; Department of Occupational Therapy, Nova Scotia Health, Halifax, Canada., Osmond D; Department of Occupational Therapy, Nova Scotia Health, Halifax, Canada., Sherman MA; Department of Occupational Therapy, Nova Scotia Health, Halifax, Canada., Parker K; Assistive Technology Program, Nova Scotia Health, Halifax, Canada., Koto PS; Research Methods Unit, Nova Scotia Health, Halifax, Canada., Theriault CJ; Research Methods Unit, Nova Scotia Health, Halifax, Canada., Sandila N; Research Methods Unit, Nova Scotia Health, Halifax, Canada.
Jazyk:	angličtina
Zdroj:	Disability and rehabilitation. Assistive technology [Disabil Rehabil Assist Technol] 2024 Nov; Vol. 19 (8), pp. 2896-2903. Date of Electronic Publication: 2024 Feb 29.
DOI:	10.1080/17483107.2024.2321272
Abstrakt:	In this single-blind randomized controlled trial, we tested the hypotheses that, in comparison with control participants receiving only self-study materials (SS group), caregivers of manual wheelchair users who additionally receive remote training (RT group) have greater total Wheelchair Skills Test Questionnaire (WST-Q) performance and confidence scores post-training and at follow-up; and that self-study and remote training each individually lead to such gains. We studied 23 dyads of wheelchair users and their caregivers. Caregivers in the SS group received a handbook and videorecording. Those in the RT group also received up to four real-time ("synchronous") sessions remotely. The WST-Q 5.1 was administered pre-training (T1), post-training (T2), and after a 3-month follow-up (T3). The mean total WST-Q scores of both groups rose slightly at each new assessment. For the T2-T1 and T3-T1 gains, there were no statistically significant differences between the groups for either WST-Q performance or WST-Q confidence. For performance, the T2-T1 gain was statistically significant for the RT group and the T3-T2 gain was statistically significant for the SS group. For both groups, the T3-T1 gains in performance were statistically significant with gains of 12.9% and 18.5% relative to baseline for the SS and RT groups. For confidence, only the T3-T1 gain for the SS group was statistically significant with a gain of 4.5% relative to baseline. Although less than the gains previously reported for in-person training, modest but important gains in total WST-Q performance scores can be achieved by self-study, with or without remote training. Registration Number: NCT03856749.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu