Driving to Learn in a powered wheelchair: Inter-rater reliability of a tool for assessment of joystick-use

Nilsson, Lisbeth; Eklund, Mona; Nyberg, Per

doi:10.1111/j.1440-1630.2011.00983.x

Cited by 15 publications

(30 citation statements)

References 18 publications

(41 reference statements)

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“…The assessment of actual phase guided facilitators' choice of individually appropriate facilitating strategies. The assessment tool was developed and tested in clinical practice, and a test for interrater reliability resulted in a weighted k of .85 (Nilsson, 2007;Nilsson, Eklund, & Nyberg, 2011).…”

Section: Identification Of Phases In Learning Tool Usementioning

confidence: 99%

Driving to Learn in a Powered Wheelchair: The Process of Learning Joystick Use in People With Profound Cognitive Disabilities

Nilsson

Eklund

Nyberg

et al. 2011

The American Journal of Occupational Therapy

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The Driving to Learn project explored ways to help people with profound cognitive disabilities practice operating a joystick-operated powered wheelchair. The project used a grounded theory approach with constant comparative analysis and was carried out over 12 yr. The participants were 45 children and adults with profound cognitive disabilities. Reference groups included 17 typically developing infants and 64 participants with lesser degrees of cognitive disability. The data sources included video recordings, field notes, open interviews, and a rich mixture of literature. The findings that emerged yielded strategies for facilitating achievements, an 8-phase learning process, an assessment tool, and a grounded theory of deplateauing explaining the properties necessary for participants to exceed expected limitations and plateaus. Eight participants with profound cognitive disabilities reached goal-directed driving or higher. Participants were empowered by attaining increased control over tool use, improving their autonomy and quality of life.Nilsson, L., Eklund, M., Nyberg, P., & Thulesius, H. (2011). Driving to learn in a powered wheelchair: The process of learning joystick use in people with profound cognitive disabilities.

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Section: Identification Of Phases In Learning Tool Usementioning

confidence: 99%

Driving to Learn in a Powered Wheelchair: The Process of Learning Joystick Use in People With Profound Cognitive Disabilities

Nilsson

Eklund

Nyberg

et al. 2011

The American Journal of Occupational Therapy

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“…The ALP tool is an assessment tool that originated from two separate GT studies, both focused on discovering the process of learning powered mobility [1,[11][12][13][14][15][16][17][18]. The ALP tool is grounded in extensive data taken from a number of sources including a wide group of participants over an extensive period of time.…”

Section: Discussionmentioning

confidence: 99%

“…Focus for using the ALP tool is to understand where the learner is in the process and provide appropriate facilitation in addition to recognizing changes and achievements. The interrater reliability study of Nilsson et al's previous eight-phase assessment tool [18] showed a very good weighted kappa value (0.85), and that tool also showed responsiveness to change when it was used to assess the outcome of her 45 powered wheelchair learners with profound cognitive disabilities [1]. A study of the intra-and interrater reliability of the ALP instrument, as well as of its responsiveness to change, would strengthen the scientific evidence of its use in clinical practice.…”

Section: Trustworthiness Of Alp Toolmentioning

confidence: 99%

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Assessment of learning powered mobility use—Applying grounded theory to occupational performance

Nilsson

Durkin²

2014

J Rehabil Res Dev

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Abstract-Collaboration by two grounded theory researchers, who each had developed a learning continuum instrument, led to the emergence of a new tool for assessment of learning powered mobility use. We undertook a rigorous process of comparative reanalysis that included merging, modifying, and expanding our previous research findings. A new instrument together with its facilitating strategies emerged in the course of revisits to our existing rich account of data taken from real environment powered mobility practice over an extensive time period. Instrument descriptors, categories, phases, and stages allow a facilitator to assess actual phase and plot actual occupational performance and provide a learner with the just right challenge through the learning process. Facilitating strategies are described for each of the phases and provide directions for involvement during learner performance. The learning approach is led by a belief system that the intervention is user-led, working in partnership and empowering the learner. The new assessment tool is inclusive of every potential powered mobility user because it focuses on the whole continuum of the learning process of powered mobility use from novice to expert. The new tool was appraised by clinicians and has been used successfully in clinical practice in the United Kingdom and Sweden.

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“…Following Tefft et al, Furumasu et al published the pediatric powered wheelchair skills test, which used a five-point scale to quantify a child's driving ability [47]. In 2011, Nilsson et al reported several strategies that have been applied to teach EPW driving skills for children with cognitive disabilities [48, 49]. These studies have demonstrated the strong association of cognitive, sensory, and motor assessments with better training strategies in children [48].…”

Section: Introductionmentioning

confidence: 99%

A Participatory Approach to Develop the Power Mobility Screening Tool and the Power Mobility Clinical Driving Assessment Tool

Kamaraj

Dicianno

Cooper

2014

BioMed Research International

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The electric powered wheelchair (EPW) is an indispensable assistive device that increases participation among individuals with disabilities. However, due to lack of standardized assessment tools, developing evidence based training protocols for EPW users to improve driving skills has been a challenge. In this study, we adopt the principles of participatory research and employ qualitative methods to develop the Power Mobility Screening Tool (PMST) and Power Mobility Clinical Driving Assessment (PMCDA). Qualitative data from professional experts and expert EPW users who participated in a focus group and a discussion forum were used to establish content validity of the PMCDA and the PMST. These tools collectively could assess a user's current level of bodily function and their current EPW driving capacity. Further multicenter studies are necessary to evaluate the psychometric properties of these tests and develop EPW driving training protocols based on these assessment tools.

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Driving to Learn in a powered wheelchair: Inter-rater reliability of a tool for assessment of joystick-use

Cited by 15 publications

References 18 publications

Driving to Learn in a Powered Wheelchair: The Process of Learning Joystick Use in People With Profound Cognitive Disabilities

Driving to Learn in a Powered Wheelchair: The Process of Learning Joystick Use in People With Profound Cognitive Disabilities

Assessment of learning powered mobility use—Applying grounded theory to occupational performance

A Participatory Approach to Develop the Power Mobility Screening Tool and the Power Mobility Clinical Driving Assessment Tool

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