Toro Maria Luisa, Bird Emily, Oyster Michelle, Worobey Lynn, Lain Michael, Bucior Samuel, Cooper Rory A, Pearlman Jonathan
a Human Engineering Research Laboratories , VA Pittsburgh Healthcare System , Pittsburgh , PA , USA.
b Department of Rehabilitation Science and Technology , University of Pittsburgh , Pittsburgh , PA , USA.
Disabil Rehabil Assist Technol. 2017 Nov;12(8):843-851. doi: 10.1080/17483107.2016.1277792. Epub 2017 Jan 27.
Purpose of state: The aims of this study were to develop a Wheelchair Maintenance Training Programme (WMTP) as a tool for clinicians to teach wheelchair users (and caregivers when applicable) in a group setting to perform basic maintenance at home in the USA and to develop a Wheelchair Maintenance Training Questionnaire (WMT-Q) to evaluate wheelchair maintenance knowledge in clinicians, manual and power wheelchair users.
The WMTP and WMT-Q were developed through an iterative process.
A convenience sample of clinicians (n = 17), manual wheelchair (n ∞ 5), power wheelchair users (n = 4) and caregivers (n = 4) provided feedback on the training programme. A convenience sample of clinicians (n = 38), manual wheelchair (n = 25), and power wheelchair users (n = 30) answered the WMT-Q throughout different phases of development. The subscores of the WMT-Q achieved a reliability that ranged between ICC(3,1) = 0.48 to ICC(3,1) = 0.89. The WMTP and WMT-Q were implemented with 15 clinicians who received in-person training in the USA using the materials developed and showed a significant increase in all except one of the WMT-Q subscores after the WMTP (p < 0.007).
The WMTP will continue to be revised as it is further implemented. The WMT-Q is an acceptable instrument to measure pre- and post-training maintenance knowledge. Implications for Rehabilitation The Wheelchair Maintenance Training Program can be used to educate rehabilitation clinicians and technicians to improve wheelchair service and delivery to end users. This training complements the World Health Organization basic wheelchair service curriculum, which only includes training of the clinicians, but does not include detailed information to train wheelchair users and caregivers. This training program offers a time efficient method for providing education to end users in a group setting that may mitigate adverse consequences resulting from wheelchair breakdown. This training program has significant potential for impact among wheelchair users in areas where access to repair services is limited.
研究目的：本研究的目的是制定一项轮椅维护培训计划（WMTP），作为临床医生在美国以小组形式教授轮椅使用者（以及适用时的护理人员）在家中进行基本维护的工具，并制定一份轮椅维护培训问卷（WMT-Q），以评估临床医生、手动轮椅和电动轮椅使用者的轮椅维护知识。
WMTP和WMT-Q通过迭代过程制定。
临床医生（n = 17）、手动轮椅使用者（n = 5）、电动轮椅使用者（n = 4）和护理人员（n = 4）的便利样本对培训计划提供了反馈。临床医生（n = 38）、手动轮椅使用者（n = 25）和电动轮椅使用者（n = 30）的便利样本在不同的开发阶段回答了WMT-Q。WMT-Q的子分数的信度在ICC(3,1)=0.48至ICC(3,1)=0.89之间。WMTP和WMT-Q由15名临床医生在美国使用开发的材料进行了现场培训，培训后除一个WMT-Q子分数外，其他所有子分数均显著提高（p < 0.007）。
WMTP在进一步实施过程中将继续修订。WMT-Q是测量培训前后维护知识的可接受工具。对康复的启示：轮椅维护培训计划可用于教育康复临床医生和技术人员，以改善向最终用户提供的轮椅服务。该培训补充了世界卫生组织的基本轮椅服务课程，后者仅包括对临床医生的培训，但不包括培训轮椅使用者和护理人员的详细信息。该培训计划提供了一种高效的方法，可在小组环境中为最终用户提供教育，这可能减轻因轮椅故障而产生的不良后果。在维修服务获取有限的地区，该培训计划对轮椅使用者具有显著的潜在影响。
