Department of Health Services, Research, and CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
BMC Health Serv Res. 2012 Jun 8;12:141. doi: 10.1186/1472-6963-12-141.
Orientation and mobility (O&M) training in using an identification (ID) cane is provided to partially-sighted older adults to facilitate independent functioning and participation in the community. Recently, a protocolised standardised O&M-training in the use of the ID cane was developed in The Netherlands. The purpose of this study is to assess the usefulness and acceptability of both the standardised training and the regular training for participants and O&M-trainers in a randomised controlled trial (NCT00946062).
The standardised O&M-training consists of two structured face-to-face sessions and one telephone follow-up, in which, in addition to the regular training, self-management and behavioural change techniques are applied. Questionnaires and interviews were used to collect data on the training's usefulness, e.g. the population reached, self-reported benefits or achievements, and acceptability, e.g. the performance of the intervention according to protocol and participants' exposure to and engagement in the training.
Data was collected from 29 O&M-trainers and 68 participants. Regarding the self-reported benefits, outcomes were comparable for the standardised training and the regular training according the trainers and participants e.g., about 85% of the participants in both groups experienced benefits of the cane and about 70% gained confidence in their capabilities. Participants were actively involved in the standardised training. Nearly 40% of the participants in the standardised training group was not exposed to the training according to protocol regarding the number of sessions scheduled and several intervention elements, such as action planning and contracting.
The standardised and regular O&M-training showed to be useful and mostly acceptable for the partially-sighted older adults and trainers. Yet, a concern is the deviation from the protocol of the standardised O&M-training by the O&M-trainers regarding distinguishing elements such as action planning. Overall, participants appreciated both trainings and reported benefit.
为了帮助部分视力受损的老年人实现独立生活和参与社区活动，为他们提供了使用身份识别（ID）手杖的定向和移动（O&M）培训。最近，荷兰制定了 ID 手杖使用的标准化规范化 O&M 培训方案。本研究的目的是在一项随机对照试验（NCT00946062）中评估标准化培训和常规培训对参与者和定向与移动培训师的有用性和可接受性。
标准化 O&M 培训包括两次结构化的面对面课程和一次电话随访，除了常规培训外，还应用自我管理和行为改变技术。使用问卷和访谈收集有关培训有用性的数据，例如培训覆盖的人群、自我报告的收益或成就，以及可接受性，例如根据方案进行干预的表现以及参与者对培训的接触和参与情况。
从 29 名定向与移动培训师和 68 名参与者中收集了数据。关于自我报告的收益，培训师和参与者认为标准化培训和常规培训的结果相当，例如，两组约 85%的参与者体验到了手杖的益处，约 70%的参与者增强了对自身能力的信心。参与者积极参与标准化培训。几乎 40%的标准化培训组参与者未按照方案规定的次数和几个干预要素（如行动计划和签约）接受培训。
标准化和常规 O&M 培训对部分视力受损的老年人和培训师来说是有用且大多可以接受的。然而，标准化 O&M 培训师在行动规划等区分要素方面偏离方案令人担忧。总体而言，参与者对两种培训都很满意，并报告了收益。
