随机对照试验方案的可行性：增强轮椅使用自我效能感（WheelSeeU）。
Randomized controlled trial protocol feasibility: The Wheelchair Self-Efficacy Enhanced for Use (WheelSeeU).
作者信息
Best Krista L, Miller William C, Eng Janice J, Routhier François, Goldsmith Charles
出版信息
Can J Occup Ther. 2014 Dec;81(5):308-19. doi: 10.1177/0008417414546743.
BACKGROUND
Manual wheelchairs (MWCs) can improve mobility and social participation for individuals who experience difficulty walking; however, older adults receive little training for wheelchair use. The Wheelchair Self-Efficacy Enhanced for Use (WheelSeeU) research program provides peer-led training that may positively influence wheelchair use while reducing clinician burden.
PURPOSE
The purpose of this study is to evaluate the feasibility and clinical outcomes of WheelSeeU.
METHOD
A randomized control trial (RCT) recruits and randomly assigns 40 MWC users (55+ years). Feasibility indicators assessing process, resource, management, and treatment issues are measured, and clinical outcomes (wheelchair skills, safety, confidence, mobility, social participation, quality of life, health utility) are collected at three time points.
IMPLICATIONS
WheelSeeU provides an innovative approach for teaching wheelchair skills to an aging population that may improve wheelchair use and decrease clinician burden. Since RCTs are expensive and challenging in rehabilitation, establishing feasibility prior to larger effectiveness trials is prudent.
背景
手动轮椅（MWC）可以改善行走困难者的行动能力和社会参与度；然而，老年人很少接受轮椅使用方面的培训。“增强轮椅使用自我效能感”（WheelSeeU）研究项目提供由同伴主导的培训，这可能会对轮椅使用产生积极影响，同时减轻临床医生的负担。
目的
本研究的目的是评估WheelSeeU的可行性和临床效果。
方法
一项随机对照试验（RCT）招募了40名55岁及以上的MWC使用者，并将他们随机分组。测量评估过程、资源、管理和治疗问题的可行性指标，并在三个时间点收集临床效果（轮椅技能、安全性、信心、行动能力、社会参与度、生活质量、健康效用）。
启示
WheelSeeU为向老年人群体教授轮椅技能提供了一种创新方法，这可能会改善轮椅使用情况并减轻临床医生的负担。由于随机对照试验在康复领域成本高昂且具有挑战性，在进行更大规模的有效性试验之前确定其可行性是明智的。
Zotero 插件