Utilisation du fauteuil roulant manuel : effets d'un entrainement dispensé par un pair dans la communauté
|Advisor:||Raymond, Émilie; Routhier, François|
|Abstract:||Introduction. A peer-led wheelchair skills training is effective to increase wheelchair skills and self-efficacy. Few information is available on wheelchair training in the community. The first objective was to synthesize knowledge on the effectiveness of peer-based rehabilitation interventions among adults with mobility disabilities. The second objective was to evaluate the effects of Roulez avec confiance, a peer-led community-based wheelchair skills training, on community-dwelling manual wheelchair users and to explore their experience in the program. Methods. First, a systematic literature review was conducted. Second, a parallel mixed design was used with measurements before, after and 3 months after the program. Validated questionnaires on social participation (Wheelchair outcome measure), manual wheelchair self-efficacy (Wheelchair use confidence scale for manual wheelchair users), manual wheelchair skills (Wheelchair skills test questionnaire), and quality of life (Satisfaction with life scale) were administered. A semi-structured interview on users’ experience was conducted. Nonparametric analysis of longitudinal data and thematic content analysis were done. Results. Thirteen peer-based studies were identified including peer-led and professional-led studies. Nineteen manual wheelchair users (45±12 years) participated in the peer-led program. There was a statistically significant increase (p<0.0001) in all outcomes except quality of life (p=0.687). Gains were maintained after three months. Main themes identified were: 1) The influence of my background; 2) Components of the program: Scratching the surface; 3) A positive social experience; 4) How the physical environment shaped the program; 5) Learning more than skills; 6) Emotions triggered by the program. Conclusion. Further research on the effects of peer-based interventions on mobility and participation is warranted. Roulez avec confiance is a relevant intervention to deliver peer-led community-based wheelchair skills training to community-dwelling manual wheelchair users.|
|Document Type:||Mémoire de maîtrise|
|Open Access Date:||18 October 2019|
|Collection:||Thèses et mémoires|
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