{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:40:21Z","timestamp":1787013621958,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T00:00:00Z","timestamp":1627430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008132","name":"HCF Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008132","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The manual wheelchair skills training programme is used to structure teaching manual wheelchair use for people following injury or disability. This pilot study aimed to explore the outcomes of introducing a group wheelchair skills training programme on skill performance, confidence and frequency of wheelchair use for people with lower limb amputation in a rehabilitation setting from the perspective of participants and group facilitators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This pilot study used a two\u2010phase mixed methods nested design. Eleven people with lower limb amputations received a minimum of two 45\u2010min wheelchair skills sessions, using the Wheelchair Skills Training Program, delivered in a mix of group and one\u2010to\u2010one sessions. In phase one, wheelchair skill performance, confidence and frequency were measured using the Wheelchair Skills Test Questionnaire\u2010Version 5.0, goal achievement was measured through the Functional Independence Measure and Goal Attainment Scale. These measures were repeated in phase two. Nested within phase two was qualitative data collection. Interviews were conducted with eight participants and a focus group held with three programme facilitators, to gather their perceptions of the training process. Descriptive statistics were used to analyse and report quantitative data and thematic analysis was used to combine qualitative data from the two participant groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Post intervention, the mean Wheelchair Skills Test Questionnaire score increased in performance (42.3\u2009\u00b1\u200913.4), confidence (33.9\u2009\u00b1\u200920.7) and frequency (33.9\u2009\u00b1\u200927.3). Goal Attainment was achieved or exceeded by 91% of all participants. Four themes were developed from qualitative data including, \u201cmotivators driving learning,\u201d \u201cdelivery methods, structure and profile of the Wheelchair Skills Training Program,\u201d \u201cmanaging risk and safety\u201d and \u201cconfidence in wheelchair use.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The pilot study found that The Wheelchair Skills Training Program can improve wheelchair performance, confidence and frequency to support enhanced safety, independence and quality of life for people with lower limb amputations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1440-1630.12759","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T06:49:15Z","timestamp":1627454955000},"page":"490-503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Facilitating manual wheelchair skills following lower limb amputation using a group process: A nested mixed methods pilot study"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7154-0459","authenticated-orcid":false,"given":"Kimberly","family":"Charlton","sequence":"first","affiliation":[{"name":"Central Adelaide Local Health Network, Department of Health and Wellbeing South Australian Government, Hampstead Rehabilitation Centre  Lightsview South Australia Australia"},{"name":"Allied Health Science and Human Practice The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4471-0509","authenticated-orcid":false,"given":"Carolyn","family":"Murray","sequence":"additional","affiliation":[{"name":"Allied Health and Human Performance, International Centre for Allied Health Evidence University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1832-077X","authenticated-orcid":false,"given":"Rose","family":"Boucaut","sequence":"additional","affiliation":[{"name":"Allied Health and Human Performance, International Centre for Allied Health Evidence University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5473-5155","authenticated-orcid":false,"given":"Angela","family":"Berndt","sequence":"additional","affiliation":[{"name":"Allied Health and Human Performance, International Centre for Allied Health Evidence University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.07.300"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/17483107.2014.907367"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.08.425"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/13620-004"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2011.01.008"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2007.00096.x"},{"key":"e_1_2_9_8_1","volume-title":"Introduction to research: Understanding and applying multiple strategies","author":"DePoy E.","year":"2016"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(93)90119-U"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40141-014-0068-8"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2019.06.010"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.2196\/rehab.4274"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.10.002"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.14740\/jem615"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280410001708869"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/17483107.2018.1456566"},{"key":"e_1_2_9_17_1","unstructured":"Kirby R. 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