title: Wheelchair skills training to improve confidence with using a manual wheelchair among older adults: a pilot study.
abstract: OBJECTIVE
  To examine the effects of wheelchair skills training on confidence in older adults who are inexperienced wheelchair users.
  
  
  METHODS
  Parallel group, single-blind randomized controlled trial.
  
  
  METHODS
  Research laboratory in a rehabilitation hospital.
  
  
  METHODS
  Participants (N=20) who were community-living older adults at least 65 years old (mean age, 70y), 50% women, and who had no experience of using a wheelchair were randomly allocated to an intervention (n=10) or control (n=10) group.
  
  
  METHODS
  The intervention group received two 1-hour training sessions that followed the Wheelchair Skills Training Program (WSTP) protocol. The control group received a single socialization contact.
  
  
  METHODS
  The Wheelchair Use Confidence Scale-Manual (WheelCon-M) was used to evaluate confidence with using a manual wheelchair. The WheelCon-M is a self-report questionnaire that comprises 65 items in 6 conceptual areas.
  
  
  RESULTS
  A 1-way between-groups analysis of covariance revealed a significant difference in postintervention WheelCon-M scores between the intervention and control groups (F1,17=10.9, P=.004) after controlling for baseline WheelCon-M scores. A large effect size was also observed (partial η(2)=.39). Secondary analyses revealed that the WSTP had greater effects on confidence in areas related to maneuvering around the physical environment, knowledge and problem solving, advocacy, and managing emotions than in areas related to performing activities and behaving in social situations.
  
  
  CONCLUSIONS
  Two 1-hour WSTP sessions improve confidence with using a manual wheelchair among older adults who are inexperienced wheelchair users.
authors: Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
authors: Brodie M
authors: BM
authors: Sakakibara
authors: William C
authors: WC
authors: Miller
authors: Melanie
authors: M
authors: Souza
authors: Viara
authors: V
authors: Nikolova
authors: Krista L
authors: KL
authors: Best
mesh_terms: D000368:Aged; D000704:Analysis of Variance; D006233:Persons with Disabilities / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D009048:Motor Skills; D010865:Pilot Projects; D016037:Single-Blind Method; D011795:Surveys and Questionnaires; D014910:Wheelchairs
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