Undergraduate physiotherapy students’ basic wheelchair provision knowledge: a pilot study in two universities in Colombia

María Luisa Toro-Hernández; Mónica Alejandra Mondragón-Barrera; Martha Rocío Torres-Narváez; Sandra Esperanza Velasco-Forero; Mary Goldberg

doi:10.1080/17483107.2019.1580776

Undergraduate physiotherapy students’ basic wheelchair provision knowledge: a pilot study in two universities in Colombia

Título traducido de la contribución: Conocimientos básicos de los estudiantes universitarios de fisioterapia sobre la provisión de sillas de ruedas

María Luisa Toro-Hernández
, Mónica Alejandra Mondragón-Barrera
, Martha Rocío Torres-Narváez
, Sandra Esperanza Velasco-Forero
, Mary Goldberg

Producción científica: Contribución a revista › Artículo de Investigación › revisión exhaustiva

12 Citas (Scopus)

Resumen

Objetivo: El acceso a una silla de ruedas adecuada es un derecho humano. Sólo entre el 5 y el 15% de las personas que necesitan una silla de ruedas tienen acceso a ella. Uno de los principales obstáculos al acceso es la falta de profesionales de la rehabilitación con la formación adecuada. El objetivo de este estudio fue evaluar los conocimientos básicos de provisión de sillas de ruedas manuales en estudiantes de pregrado de último año de fisioterapia de dos programas en Colombia. Materiales y métodos: Los estudiantes tomaron el Test Básico de Provisión de Servicios de Silla de Ruedas de la Sociedad Internacional de Profesionales de Sillas de Ruedas, el cual fue administrado en línea y en español. El puntaje mínimo para aprobar la prueba es 70%; evalúa siete dominios: Evaluación; Prescripción; Productos; Adaptación; Formación de usuarios; Seguimiento, mantenimiento y reparaciones; y Proceso. Resultados y conclusiones: Ciento dieciséis estudiantes realizaron la prueba y ninguno la superó. Las puntuaciones medias más altas se dieron en Evaluación y Proceso, mientras que las más bajas se dieron en Adaptación y Productos. Las limitaciones de este estudio incluyen que esta muestra no representa a todos los programas o estudiantes de fisioterapia de Colombia, que puede haber errores potenciales en la traducción al español de la medida de resultado y que los estudiantes tuvieron problemas de conectividad a Internet durante la prueba que pueden haber afectado a sus puntuaciones. Se requieren intervenciones inmediatas para mejorar la enseñanza y los resultados de aprendizaje de los estudiantes relacionados con la provisión de sillas de ruedas manuales básicas en estos dos programas. Este estudio puede servir de base para futuros estudios regionales o nacionales que evalúen la situación de la formación en provisión de sillas de ruedas en programas de rehabilitación que informarán de acciones de mejora. Implicaciones para la rehabilitación Este estudio indica que los conocimientos actuales de los estudiantes de dos programas de fisioterapia en Colombia sobre la provisión básica adecuada de sillas de ruedas manuales son insuficientes. Los conocimientos de los estudiantes no se ajustan a las directrices mínimas recomendadas por la Organización Mundial de la Salud para la prestación de servicios de sillas de ruedas. Identificar objetivamente la brecha de conocimiento en los estudiantes de rehabilitación (es decir, estudiantes de fisioterapia) es una estrategia para promover la inclusión de contenidos relacionados con tecnologías de apoyo en la formación académica formal. La necesidad de incluir una formación formal sobre la provisión adecuada de sillas de ruedas persiste y, sin esta formación, las personas con discapacidad que necesitan una silla de ruedas para desplazarse seguirán enfrentándose a barreras para participar plenamente en la sociedad.

