Rehabilitation Department, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada.
Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Quebec City, Quebec, Canada.
Disabil Rehabil Assist Technol. 2024 Oct;19(7):2531-2544. doi: 10.1080/17483107.2024.2303464. Epub 2024 Jan 12.
The Wheelchair Skills Training Program (WSTP) is underutilized in pediatrics for training manual wheelchair skills because the voluminous manual lacks pediatric specificity and no materials adapted for pediatric manual wheelchair users (PMWUs) are available. A set of resources (storybook, posters, training workbook) based on the WSTP has previously been developed for training basic indoor wheelchair skills with five to 15-year-old PMWUs. Occupational therapists (OTs) and PMWUs expressed a need for additional resources addressing higher-level skills. Two new sets of resources teaching indoor and community wheelchair skills were developed.
Describe OTs' and PMWUs' satisfaction and perceptions regarding usability, relevance and feasibility in pediatrics with the new resources.
A descriptive qualitative study was conducted. A focus group and interviews were respectively conducted with a convenience sample of OTs and a criterion sample of PMWUs to document perceptions regarding satisfaction, usability, relevance and feasibility. A deductive approach to data analyses was used following the Framework Method.
Six OTs expressed satisfaction regarding both sets of resources feeling more confident using the WSTP (relevance) and perceiving potential time efficiencies when planning training interventions (feasibility). They provided suggestions to improve the usability of the second set. Six PMWUs participated in the interviews, two of which provided feedback on both sets. They were satisfied with the resources recommending them to novice and temporary PMWUs aged from three to 11 years.
Participants' suggested the resources may contribute to reducing the gap between the evidence supporting the WSTP and its utilization in pediatrics.
Wheelchair Skills Training Program（WSTP）在儿科中未得到充分利用，因为大量的手册缺乏儿科特异性，并且没有为儿科手动轮椅使用者（PMWUs）设计的材料。先前已经开发了一套基于 WSTP 的资源（故事书、海报、培训工作簿），用于培训 5 至 15 岁 PMWUs 的基本室内轮椅技能。职业治疗师（OTs）和 PMWUs 表示需要更多针对更高层次技能的资源。开发了两套新的室内和社区轮椅技能资源。
描述 OTs 和 PMWUs 对新资源在儿科中的可用性、相关性和可行性的满意度和看法。
进行了一项描述性定性研究。使用便利抽样的 OT 进行焦点小组讨论，使用标准样本的 PMWUs 进行访谈，记录对满意度、可用性、相关性和可行性的看法。采用框架方法对数据进行了演绎分析。
6 名 OT 对两套资源都表示满意，他们认为这两套资源都提高了他们对 WSTP 的信心（相关性），并认为在规划培训干预措施时具有潜在的时间效率（可行性）。他们提出了改进第二套资源可用性的建议。6 名 PMWUs 参加了访谈，其中 2 名对两套资源都提供了反馈。他们对资源感到满意，推荐给从 3 岁到 11 岁的新手和临时 PMWUs 使用。
参与者建议这些资源可能有助于缩小支持 WSTP 的证据与在儿科中使用之间的差距。
