Brodie M Sakakibara1, William C Miller2. 1. Faculty of Health Sciences, Simon Fraser University, Vancouver, BC, Canada; Rehabilitation Research Program, GF Strong Rehabilitation Center, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada. 2. Rehabilitation Research Program, GF Strong Rehabilitation Center, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada; Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. Electronic address: bill.miller@ubc.ca.
Abstract
OBJECTIVE: To estimate the prevalence of low wheelchair-mobility and self-management self-efficacy and to evaluate the association with wheelchair skills. DESIGN: Cross-sectional. SETTING: Community. PARTICIPANTS: Community-dwelling manual wheelchair users (N=123) who were ≥50 years of age (mean, 59.7±7.5y) and from British Columbia and Quebec, Canada. INTERVENTIONS: None. MAIN OUTCOME MEASURES: The 13-item mobility and 8-item self-management subscales from the Wheelchair Use Confidence Scale-Short Form (standardized scores range, 0-100) measured self-efficacy, and the 32-item Wheelchair Skills Test, Questionnaire Version (scores range, 0-100) measured wheelchair skills. A score of 50 was used to differentiate individuals with high and low self-efficacy, and a score of 72 differentiated between high and low wheelchair skills. RESULTS: The prevalence of low wheelchair-mobility and self-management self-efficacy was 28.5% (95% confidence interval [CI], 20.6-36.4) and 11.4% (95% CI, 5.8-17.0), respectively, and their bivariate association with wheelchair skills was r=.70 and r=.39, respectively. Of the sample, 16% reported conflicting mobility self-efficacy and skill scores; 25% reported low self-efficacy and high skills. Of the participants, 30% reported conflicting scores between self-management self-efficacy and wheelchair skills, with 8.1% reporting lower self-efficacy than skill. CONCLUSIONS: Low self-efficacy was relatively high in this sample as was its discordance with wheelchair skills. Interventions to address low self-efficacy and/or offset the discordant self-efficacy/skill profiles are warranted.
OBJECTIVE: To estimate the prevalence of low wheelchair-mobility and self-management self-efficacy and to evaluate the association with wheelchair skills. DESIGN: Cross-sectional. SETTING: Community. PARTICIPANTS: Community-dwelling manual wheelchair users (N=123) who were ≥50 years of age (mean, 59.7±7.5y) and from British Columbia and Quebec, Canada. INTERVENTIONS: None. MAIN OUTCOME MEASURES: The 13-item mobility and 8-item self-management subscales from the Wheelchair Use Confidence Scale-Short Form (standardized scores range, 0-100) measured self-efficacy, and the 32-item Wheelchair Skills Test, Questionnaire Version (scores range, 0-100) measured wheelchair skills. A score of 50 was used to differentiate individuals with high and low self-efficacy, and a score of 72 differentiated between high and low wheelchair skills. RESULTS: The prevalence of low wheelchair-mobility and self-management self-efficacy was 28.5% (95% confidence interval [CI], 20.6-36.4) and 11.4% (95% CI, 5.8-17.0), respectively, and their bivariate association with wheelchair skills was r=.70 and r=.39, respectively. Of the sample, 16% reported conflicting mobility self-efficacy and skill scores; 25% reported low self-efficacy and high skills. Of the participants, 30% reported conflicting scores between self-management self-efficacy and wheelchair skills, with 8.1% reporting lower self-efficacy than skill. CONCLUSIONS: Low self-efficacy was relatively high in this sample as was its discordance with wheelchair skills. Interventions to address low self-efficacy and/or offset the discordant self-efficacy/skill profiles are warranted.
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