Dib Tatiana, Burrola-Mendez Yohali, Brûlé-Ouimette Laurence, Fung Karen H M, Lecavalier Mélissa, Rushton Paula W
School of Rehabilitation, Université de Montréal, Montréal, Canada.
CHU Sainte-Justine Research Centre, Montréal, Canada.
Disabil Rehabil. 2023 Apr 26:1-10. doi: 10.1080/09638288.2023.2203950.
To adapt the Wheelchair Use Confidence Scale for Manual Wheelchair Users, French-Canadian Version (WheelCon-M-F) into a paediatric version (WheelCon-M-F-P) and to evaluate its validity.
A three-phase process was conducted: (1) item adaptation using secondary analysis of focus group data; (2) item refinement using a think-aloud process; and (3) preliminary validation of the WheelCon-M-F-P (i.e. internal consistency, test-retest reliability, standard error of measurement, smallest real difference, ceiling and floor effects, limits of agreement, and relations with other variables).
Phase 1: The sample consisted of occupational therapists ( = 9), paediatric manual wheelchair users (PMWUs) ( = 12), and parents of PMWUs ( = 2). Of the 65 WheelCon-M-F items, 35 were removed, 25 modified and 6 were added for the WheelCon-M-F-P. Phase 2: 4 PMWUs helped refine 14 and remove 3 items. Phase 3: 22 PMWUs participated. Cronbach's alpha, test-retest reliability, standard error of measurement, and smallest real difference were 0.846, 0.818, 3.05, and 8.45 respectively. No ceiling or floor effects were demonstrated. Pearson correlations between the WheelCon-M-F-P and the Wheelchair Skills Test Questionnaire (capacity, confidence, and performance), and the Child Occupational Self-Assessment were 0.688, 0.711, 0.584, and 0.687 respectively.
This study provides preliminary evidence of a valid and reliable WheelCon-M-F-P.IMPLICATIONS FOR REHABILITATIONThe Wheelchair Use Confidence Scale for Manual Wheelchair Users, French-Canadian Version (WheelCon-M-F-P) is an outcome measure that can be used clinically with pediatric manual wheelchair users.The WheelCon-M-F-P can help identify modifiable factors associated with wheelchair confidence.Identifying modifiable factors associated with wheelchair confidence can help guide clinicians in establishing a targeted intervention for their pediatric clients.Establishing a targeted intervention can help improve self-efficacy for wheelchair use and social participation of pediatric wheelchair users.
将《手动轮椅使用者轮椅使用信心量表》法裔加拿大人版本（WheelCon-M-F）改编为儿科版本（WheelCon-M-F-P）并评估其有效性。
进行了三个阶段的过程：（1）通过焦点小组数据的二次分析进行项目改编；（2）使用出声思维过程进行项目细化；（3）对WheelCon-M-F-P进行初步验证（即内部一致性、重测信度、测量标准误差、最小真实差异、天花板效应和地板效应、一致性界限以及与其他变量的关系）。
第一阶段：样本包括职业治疗师（n = 9）、儿科手动轮椅使用者（PMWUs）（n = 12）和PMWUs的父母（n = 2）。在65个WheelCon-M-F项目中，为WheelCon-M-F-P删除了35个，修改了25个，并增加了6个。第二阶段：4名PMWUs帮助细化了14个项目并删除了3个项目。第三阶段：22名PMWUs参与。克朗巴哈系数、重测信度、测量标准误差和最小真实差异分别为0.846、0.818、3.05和8.45。未显示天花板效应或地板效应。WheelCon-M-F-P与轮椅技能测试问卷（能力、信心和表现）以及儿童职业自我评估之间的皮尔逊相关性分别为0.688、0.711、0.584和0.687。
本研究为有效且可靠的WheelCon-M-F-P提供了初步证据。
对康复的启示
《手动轮椅使用者轮椅使用信心量表》法裔加拿大人版本（WheelCon-M-F-P）是一种可在临床上用于儿科手动轮椅使用者的结果测量工具。
WheelCon-M-F-P有助于识别与轮椅信心相关的可改变因素。
识别与轮椅信心相关的可改变因素有助于指导临床医生为其儿科患者制定有针对性的干预措施。
制定有针对性的干预措施有助于提高儿科轮椅使用者使用轮椅的自我效能和社会参与度。
