Megan K MacGillivray1,2, Bonita J Sawatzky2,3, William C Miller2,4,5, Francois Routhier6,7, R Lee Kirby8. 1. a Rehabilitation Sciences , University of British Columbia , Vancouver , Canada. 2. b International Collaboration on Repair Discoveries (ICORD) , Vancouver , Canada. 3. c Department of Orthopaedics , University of British Columbia , Vancouver , Canada. 4. d Department of Occupational Therapy , University of British Columbia , Vancouver , Canada. 5. e Rehabilitation Research Program , Vancouver Coastal Health Research Institute (VCHRI) , Vancouver , Canada. 6. f Department of Rehabilitation , Université Laval , Quebec City , Canada. 7. g Center for Interdisciplinary Research In Rehabilitation And Social Integration (CIRRIS), Centre intégré de santé et de services sociaux de la Capitale Nationale , Quebec City , Canada. 8. h Division of Physical Medicine and Rehabilitation , Dalhousie University , Halifax , Canada.
Abstract
PURPOSE: To determine improvements in goal satisfaction following individualized mobility-related powered wheelchair skills training and whether changes in satisfaction are maintained 3 months post-training. MATERIALS AND METHODS:Seventeen powered wheelchair users, from two centres, who were randomized to the training intervention from a larger multicentre study, were included in this secondary analysis. The intervention consisted of five 30-min individualized Wheelchair Skills Training Program sessions. Participants rated their current satisfaction with each of their goals from 0 to 10 (10 being the highest) prior to training, immediately after the intervention, and approximately 3 months following the intervention. Themes relating to the participants' goals were also explored. RESULTS:Goal satisfaction scores improved statistically (p < .001) from baseline (4.7 ± 1.9) to immediately following training (8.0 ± 1.0) and were maintained 3 months (8.3 ± 1.2) following the intervention. Participants' goal satisfaction scores were not significantly correlated with goal attainment scores recorded by the trainer (r = 0.387, n = 17, p = .125). The majority of goals set fell into the broader "manoeuvring" category. CONCLUSION:Goal satisfaction following the Wheelchair Skills Training Program improved years after initially learning how to operate a powered wheelchair. The five training sessions were effective in improving goal satisfaction. The quantification of goal satisfaction appears to be a sensitive outcome for powered wheelchair users undergoing mobility-related training. Implications for rehabilitation Goal satisfaction improved following the Wheelchair Skills Training Program. Even with years of powered wheelchair experience, the majority of goals set fell into the broader "manoeuvring" category. An individual's goal satisfaction may not correlate with whether they have attained their goal as determined by a trainer.
RCT Entities:
PURPOSE: To determine improvements in goal satisfaction following individualized mobility-related powered wheelchair skills training and whether changes in satisfaction are maintained 3 months post-training. MATERIALS AND METHODS: Seventeen powered wheelchair users, from two centres, who were randomized to the training intervention from a larger multicentre study, were included in this secondary analysis. The intervention consisted of five 30-min individualized Wheelchair Skills Training Program sessions. Participants rated their current satisfaction with each of their goals from 0 to 10 (10 being the highest) prior to training, immediately after the intervention, and approximately 3 months following the intervention. Themes relating to the participants' goals were also explored. RESULTS: Goal satisfaction scores improved statistically (p < .001) from baseline (4.7 ± 1.9) to immediately following training (8.0 ± 1.0) and were maintained 3 months (8.3 ± 1.2) following the intervention. Participants' goal satisfaction scores were not significantly correlated with goal attainment scores recorded by the trainer (r = 0.387, n = 17, p = .125). The majority of goals set fell into the broader "manoeuvring" category. CONCLUSION: Goal satisfaction following the Wheelchair Skills Training Program improved years after initially learning how to operate a powered wheelchair. The five training sessions were effective in improving goal satisfaction. The quantification of goal satisfaction appears to be a sensitive outcome for powered wheelchair users undergoing mobility-related training. Implications for rehabilitation Goal satisfaction improved following the Wheelchair Skills Training Program. Even with years of powered wheelchair experience, the majority of goals set fell into the broader "manoeuvring" category. An individual's goal satisfaction may not correlate with whether they have attained their goal as determined by a trainer.
Entities:
Keywords:
Goal satisfaction; Wheelchair Skills Training Program; mobility; powered wheelchair
Authors: William D Kearns; Adam J Becker; John P Condon; Victor Molinari; Ardis Hanson; William Conover; James L Fozard Journal: Assist Technol Date: 2019-11-21