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  4. Effectiveness of A Web-Based Direct-to-User Transfer Training Program: A Randomized Controlled Trial

Effectiveness of A Web-Based Direct-to-User Transfer Training Program: A Randomized Controlled Trial

Arch Phys Med Rehabil, 2022 · DOI: 10.1016/j.apmr.2021.05.007 · Published: April 1, 2022

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study tested if a web-based training program could help wheelchair users improve how they move in and out of their wheelchairs (transfers). The program focused on teaching safer and more efficient transfer techniques. Researchers compared two groups: one that received the training immediately and another that had to wait. They measured transfer quality using a questionnaire called the TAI-Q. The study found that both the training and simply assessing their own transfer techniques helped people improve. Those with lower initial transfer quality and more shoulder pain benefited most from the training.

Study Duration
6 Months
Participants
72 wheelchair users with spinal cord injury or disorder
Evidence Level
Level 1, Randomized Control Study

Key Findings

  • 1
    The immediate intervention group (IIG) significantly increased their baseline TAI-Q score from 6.91±0.98 to 7.79±1.12 (p<0.001) by 1-month post-training.
  • 2
    The waitlist control group (WLCG) also increased from baseline to the 1-month post-baseline assessment (6.52±1.13 to 7.00±1.09, p=0.014), potentially from learning effects secondary to self-assessment with the TAI-Q.
  • 3
    Lower pre-training TAI-Q (p=0.003) and higher WUSPI (p=0.035) were significant predictors of increased percent change in 1-month post-training TAI-Q.

Research Summary

This study evaluated the effectiveness of a web-based transfer training program for wheelchair users with spinal cord injury or disorder. Participants were randomized into an immediate intervention group (IIG) and a waitlist control group (WLCG). Results showed that both the web-based training and repeated self-assessments using the Transfer Assessment Instrument Questionnaire (TAI-Q) led to improvements in transfer quality. The improvements were maintained for at least one month after training. The study suggests that web-based transfer training can be a useful tool for improving transfer quality and potentially reducing injury risk for wheelchair users, offering a convenient and accessible alternative to in-person training.

Practical Implications

Remote Training

Web-based transfer training offers a convenient and accessible way for wheelchair users to improve their transfer skills from home, bypassing barriers like accessibility restrictions and financial hardships.

Self-Assessment

Repeated self-assessments of transfer quality, even without formal training, can contribute to improvements in transfer techniques. This highlights the importance of self-awareness and monitoring in skill development.

Targeted Intervention

Individuals with lower initial transfer quality and higher levels of shoulder pain are most likely to benefit from web-based transfer training, suggesting that targeted interventions may be more effective.

Study Limitations

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