Título traducido de la contribución	Conocimientos básicos de los estudiantes universitarios de fisioterapia sobre la provisión de sillas de ruedas
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	336-341
Número de páginas	6
Publicación	Disability and Rehabilitation: Assistive Technology
Volumen	15
N.º	3
DOI	https://doi.org/10.1080/17483107.2019.1580776
Estado	Publicada - abr. 2 2020

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

ODS 4: Educación de calidad
ODS 16: Paz, justicia e instituciones sólidas

Áreas temáticas de ASJC Scopus

Terapia física, deportiva y rehabilitación
Ortopedia y medicina del deporte
Ingeniería biomédica
Rehabilitación
Habla y oído

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@article{3c4b76ec3c90471e92b7418277c58d6a,

title = "Undergraduate physiotherapy students{\textquoteright} basic wheelchair provision knowledge: a pilot study in two universities in Colombia",

abstract = "Purpose: Access to an appropriate wheelchair is a human right. Only between 5–15\% of people who need a wheelchair have access to one. One of the key barriers to access is the lack of appropriately trained rehabilitation professionals. The objective of this study was to evaluate basic manual wheelchair provision knowledge in final-year physiotherapy undergraduate students in two programs in Colombia. Materials and methods: Students took the International Society of Wheelchair Professionals Wheelchair Service Provision–Basic Test which was administered online and in Spanish. The minimum score to pass the test is 70\%; it assesses seven domains: Assessment; Prescription; Products; Fitting; User training; Follow-up, maintenance, and repairs; and Process. Results and conclusions: One-hundred sixteen students took the test and no one passed the test. The highest median domain scores were in Assessment and Process while the lowest were in Fitting and Products. The limitations of this study include that this sample does not represent all physiotherapy programmes or students in Colombia, there may be potential errors in the Spanish translation of the outcome measure, and students encountered Internet connectivity issues during the test that may have impacted their scores. Immediate interventions are required to improve teaching and students{\textquoteright} learning outcomes related to basic manual wheelchair provision in these two programs. This study may serve as a foundation for future regional or national studies that assess the situation of wheelchair provision training in rehabilitation programs that will inform improvement actions. This manuscript is also available in Spanish as Supplemental Material.Implications for rehabilitation This study indicates that students{\textquoteright} current knowledge on basic appropriate manual wheelchair provision from two physiotherapy programs in Colombia is insufficient. Students{\textquoteright} knowledge does not align with the minimum guidelines recommended for wheelchair service provision by the World Health Organization. Objectively identifying the gap in knowledge in rehabilitation trainees (i.e., physiotherapy students) is a strategy to promote the inclusion of assistive technology related content in formal academic training. The need to include formal training of appropriate wheelchair provision persists and without this training, people with disabilities who require a wheelchair for mobility will continue to face barriers to full participation in society.",

author = "Toro-Hern{\'a}ndez, \{Mar{\'i}a Luisa\} and Mondrag{\'o}n-Barrera, \{M{\'o}nica Alejandra\} and Torres-Narv{\'a}ez, \{Martha Roc{\'i}o\} and Velasco-Forero, \{Sandra Esperanza\} and Mary Goldberg",

note = "Funding Information: University of Pittsburgh researchers are working with the U.S. Agency for International Development (USAID) through a multi-year, \$2.3 million sub-award to develop the new International Society of Wheelchair Professionals, a global network to help professionalize the wheelchair sector through advocacy, standards, research, and training. Since 2002, USAID has granted more than \$45 million to improve wheelchairs and wheelchair services worldwide. This sub-award?Agreement No. APC-GM-0068?was provided by Advancing Partners \& Communities, a cooperative agreement funded through USAID under Agreement No. AIDOAA-A-12?00047, beginning 1 October 2012. ISWP provided the test at no cost to students or universities and supported the open-access publication costs. Publisher Copyright: {\textcopyright} 2019, {\textcopyright} 2019 The Author(s). Published by Informa UK Limited, trading as Taylor \& Francis Group. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.",

year = "2020",

month = apr,

day = "2",

doi = "10.1080/17483107.2019.1580776",

language = "English (US)",

volume = "15",

pages = "336--341",

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Undergraduate physiotherapy students’ basic wheelchair provision knowledge: a pilot study in two universities in Colombia. / Toro-Hernández, María Luisa; Mondragón-Barrera, Mónica Alejandra; Torres-Narváez, Martha Rocío et al.
En: Disability and Rehabilitation: Assistive Technology, Vol. 15, N.º 3, 02.04.2020, p. 336-341.

