Nathan Short, PhD, OTD, OTR/L, CHT, is Associate Professor of Occupational Therapy, Huntington University, Fort Wayne, IN;
Heather St. Peters, PhD, is Associate Professor of Occupational Therapy, Huntington University, Fort Wayne, IN.
Am J Occup Ther. 2023 Jul 1;77(4). doi: 10.5014/ajot.2023.050150.
Outcomes research on the impact of seating and mobility services delivered using a short-term medical mission (STMM) model is limited.
To evaluate the impact of seating and mobility services on the occupational performance of individuals with disabilities in El Salvador.
One-group retrospective pretest-posttest.
Clinical (El Salvador).
Individuals with disabilities in El Salvador.
Survey and the standardized Wheelchair Outcome Measure (WhOM) for those who received a wheelchair as their mobility device.
Participants rated satisfaction with performance of preferred in-home and out-of-home occupations on the WhOM before and after receiving seating and mobility services.
For most survey questions assessing the impact on activities of daily living, more than 86% of the respondents selected agree or strongly agree. Nearly half of the respondents reported that questions regarding work and education were not applicable. Participants' WhOM scores (n = 86) demonstrated a statistically significant improvement in performance satisfaction for both in-home (p < .001; d > 1) and out-of-home (p < .001; d > 1) occupations after they received services, with a huge effect size (d > 2).
The findings suggest that seating and mobility services provided by rehabilitation professionals in El Salvador improved occupational performance for people with disabilities. Compared with STMMs that solely provide equipment, the findings emphasize the importance of professional service provision with education and training as best practice. What This Article Adds: Seating and mobility services delivered through a STMM model may improve occupational performance for individuals with disabilities. However, STMMs should be carefully planned in collaboration with in-country partners, provide customized seating systems, and include education and training from licensed rehabilitation professionals.
使用短期医疗任务 (STMM) 模型提供的座椅和移动服务对结果的研究有限。
评估座椅和移动服务对萨尔瓦多残疾人职业表现的影响。
一组回顾性预测试后测试。
临床（萨尔瓦多）。
萨尔瓦多的残疾人。
调查和标准化轮椅结果测量（WhOM）用于那些获得轮椅作为其移动设备的人。
参与者在接受座椅和移动服务之前和之后，根据 WhOM 对他们在家中和户外进行的首选活动的表现满意度进行评分。
对于评估日常生活活动影响的大多数调查问题，超过 86%的受访者选择同意或强烈同意。近一半的受访者报告说，有关工作和教育的问题不适用。参与者的 WhOM 评分（n = 86）显示在家中（p <.001；d > 1）和户外（p <.001；d > 1）职业表现满意度均有统计学意义的提高，具有巨大的效应量（d > 2）。
研究结果表明，萨尔瓦多康复专业人员提供的座椅和移动服务改善了残疾人的职业表现。与仅提供设备的 STMM 相比，研究结果强调了提供专业服务以及教育和培训的重要性，这是最佳实践。本文的添加内容：通过 STMM 模型提供的座椅和移动服务可能会提高残疾人的职业表现。然而，STMM 应与国内合作伙伴合作精心规划，提供定制的座椅系统，并包括由持牌康复专业人员提供的教育和培训。
