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Related Experiment Video

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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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Effectiveness of a Web-Based Direct-to-User Transfer Training Program: A Randomized Controlled Trial.

Stephanie K Rigot1, Kaitlin M DiGiovine2, Michael L Boninger3

  • 1Rehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA; Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA.

Archives of Physical Medicine and Rehabilitation
|June 6, 2021
PubMed
Summary

Web-based transfer training improved wheelchair users' transfer quality. Both immediate training and delayed training groups showed improvements, suggesting self-assessment also enhances skills, potentially reducing injury risk.

Keywords:
Internet-based interventionRehabilitationSpinal cord diseasesTelerehabilitationWheelchairs

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Area of Science:

  • Rehabilitation Medicine
  • Assistive Technology
  • Clinical Research

Background:

  • Wheelchair users often require assistance with transfers, posing risks for injury.
  • Effective transfer training is crucial for independence and safety.
  • Web-based interventions offer accessible solutions for skill development.

Purpose of the Study:

  • To evaluate a web-based, direct-to-user transfer training program.
  • To assess improvements in transfer quality and maintenance of gains up to 1 month post-training.
  • To compare effectiveness against a waitlist control group.

Main Methods:

  • Randomized controlled trial involving 72 full-time wheelchair users with spinal cord injury or disorder.
  • Participants were assigned to an immediate intervention group (IIG) or a waitlist control group (WLCG).
  • Training was delivered via a self-paced, web-based module, with outcomes measured by the Transfer Assessment Instrument Questionnaire (TAI-Q).

Main Results:

  • The IIG showed significant improvement in TAI-Q scores by 1 month post-training (P<.001).
  • The WLCG also demonstrated significant improvements from baseline to 1 month (P=.014), potentially due to repeated self-assessment.
  • No significant difference in the extent of change over time was observed between groups (P=.169), but both benefited.

Conclusions:

  • Web-based transfer training provides an additive benefit to self-assessment in improving transfer quality.
  • Wheelchair users can benefit from accessible, home-based transfer training and self-assessment.
  • This approach may decrease injury risk by overcoming barriers to traditional in-person training.