OBJECTIVE: To examine the relation between frequency of participation and confidence with using a manual wheelchair among community-living, older wheelchair users, and the moderating effect of sex. DESIGN: Cross-sectional. SETTING: Community. PARTICIPANTS: Participants (N=54) who were community-living manual wheelchair users (65% men), were ≥50 years of age (mean, 59y), used their wheelchair daily, and had ≥6 months experience using a wheelchair. INTERVENTIONS: None. MAIN OUTCOME MEASURES: The 16-item Late Life Disability Instrument and the 65-item Wheelchair Use Confidence Scale measured participation and confidence, respectively. Age, sex, and wheelchair skill measured using the performance-based Wheelchair Skills Test were included as covariates in the multiple regression models. RESULTS: Significant and positive relations exist between participation and (1) confidence (β=.83, P=.002) and (2) interaction term (β=.33, P=.05). The R(2) change associated with confidence was 10% (P=.02), and 6% (P=.05) for the interaction term. Subsequent regression analyses revealed that the magnitude of the relation between higher confidence and greater participation is stronger for men (β=1.05, P=.002) than for women (β=.44, P=.05). CONCLUSIONS: Confidence with using a manual wheelchair is a positive and significant determinant of frequency of participation of older wheelchair users, after controlling for important covariates. Because the relation is moderated by sex, treatments addressing low confidence may lead to increased frequency of participation, especially for wheelchair users who are men.
OBJECTIVE: To examine the relation between frequency of participation and confidence with using a manual wheelchair among community-living, older wheelchair users, and the moderating effect of sex. DESIGN: Cross-sectional. SETTING: Community. PARTICIPANTS: Participants (N=54) who were community-living manual wheelchair users (65% men), were ≥50 years of age (mean, 59y), used their wheelchair daily, and had ≥6 months experience using a wheelchair. INTERVENTIONS: None. MAIN OUTCOME MEASURES: The 16-item Late Life Disability Instrument and the 65-item Wheelchair Use Confidence Scale measured participation and confidence, respectively. Age, sex, and wheelchair skill measured using the performance-based Wheelchair Skills Test were included as covariates in the multiple regression models. RESULTS: Significant and positive relations exist between participation and (1) confidence (β=.83, P=.002) and (2) interaction term (β=.33, P=.05). The R(2) change associated with confidence was 10% (P=.02), and 6% (P=.05) for the interaction term. Subsequent regression analyses revealed that the magnitude of the relation between higher confidence and greater participation is stronger for men (β=1.05, P=.002) than for women (β=.44, P=.05). CONCLUSIONS: Confidence with using a manual wheelchair is a positive and significant determinant of frequency of participation of older wheelchair users, after controlling for important covariates. Because the relation is moderated by sex, treatments addressing low confidence may lead to increased frequency of participation, especially for wheelchair users who are men.
Authors: Alan M Jette; Stephen M Haley; Wendy J Coster; Jill T Kooyoomjian; Suzette Levenson; Tim Heeren; Jacqueline Ashba Journal: J Gerontol A Biol Sci Med Sci Date: 2002-04 Impact factor: 6.053
Authors: Noelle J Lindquist; Patricia E Loudon; Trent F Magis; Jessica E Rispin; R Lee Kirby; Patricia J Manns Journal: Arch Phys Med Rehabil Date: 2010-11 Impact factor: 3.966
Authors: Kathleen A Martin Ginis; Amy E Latimer; Kelly P Arbour-Nicitopoulos; Andrea C Buchholz; Steven R Bray; B Catharine Craven; Keith C Hayes; Audrey L Hicks; Mary Ann McColl; Patrick J Potter; Karen Smith; Dalton L Wolfe Journal: Arch Phys Med Rehabil Date: 2010-05 Impact factor: 3.966
Authors: Olga J E Kilkens; Marcel W M Post; Annet J Dallmeijer; Floris W A van Asbeck; Lucas H V van der Woude Journal: J Rehabil Res Dev Date: 2005 May-Jun
Authors: Krista L Best; William C Miller; Janice J Eng; François Routhier; Charles Goldsmith Journal: Can J Occup Ther Date: 2014-12 Impact factor: 1.614
Authors: Brodie M Sakakibara; William C Miller; Melanie Souza; Viara Nikolova; Krista L Best Journal: Arch Phys Med Rehabil Date: 2013-02-04 Impact factor: 3.966
Authors: W Ben Mortenson; Louise Demers; Paula W Rushton; Claudine Auger; Francois Routhier; William C Miller Journal: Arch Phys Med Rehabil Date: 2015-09-25 Impact factor: 3.966