Article

OBJECTIVE: To estimate the prevalence of low wheelchair-mobility and
self-management self-efficacy and to evaluate the association with wheelchair
skills. DESIGN: Cross-sectional. SETTING: Community. PARTICIPANTS: Community-dwelling manual wheelchair users (N=123) who were >/=50 years of age
(mean, 59.7+/-7.5y) and from British Columbia and Quebec, Canada. INTERVENTIONS: None. MAIN OUTCOME MEASURES: The 13-item mobility and 8-item self-management
subscales from the Wheelchair Use Confidence Scale-Short Form (standardized
scores range, 0-100) measured self-efficacy, and the 32-item Wheelchair Skills
Test, Questionnaire Version (scores range, 0-100) measured wheelchair skills. A
score of 50 was used to differentiate individuals with high and low
self-efficacy, and a score of 72 differentiated between high and low wheelchair
skills. RESULTS: The prevalence of low wheelchair-mobility and self-management
self-efficacy was 28.5% (95% confidence interval [CI], 20.6-36.4) and 11.4% (95%
CI, 5.8-17.0), respectively, and their bivariate association with wheelchair
skills was r=.70 and r=.39, respectively. Of the sample, 16% reported conflicting
mobility self-efficacy and skill scores; 25% reported low self-efficacy and high
skills. Of the participants, 30% reported conflicting scores between
self-management self-efficacy and wheelchair skills, with 8.1% reporting lower
self-efficacy than skill. CONCLUSIONS: Low self-efficacy was relatively high in
this sample as was its discordance with wheelchair skills. Interventions to
address low self-efficacy and/or offset the discordant self-efficacy/skill
profiles are warranted.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS