The Effects of In‐Home Rehabilitation on Task Self‐Efficacy in Mobility‐Impaired Adults: A Randomized Clinical Trial

Sanford, Jon A.; Griffiths, Patricia; Richardson, Peg; Hargraves, Katina; Butterfield, Tina; Hoenig, Helen

doi:10.1111/j.1532-5415.2006.00913.x

Cited by 95 publications

(78 citation statements)

References 38 publications

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Section: Discussionmentioning

confidence: 68%

“…This finding is consistent with other rehabilitation research that has similarly demonstrated the effectiveness of confidence-enhancing interventions among various populations. [35][36][37] Our results are unique, however, in that the evidence is specific to confidence with using a wheelchair.Although the results of the primary analysis support the use of the WSTP to improve overall confidence with using a wheelchair, secondary analyses revealed the intervention to be more effective at improving confidence in specific areas. For example, differences between the groups' mean change scores were found to be most significant in the area related to maneuvering the wheelchair in the physical environment.…”

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confidence: 68%

See 1 more Smart Citation

Wheelchair Skills Training to Improve Confidence With Using a Manual Wheelchair Among Older Adults: A Pilot Study

Sakakibara¹,

Miller²,

Souza³

et al. 2013

Archives of Physical Medicine and Rehabilitation

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Objectives-To examine the effects of wheelchair skills training on confidence in older adults who are inexperienced with using a wheelchair. Design-Parallel group, single blind randomized controlled trial Setting-Vancouver, CanadaParticipants-Participants (N=20) who were community-living older adults at least 65 years old (mean = 70 years), 50% female, and who had no prior experience using a wheelchair were randomly allocated to an intervention (n=10) or control (n=10) group.Intervention-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.Main Outcome Measure-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 comprised of 65 items in 6 conceptual areas.Results-A 1-way between groups analysis of covariance revealed a significant difference in post-intervention WheelCon-M scores between the intervention and control groups [F(1,17) = Corresponding author: William C. Miller, PhD, FCAOT, Department of Occupational Science and Occupational Therapy, University of British Columbia, T325-2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Tel work: 604-714-4108, Fax: 604-714-4168, bcmiller@telus.net. Material in this manuscript was presented in part at the Canadian Association of Occupational Therapists Conference, Quebec City, QC, June 6-9, 2012.We certify that no party having a direct interest in the results of the research supporting this article has or will confer a benefit on us or on any organization with which we are associated AND, we certify that all financial and material support for this research (eg, NIH or NHS grants) and work are clearly identified in the title page of the manuscript.The manuscript submitted does not contain information about medical device(s). Individuals with mobility disabilities are often prescribed manual wheelchairs to promote independence with their mobility and social participation. 4,5 Ineffective use of the wheelchair, however, often compromises independence, and leads to the perception that the wheelchair itself is a barrier to doing things. 6,7 Therefore, treatment strategies that facilitate effective wheelchair use are increasing in importance. This is especially true for older adults who have been reported to more frequently lack independence using their wheelchair. 1In order for individuals to effectively use their wheelchair they must possess a variety of wheelchair skills. 8 Training to improve wheelchair skills is often employed to promote an individual's ability to use their wheelchair. For example, the Wheelchair Skills Training Program (WSTP) 9 was developed to provide an evidence-based, standardized approach to increase the likelihood of improving an individual's ability to use his/her wheelchair safely and effectively. 9 The WSTP has had positive results among wheelchair users undergoing initial rehabilitation, 10 and ...

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Section: Discussionmentioning

confidence: 68%

mentioning

confidence: 68%

Wheelchair Skills Training to Improve Confidence With Using a Manual Wheelchair Among Older Adults: A Pilot Study

Sakakibara¹,

Miller²,

Souza³

et al. 2013

Archives of Physical Medicine and Rehabilitation

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“…15 This study included 82 individuals adjusting to new mobility devices (i.e. wheelchair or walker) in the community.…”

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confidence: 99%

What's happening now! Telehealth management of spinal cord injury/disorders

Woo

Guihan

Frick³

et al. 2011

The Journal of Spinal Cord Medicine

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5Louis Stokes Cleveland VAMC, OH Context: Spinal cord injury and/or disorders (SCI/D) is a costly chronic condition. Impaired mobility, and lengthy travel distances to access specialty providers are barriers that can have adverse impact on expenses and quality of care. Although ample opportunities for use of telehealth technologies exist between medical facilities, and from clinical to home settings, field experience has largely been focused on home telehealth services to promote better patient self-management skills and improve clinical outcomes. Findings: This paper provides an overview of published literature on use of telehealth technologies with the SCI/D population. Presentation of case studies describe telehealth as a potential strategy for addressing disparities in providing quality care, and explore comprehensive management of multiple health issues in individuals with SCI/D. Experiences of providers in both private sector health-care systems and VHA medical facilities are described. Development of telehealth clinical protocols and adaptive devices that can be integrated with equipment to accommodate for the functional limitations in the SCI/D population are discussed as necessary for expansion of use of telehealth services. Rigorous research studies are lacking. As use of this technology spreads and issues surrounding implementation are addressed, we look forward to increased research to assess and evaluate its efficacy in the SCI/D population. Conclusion/clinical relevance: Telehealth in the home setting appears to be able to help persons with SCI/D remain in the community. As the use of telehealth increases, research will be necessary in both clinical and home settings to assess its efficacy in improving outcomes in the SCI/D population.

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“…The study reported that potential use of televideo sessions was encouraging for meeting the needs of in-home PTs/OTs [15]. In a study on remote assessment of low back pain, Truter et al also addressed the practicality of TR, in particular by PTs in rural clinical settings.…”

Section: Literature Reviewmentioning

confidence: 99%

Development of telerehabilitation application with designated consultation categories

Tan¹,

Narayanan²,

Koh³

et al. 2014

J Rehabil Res Dev

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Abstract-Telerehabilitation (TR) is getting ever more popular because it is effective in bringing rehabilitation services to rural populations by means of audiovisual systems and its initial implementation studies presented encouraging results. TR is proven to be helpful, with benefits in terms of reduced travel time, cost, and availability of specialists' support in local communities. However, TR systems that are usable under low-bandwidth network environments are rare. This article introduces the development of a TR system with customized consultation categories for users to choose from, depending on requirements. Each category, with its preset parameter values, is discussed in detail by demonstrating relevant rehabilitation exercises. A novel bandwidth adaptation algorithm is also presented for optimal utilization of the dynamic network conditions, which ensures the system functionality even under narrow-bandwidth environments. Experiment results show that the system is able to perform effectively in each consultation category while the rehabilitation exercises are being performed. The proposed algorithm is also verified for its ability to adapt the content quality and effectively utilize the network under constrained conditions. A survey conducted on the video quality of the system under low-bandwidth conditions shows encouraging results for a large-scale deployment of the application.

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The Effects of In‐Home Rehabilitation on Task Self‐Efficacy in Mobility‐Impaired Adults: A Randomized Clinical Trial

Cited by 95 publications

References 38 publications

Wheelchair Skills Training to Improve Confidence With Using a Manual Wheelchair Among Older Adults: A Pilot Study

Wheelchair Skills Training to Improve Confidence With Using a Manual Wheelchair Among Older Adults: A Pilot Study

What's happening now! Telehealth management of spinal cord injury/disorders

Development of telerehabilitation application with designated consultation categories

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