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Feasibility and clinical applicability of a novel power wheelchair training approach

dc.rights.licenseopenen_US
dc.contributor.authorPELLICHERO, Alice
dc.contributor.authorBEST, Krista L.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorSORITA, Eric
IDREF: 176018689
dc.contributor.authorARCHAMBAULT, Philippe S.
dc.contributor.authorDEMERS, Louise
dc.contributor.authorROUAULT, Lucas
dc.contributor.authorROUTHIER, Francois
dc.date.accessioned2022-10-18T14:13:39Z
dc.date.available2022-10-18T14:13:39Z
dc.date.issued2022-07-27
dc.identifier.issn1748-3115 (Electronic) 1748-3107 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/170067
dc.description.abstractEnPURPOSE: To evaluate the feasibility and the clinical applicability of administering the COMET (cognition, occupation, mobility, evaluation and training) intervention. MATERIALS AND METHODS: A pilot research was conducted with adults who were being considered for power wheelchair (PWC) provision, or who were recently provided a PWC, and who had been identified to benefit from a PWC training. The COMET intervention applies a goal directed, client-centred and occupation-based approach. Feasibility and applicability indicators were collected for: process, resources, management and treatment. Indicators were evaluated as "successful/unsuccessful". Clinical outcomes included the Goal Attainment Scale (GAS), the Canadian Occupational Performance Measure (COPM), the Power mobility Indoor Driving Assessment (PIDA) and the Wheelchair Skills Test (WST). RESULTS: Four females (62.5 ± 3.5 years) with cognitive impairment participated in the study. Among the 13 indicators, 10 were successfully achieved. Indicators that did not meet the criteria for success were adherence rate, safety and treatment for the PIDA. Two adverse events were reported, with one minor injury. Participants demonstrated better than expected results on the GAS, the COPM scores and the WST. However, only two reported an improvement beyond 4% of the PIDA. CONCLUSIONS: With few modifications, the COMET intervention and the study protocol will be feasible and applicable in clinical practice. Individuals with complex cognitive and mobility impairment demonstrated abilities to learn PWC use. Further investigation of the COMET intervention is required to evaluate its efficacy.Implications for rehabilitationA novel power wheelchair (PWC) training approach adapted to individual with complex mobility and cognitive impairments was developed: the COMET (cognition, occupation, mobility, evaluation and training) intervention.The COMET intervention applies a goal directed, client-centred and occupation-based approach.With minor modifications, the COMET intervention may be feasible and clinically applicable to train individuals with complex motor and cognitive impairments how to use a PWC.Further evaluation of the COMET intervention and lager control trialsare suggested.
dc.language.isoENen_US
dc.subject.enClient-centred
dc.subject.enCognitive impairment
dc.subject.enOccupation-based intervention
dc.subject.enPower wheelchair impairment
dc.title.enFeasibility and clinical applicability of a novel power wheelchair training approach
dc.typeArticle de revueen_US
dc.identifier.doi10.1080/17483107.2022.2103189en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
bordeaux.journalDisability and Rehabilitation: Assistive Technologyen_US
bordeaux.page1-9en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamACTIVE_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDFonds de Recherche du Québec - Santéen_US
bordeaux.identifier.funderIDRéseau Provincial de Recherche en Adaptation-Réadaptationen_US
bordeaux.identifier.funderIDRéseau québécois de recherche sur le vieillissementen_US
hal.identifierhal-03819890
hal.version1
hal.date.transferred2022-10-18T14:13:42Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Disability%20and%20Rehabilitation:%20Assistive%20Technology&rft.date=2022-07-27&rft.spage=1-9&rft.epage=1-9&rft.eissn=1748-3115%20(Electronic)%201748-3107%20(Linking)&rft.issn=1748-3115%20(Electronic)%201748-3107%20(Linking)&rft.au=PELLICHERO,%20Alice&BEST,%20Krista%20L.&SORITA,%20Eric&ARCHAMBAULT,%20Philippe%20S.&DEMERS,%20Louise&rft.genre=article


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