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document
Wheelchair skills training to improve confidence with using a manual wheelchair among older adults : a pilot study . OBJECTIVE To examine the effects of wheelchair skills training on confidence in older adults who are inexperienced wheelchair users . DESIGN Parallel group , single-blind randomized controlled trial . SETTING Research laboratory in a rehabilitation hospital . PARTICIPANTS Participants ( N=20 ) who were community-living older adults at least 65 years old ( mean age , 70y ) , 50 % women , and who had no experience of using a wheelchair were randomly allocated to an intervention ( n=10 ) or control ( n=10 ) group . INTERVENTIONS 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 that comprises 65 items in 6 conceptual areas . RESULTS A 1-way between-groups analysis of covariance revealed a significant difference in postintervention WheelCon-M scores between the intervention and control groups ( F1,17=10.9 , P=.004 ) after controlling for baseline WheelCon-M scores . A large effect size was also observed ( partial η ( 2 ) =.39 ) . Secondary analyses revealed that the WSTP had greater effects on confidence in areas related to maneuvering around the physical environment , knowledge and problem solving , advocacy , and managing emotions than in areas related to performing activities and behaving in social situations . CONCLUSION Two 1-hour WSTP sessions improve confidence with using a manual wheelchair among older adults who are inexperienced wheelchair users .
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Intervention_Physical
Wheelchair skills training
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Intervention_Physical
wheelchair skills training
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Intervention_Physical
two 1-hour training sessions that followed the Wheelchair Skills Training Program ( WSTP ) protocol
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Intervention_Educational
single socialization contact
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Outcome_Mental
confidence
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Outcome_Mental
confidence
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Outcome_Mental
Wheelchair Use Confidence Scale-Manual ( WheelCon-M )
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Outcome_Mental
evaluate confidence
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Outcome_Mental
significant difference
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Outcome_Other
postintervention WheelCon-M scores
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Outcome_Mental
effect size
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Participant_Age
older adults
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Participant_Age
older adults
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Participant_Condition
inexperienced wheelchair users
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Participant_Sample-size
N=20
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Participant_Age
older adults at least 65 years old
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Participant_Age
70y
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Participant_Sex
women