Measuring wheelchair intervention outcomes: development of the wheelchair outcome measure.
OBJECTIVE
Provision of a wheelchair has immediate intuitive benefits; however, it can be difficult to evaluate which wheelchair and seating components best meet an individual's needs. As well, funding agencies now prefer evidence of outcomes; and therefore measurement upon prescription of a wheelchair or its components is essential to demonstrate the efficacy of intervention. As no existing tool can provide individualized goal-oriented measure of outcome after wheelchair prescription, a research project was undertaken to create the Wheelchair Outcome Measure (WhOM).


METHODS
A mixed methods research design was employed to develop the instrument, which used in-depth interviews of prescribers, individuals who use wheelchairs and their associates, supplemented by additional questions in which participant preferences in key areas of the measure were quantified.


RESULTS
The WhOM is a client-specific wheelchair intervention measurement tool that is based on the World Health Organization's International Classification of Function, Disability, and Health. It identifies desired outcomes at a participation level and also acknowledges concerns about body structure and function.


CONCLUSIONS
The new outcome instrument will allow clients to identify and evaluate the outcomes they wish to achieve with their wheelchairs and seating and provide clinicians a way to quantify outcomes of their interventions in a way that is meaningful to the client and potential funding sources.
Mortenson
William B
WB
Long-Term Care, Vancouver Coastal Health, Canada.
Miller
William C
WC
Miller-Pogar
Jan
J
D004185:Disability Evaluation; D006801:Humans; D051346:Mobility Limitation; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D013637:Tape Recording; D016896:Treatment Outcome; D035502:Trust; D014910:Wheelchairs