Rousseau-Harrison Kate, Rochette Annie, Routhier François, Dessureault Danielle, Thibault François, Côté Odile
School of Rehabilitation, University of Montreal, Montréal, Canada.
Disabil Rehabil Assist Technol. 2009 Sep;4(5):344-52. doi: 10.1080/17483100903038550.
Efficient mobility could be a prerequisite to carrying out many daily activities and social roles (social participation). The aim of this study was to assess the impact of wheelchair acquisition on social participation.
Single group pre/post design where the intervention was the acquisition of a wheelchair paid for by the provincial government. Data were collected retrospectively from the participants' medical files. Individuals were excluded if they received an assistive device other than a wheelchair or contacted the centre only for wheelchair repairs. Social participation was measured using the Reintegration to Normal Living Index (RNLI) questionnaire.
The sample (n = 42) had a mean age of 64.2 +/- 18.5 years, and 50% of them (n = 21) did not have a wheelchair before the intervention. The total RNLI scores pre- (46.9/100 +/- 24.7) and post-acquisition (29.7/100 +/- 18.5) showed a significant improvement in participation (p < 0.001). No difference was found between those who had their first wheelchair (n = 21) compared with replacement. Single-item analysis of the RNLI showed a significant difference for 5 of the 11 items. Age and diagnosis were significantly correlated (p < 0.05) with some of the items.
Social participation improved significantly following wheelchair acquisition although confounding variables may have contributed to this improvement.
高效的行动能力可能是开展许多日常活动和履行社会角色（社会参与）的先决条件。本研究的目的是评估获得轮椅对社会参与的影响。
采用单组前后设计，干预措施为获得由省政府支付费用的轮椅。数据从参与者的医疗档案中回顾性收集。如果个体接受了除轮椅以外的辅助设备，或仅因轮椅维修而联系该中心，则将其排除。使用重新融入正常生活指数（RNLI）问卷来衡量社会参与情况。
样本（n = 42）的平均年龄为64.2±18.5岁，其中50%（n = 21）在干预前没有轮椅。获得轮椅前的RNLI总分（46.9/100±24.7）和获得后（29.7/100±18.5）显示参与度有显著改善（p < 0.001）。首次获得轮椅的人（n = 21）与更换轮椅的人之间未发现差异。RNLI的单项分析显示，11个项目中的5个项目存在显著差异。年龄和诊断与某些项目显著相关（p < 0.05）。
获得轮椅后社会参与度显著提高，尽管混杂变量可能促成了这种改善。
