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新使用机动轮椅者自我报告的轮椅技能测试问卷评分的相关因素:一项横断面研究。

Correlates of self-reported Wheelchair Skills Test Questionnaire scores of new users of mobility scooters: a cross-sectional study.

机构信息

Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, Canada.

School of Kinesiology, University of British Columbia, Vancouver, Canada.

出版信息

Disabil Rehabil Assist Technol. 2023 Jul;18(5):483-490. doi: 10.1080/17483107.2021.1874065. Epub 2021 Jan 27.

Abstract

OBJECTIVES

To describe the subjective reported scooter-skill scores of new mobility scooter users and to identify significant correlations with other characteristics and measures.

MATERIALS AND METHODS

This was a single-centre study using a cross-sectional design. Participants ( = 22) completed the Wheelchair Skills Test-Questionnaire (WST-Q) Version 4.3 for scooter users. It measures the users' perceived capacity (what the user can do), performance (what the user actually does), and confidence (or self-efficacy). Their scooter skills were also rated objectively with the Wheelchair Skills Test (WST). They completed standardised measures of cognition, hearing, vision, life space mobility, visual attention and task switching, and confidence negotiating the social environment using their scooters.

RESULTS

Mean total WST-Q capacity scores were 83% and performance scores were 25%. WST-Q capacity scores had significant positive correlations with WST-Q performance ( = 0.321) and confidence scores ( = 0.787), WST capacity scores ( = 0.488), and confidence negotiating the social environment (WheelCon) ( = 0.463). WST-Q capacity scores were significantly negatively correlated with Trail Making B scores ( = -0.591) and age ( = -0.531).

CONCLUSIONS

The correlations between WST-Q scores and other variables are similar to those found in other studies among users of scooters and other mobility devices. The gap between capacity and performance scores highlights the needs for additional skills training in this population of novice scooter users.IMPLICATIONS FOR REHABILITATIONIn implementing scooter training for new scooter users, attention should be paid to building community-based skills for navigating both the physical and the social environment.Scooter users' age and their driving capabilities need to be taken into account when developing and delivering the training.

摘要

目的

描述新机动轮椅使用者主观报告的轮椅技能评分,并确定与其他特征和测量指标的显著相关性。

材料与方法

这是一项单中心研究,采用横断面设计。参与者(n=22)完成了针对轮椅使用者的轮椅技能测试问卷(WST-Q)第 4.3 版。它衡量使用者的感知能力(使用者能够做什么)、表现(使用者实际做什么)和信心(或自我效能)。他们的轮椅技能也使用轮椅技能测试(WST)进行了客观评估。他们完成了认知、听力、视力、生活空间移动性、视觉注意力和任务转换以及使用轮椅自信地协商社交环境的标准化测量。

结果

平均总 WST-Q 能力评分为 83%,表现评分为 25%。WST-Q 能力评分与 WST-Q 表现评分(r=0.321)和信心评分(r=0.787)、WST 能力评分(r=0.488)和自信地协商社交环境(WheelCon)评分(r=0.463)呈显著正相关。WST-Q 能力评分与 Trail Making B 评分(r=-0.591)和年龄(r=-0.531)呈显著负相关。

结论

WST-Q 评分与其他变量之间的相关性与其他研究中在轮椅和其他移动设备使用者中发现的相关性相似。能力评分和表现评分之间的差距突出表明,在这个新的轮椅使用者群体中,需要进行额外的技能培训。

对康复的意义

在为新的轮椅使用者实施轮椅培训时,应注意为他们在物理和社会环境中导航建立基于社区的技能。在制定和提供培训时,需要考虑轮椅使用者的年龄和驾驶能力。

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