Berardi Anna, De Santis Rita, Tofani Marco, Márquez Maria Auxiliadora, Santilli Valter, Rushton Paula W, Mollica Roberta, Galeoto Giovanni
a Department of Anatomical, Histological, Forensic and Orthopaedic Sciences , Sapienza University of Rome , Rome , Italy.
b Department of Neurosciences and Neurorehabilitation , Bambino Gesù Children's Hospital , Rome , Italy.
Disabil Rehabil Assist Technol. 2018 Aug;13(6):575-580. doi: 10.1080/17483107.2017.1357053. Epub 2017 Jul 31.
We developed an Italian version of the Wheelchair Use Confidence Scale for Manual Users-Short Form (WheelCon-M-I-short form) and examined its reliability and validity.
The original scale was translated from English to Italian using the "Translation and Cultural Adaptation of Patient Reported Outcomes Measures-Principles of Good Practice" guidelines. The WheelCon-M-I-short form was administered to experienced manual wheelchair users who had a variety of diagnoses. Its internal consistency and test-retest reliability were examined. Its concurrent validity was evaluated using Pearson correlation coefficients with the Italian version of the Wheelchair Outcome Measure (WhOM-I) and the Italian version of the Barthel index (BI).
The WheelCon-M-I-short form was administered to 31 subjects. The mean ± SD of the WheelCon-M-I-short form score was 7.5 ± 1.9. All WheelCon-M-I-short form items were either identical or similar in meaning to the WheelCon-M-short form items. Cronbach's α for the WheelCon-M-I-short form was 0.95 (p < 0.01), and the test-retest reliability (ICC) was 0.978 (p < 0.01). The Pearson correlation coefficient of the WheelCon-M-I-short form scores with the WhOM-I scores was 0.7618 (p < 0.01). The Pearson correlation coefficient of the WheelCon-M-I-short form scores with the Italian BI scores was 0.638 (p < 0.01).
The WheelCon-M-I-short form was found to be reliable and a valid outcome measure for assessing manual wheelchair confidence in the Italian population. Implication for Rehabilitation The WheelCon-M-I-short form is a valid outcome measure available for assessing wheelchair confidence, according to Bandura's social cognitive theory, self-efficacy is a better predictor of future behavior than skill itself. Translation of the WheelCon-M-short form into the WheelCon-M-I-short form provides a new tool for Italian professionals. Clinicians now have a method to measure this invisible barrier to wheelchair use, and they will be able to make informed decisions when prescribing the use of manual wheelchairs and when training clients in their use. The WheelCon-M-I-short form also provides researchers with a tool in an important and relevant area of study for future research.
我们开发了意大利语版的手动轮椅使用者轮椅使用信心量表简表（WheelCon-M-I简表），并检验其信效度。
按照“患者报告结局测量的翻译与文化调适——良好实践原则”指南，将原始量表从英语翻译成意大利语。WheelCon-M-I简表施用于患有各种诊断疾病的有经验的手动轮椅使用者。检验其内部一致性和重测信度。使用Pearson相关系数与意大利语版轮椅结局测量（WhOM-I）和意大利语版巴氏指数（BI）评估其同时效度。
31名受试者完成了WheelCon-M-I简表测试。WheelCon-M-I简表得分的均值±标准差为7.5±1.9。WheelCon-M-I简表的所有条目在含义上与WheelCon-M简表条目相同或相似。WheelCon-M-I简表的Cronbach's α为0.95（p<0.01），重测信度（ICC）为0.978（p<0.01）。WheelCon-M-I简表得分与WhOM-I得分的Pearson相关系数为0.7618（p<0.01）。WheelCon-M-I简表得分与意大利语版BI得分的Pearson相关系数为0.638（p<0.01）。
WheelCon-M-I简表被发现是可靠的，并且是评估意大利人群手动轮椅信心的有效结局测量工具。康复意义 根据班杜拉的社会认知理论，WheelCon-M-I简表是一种可用于评估轮椅信心的有效结局测量工具，自我效能比技能本身更能预测未来行为。将WheelCon-M简表翻译成WheelCon-M-I简表为意大利专业人员提供了一种新工具。临床医生现在有了一种方法来测量这种使用轮椅的无形障碍，并且他们在开出处方使用手动轮椅以及培训患者使用时能够做出明智的决策。WheelCon-M-I简表也为研究人员提供了一个在重要且相关研究领域的未来研究工具。
