手动轮椅使用者护理人员的轮椅技能培训:自学与远程培训的随机对照试验比较。

IF 1.9 4区 医学 Q2 REHABILITATION
Ronald Lee Kirby, Cher Smith, Matthew David Miller, Dee Osmond, Madeline Anne Sherman, Kim Parker, Prosper Senyo Koto, Christopher John Theriault, Navjot Sandila
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引用次数: 0

摘要

在这项单盲随机对照试验中,我们测试了以下假设:与只接受自学教材的对照组参与者(SS 组)相比,手动轮椅使用者的照顾者在额外接受远程培训后(RT 组),其轮椅技能测试问卷(WST-Q)的总成绩和自信心得分在培训后和随访时都会更高;自学和远程培训各自都会带来这种提高。我们对 23 对轮椅使用者及其护理人员进行了研究。SS组的护理人员收到了一份手册和视频录像。RT 组的护理人员还接受了多达四次的实时("同步")远程培训。分别在培训前(T1)、培训后(T2)和 3 个月随访后(T3)进行了 WST-Q 5.1 测试。在每次新的评估中,两组的 WST-Q 平均总分都略有上升。在 T2-T1 和 T3-T1 阶段,两组的 WST-Q 成绩和 WST-Q 信心均无显著差异。在成绩方面,RT 组的 T2-T1 增益在统计学上具有显著性,SS 组的 T3-T2 增益在统计学上具有显著性。对于两组来说,T3-T1 的成绩提高都有显著的统计学意义,相对于基线,SS 组和 RT 组分别提高了 12.9% 和 18.5%。在信心方面,只有 SS 组的 T3-T1 增益具有统计学意义,相对于基线增益 4.5%。虽然收益低于之前报道的面对面培训的收益,但通过自学,无论是否有远程培训,都能在WST-Q总成绩上取得适度但重要的收益:注册号:NCT03856749。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Wheelchair skills training for caregivers of manual wheelchair users: a randomized controlled trial comparing self-study and remote training.

In this single-blind randomized controlled trial, we tested the hypotheses that, in comparison with control participants receiving only self-study materials (SS group), caregivers of manual wheelchair users who additionally receive remote training (RT group) have greater total Wheelchair Skills Test Questionnaire (WST-Q) performance and confidence scores post-training and at follow-up; and that self-study and remote training each individually lead to such gains. We studied 23 dyads of wheelchair users and their caregivers. Caregivers in the SS group received a handbook and videorecording. Those in the RT group also received up to four real-time ("synchronous") sessions remotely. The WST-Q 5.1 was administered pre-training (T1), post-training (T2), and after a 3-month follow-up (T3). The mean total WST-Q scores of both groups rose slightly at each new assessment. For the T2-T1 and T3-T1 gains, there were no statistically significant differences between the groups for either WST-Q performance or WST-Q confidence. For performance, the T2-T1 gain was statistically significant for the RT group and the T3-T2 gain was statistically significant for the SS group. For both groups, the T3-T1 gains in performance were statistically significant with gains of 12.9% and 18.5% relative to baseline for the SS and RT groups. For confidence, only the T3-T1 gain for the SS group was statistically significant with a gain of 4.5% relative to baseline. Although less than the gains previously reported for in-person training, modest but important gains in total WST-Q performance scores can be achieved by self-study, with or without remote training.

Registration number: NCT03856749.

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来源期刊
CiteScore
5.70
自引率
13.60%
发文量
128
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