Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Disabil Rehabil Assist Technol. 2021 May;16(4):420-424. doi: 10.1080/17483107.2020.1800114. Epub 2020 Jul 30.
Physical activity is essential for health and well-being. People with physical disability often experience barriers in performing sports due to the lack of appropriate assistive technologies. The present research aimed to investigate athletes with disability satisfaction when using sports wheelchairs and to explore clinometric properties of the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST).
One hundred and twenty-eight athletes were involved in the present study. Data on sport discipline and wheelchair provision were collected with qualitative approach. Internal consistency and reliability of QUEST were respectively analyzed with Cronbach's Alpha and Intraclass Correlation Coefficient. Validity was investigated with the correlation of the Wheelchair Use Confidence Scale for Manual users.
Results revealed good internal consistency (.858) and moderate inter-rater reliability for service subscale (.664) and for the total score (.675), while for device subscale (.802) reliability was high. Validity revealed moderate correlation (.300) with a p < 0.05. Qualitative analysis highlighted economic barriers as primary social determinant who affect participation in sport activities.
The present study confirms preliminary evidence of the QUEST for athletes with disability. The research group also recommends an international effort to promote a comprehensive evaluation of sports wheelchair involving rehabilitation professionals, sport technicians and people with disability.Implications for rehabilitationEconomic factors linked to the purchase of a wheelchair seem being the main barrier for practising sportThe Quebec User Evaluation of Satisfaction with Assistive Technology is a useful tool to measure athletes' satisfaction using a wheelchairRehabilitation professionals and sport technicians should collaborate together with people with disability in determining how choose appropriate sport wheelchairs.
身体活动对健康和幸福至关重要。由于缺乏适当的辅助技术，身体残疾的人在进行体育运动时常会遇到障碍。本研究旨在调查残疾运动员使用运动轮椅的满意度，并探讨魁北克用户对辅助技术满意度评估量表（QUEST）的临床特性。
本研究共纳入 128 名运动员。采用定性方法收集运动学科和轮椅配置的数据。采用 Cronbach's Alpha 和组内相关系数（Intraclass Correlation Coefficient）分别分析 QUEST 的内部一致性和可靠性。采用与手动轮椅使用者信心量表的相关性来评估有效性。
结果显示，服务分量表（.858）和总评分（.858）的内部一致性良好，服务分量表（.664）和总评分（.675）的评分者间可靠性中等，而设备分量表（.802）的可靠性较高。有效性与 Wheelchair Use Confidence Scale for Manual users 呈中度相关（.300，p < 0.05）。定性分析突出了经济障碍作为影响参与体育活动的主要社会决定因素。
本研究证实了 QUEST 对残疾运动员具有初步的有效性。研究小组还建议国际社会努力促进对运动轮椅的全面评估，让康复专业人员、运动技术人员和残疾人参与其中。
与购买轮椅相关的经济因素似乎是进行体育运动的主要障碍。魁北克用户对辅助技术满意度评估量表是一种有用的工具，可用于衡量运动员使用轮椅的满意度。康复专业人员和运动技术人员应与残疾人合作，共同确定如何选择合适的运动轮椅。
