Effects of wheelchair skills training during peer-led Active Rehabilitation Camps for people with spinal cord injury in Poland : a cohort study
(2024) In Spinal Cord 62(11). p.651-657- Abstract
Study design: Prospective cohort study. Objectives: To evaluate the effects of wheelchair skills training (WSTR) for participants with spinal cord injury (SCI) during peer-led Active Rehabilitation Camps (ARC) in Poland. We hypothesized that participation in ARC will improve wheelchair skill performance and self-efficacy in individuals with SCI. We also aimed to determine demographic and injury-related factors associated with greater improvements in wheelchair skill performance and self-efficacy. Setting: Thirteen consecutive ARCs in Poland. Methods: Participants (n = 122) with traumatic or nontraumatic SCI older than 16 years were evaluated at the beginning (T1) and completion (T2) of ARC and at 3-month follow-up (T3) through the... (More)
Study design: Prospective cohort study. Objectives: To evaluate the effects of wheelchair skills training (WSTR) for participants with spinal cord injury (SCI) during peer-led Active Rehabilitation Camps (ARC) in Poland. We hypothesized that participation in ARC will improve wheelchair skill performance and self-efficacy in individuals with SCI. We also aimed to determine demographic and injury-related factors associated with greater improvements in wheelchair skill performance and self-efficacy. Setting: Thirteen consecutive ARCs in Poland. Methods: Participants (n = 122) with traumatic or nontraumatic SCI older than 16 years were evaluated at the beginning (T1) and completion (T2) of ARC and at 3-month follow-up (T3) through the Queensland Evaluation of Wheelchair Skills (QEWS) and the Wheelchair Skills Test Questionnaire (WST-Q). Results: At T2, 43% of participants reached the threshold for substantial clinically meaningful change in QEWS, 73% in WST-Q capacity, and 67% in confidence, with approximately half of those reporting such gains at T3. At a group level, participants achieved small effect-size improvements (QEWS) at T2; large effects in wheelchair skills capacity at T2 and T3; large effects in wheelchair skill confidence at T2, and low effects at T3. Prior attendance to ARC was the only independent variable that explained 10% of variance in wheelchair capacity gains. Conclusions: Peer-led WSTR during ARCs is highly effective at improving wheelchair skills in individuals with SCI. These improvements are largely retained after three months. Persons with SCI should have a chance to participate in more than one camp to maintain and further improve their wheelchair skills.
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- author
- Tasiemski, Tomasz ; Urbański, Piotr Kazimierz ; Jörgensen, Sophie LU ; Feder, Dawid ; Trok, Katarzyna and Divanoglou, Anestis
- organization
- publishing date
- 2024-11
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Spinal Cord
- volume
- 62
- issue
- 11
- pages
- 7 pages
- publisher
- Nature Publishing Group
- external identifiers
-
- pmid:39261595
- scopus:85203536991
- ISSN
- 1362-4393
- DOI
- 10.1038/s41393-024-01034-0
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © The Author(s), under exclusive licence to International Spinal Cord Society 2024.
- id
- 1e5ee8e8-8be0-4d39-b0c3-f5fcfd6e16dc
- date added to LUP
- 2024-12-09 15:12:11
- date last changed
- 2024-12-23 18:32:53
@article{1e5ee8e8-8be0-4d39-b0c3-f5fcfd6e16dc,
abstract = {{<p>Study design: Prospective cohort study. Objectives: To evaluate the effects of wheelchair skills training (WSTR) for participants with spinal cord injury (SCI) during peer-led Active Rehabilitation Camps (ARC) in Poland. We hypothesized that participation in ARC will improve wheelchair skill performance and self-efficacy in individuals with SCI. We also aimed to determine demographic and injury-related factors associated with greater improvements in wheelchair skill performance and self-efficacy. Setting: Thirteen consecutive ARCs in Poland. Methods: Participants (n = 122) with traumatic or nontraumatic SCI older than 16 years were evaluated at the beginning (T1) and completion (T2) of ARC and at 3-month follow-up (T3) through the Queensland Evaluation of Wheelchair Skills (QEWS) and the Wheelchair Skills Test Questionnaire (WST-Q). Results: At T2, 43% of participants reached the threshold for substantial clinically meaningful change in QEWS, 73% in WST-Q capacity, and 67% in confidence, with approximately half of those reporting such gains at T3. At a group level, participants achieved small effect-size improvements (QEWS) at T2; large effects in wheelchair skills capacity at T2 and T3; large effects in wheelchair skill confidence at T2, and low effects at T3. Prior attendance to ARC was the only independent variable that explained 10% of variance in wheelchair capacity gains. Conclusions: Peer-led WSTR during ARCs is highly effective at improving wheelchair skills in individuals with SCI. These improvements are largely retained after three months. Persons with SCI should have a chance to participate in more than one camp to maintain and further improve their wheelchair skills.</p>}},
author = {{Tasiemski, Tomasz and Urbański, Piotr Kazimierz and Jörgensen, Sophie and Feder, Dawid and Trok, Katarzyna and Divanoglou, Anestis}},
issn = {{1362-4393}},
language = {{eng}},
number = {{11}},
pages = {{651--657}},
publisher = {{Nature Publishing Group}},
series = {{Spinal Cord}},
title = {{Effects of wheelchair skills training during peer-led Active Rehabilitation Camps for people with spinal cord injury in Poland : a cohort study}},
url = {{http://dx.doi.org/10.1038/s41393-024-01034-0}},
doi = {{10.1038/s41393-024-01034-0}},
volume = {{62}},
year = {{2024}},
}