Producción científica: Contribución a revista › Artículo de Investigación › revisión exhaustiva

TY - JOUR

T1 - Undergraduate physiotherapy students’ basic wheelchair provision knowledge

T2 - a pilot study in two universities in Colombia

AU - Toro-Hernández, María Luisa

AU - Mondragón-Barrera, Mónica Alejandra

AU - Torres-Narváez, Martha Rocío

AU - Velasco-Forero, Sandra Esperanza

AU - Goldberg, Mary

N1 - Funding Information: University of Pittsburgh researchers are working with the U.S. Agency for International Development (USAID) through a multi-year, $2.3 million sub-award to develop the new International Society of Wheelchair Professionals, a global network to help professionalize the wheelchair sector through advocacy, standards, research, and training. Since 2002, USAID has granted more than $45 million to improve wheelchairs and wheelchair services worldwide. This sub-award?Agreement No. APC-GM-0068?was provided by Advancing Partners & Communities, a cooperative agreement funded through USAID under Agreement No. AIDOAA-A-12?00047, beginning 1 October 2012. ISWP provided the test at no cost to students or universities and supported the open-access publication costs. Publisher Copyright: © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

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Y1 - 2020/4/2

N2 - Purpose: Access to an appropriate wheelchair is a human right. Only between 5–15% of people who need a wheelchair have access to one. One of the key barriers to access is the lack of appropriately trained rehabilitation professionals. The objective of this study was to evaluate basic manual wheelchair provision knowledge in final-year physiotherapy undergraduate students in two programs in Colombia. Materials and methods: Students took the International Society of Wheelchair Professionals Wheelchair Service Provision–Basic Test which was administered online and in Spanish. The minimum score to pass the test is 70%; it assesses seven domains: Assessment; Prescription; Products; Fitting; User training; Follow-up, maintenance, and repairs; and Process. Results and conclusions: One-hundred sixteen students took the test and no one passed the test. The highest median domain scores were in Assessment and Process while the lowest were in Fitting and Products. The limitations of this study include that this sample does not represent all physiotherapy programmes or students in Colombia, there may be potential errors in the Spanish translation of the outcome measure, and students encountered Internet connectivity issues during the test that may have impacted their scores. Immediate interventions are required to improve teaching and students’ learning outcomes related to basic manual wheelchair provision in these two programs. This study may serve as a foundation for future regional or national studies that assess the situation of wheelchair provision training in rehabilitation programs that will inform improvement actions. This manuscript is also available in Spanish as Supplemental Material.Implications for rehabilitation This study indicates that students’ current knowledge on basic appropriate manual wheelchair provision from two physiotherapy programs in Colombia is insufficient. Students’ knowledge does not align with the minimum guidelines recommended for wheelchair service provision by the World Health Organization. Objectively identifying the gap in knowledge in rehabilitation trainees (i.e., physiotherapy students) is a strategy to promote the inclusion of assistive technology related content in formal academic training. The need to include formal training of appropriate wheelchair provision persists and without this training, people with disabilities who require a wheelchair for mobility will continue to face barriers to full participation in society.

AB - Purpose: Access to an appropriate wheelchair is a human right. Only between 5–15% of people who need a wheelchair have access to one. One of the key barriers to access is the lack of appropriately trained rehabilitation professionals. The objective of this study was to evaluate basic manual wheelchair provision knowledge in final-year physiotherapy undergraduate students in two programs in Colombia. Materials and methods: Students took the International Society of Wheelchair Professionals Wheelchair Service Provision–Basic Test which was administered online and in Spanish. The minimum score to pass the test is 70%; it assesses seven domains: Assessment; Prescription; Products; Fitting; User training; Follow-up, maintenance, and repairs; and Process. Results and conclusions: One-hundred sixteen students took the test and no one passed the test. The highest median domain scores were in Assessment and Process while the lowest were in Fitting and Products. The limitations of this study include that this sample does not represent all physiotherapy programmes or students in Colombia, there may be potential errors in the Spanish translation of the outcome measure, and students encountered Internet connectivity issues during the test that may have impacted their scores. Immediate interventions are required to improve teaching and students’ learning outcomes related to basic manual wheelchair provision in these two programs. This study may serve as a foundation for future regional or national studies that assess the situation of wheelchair provision training in rehabilitation programs that will inform improvement actions. This manuscript is also available in Spanish as Supplemental Material.Implications for rehabilitation This study indicates that students’ current knowledge on basic appropriate manual wheelchair provision from two physiotherapy programs in Colombia is insufficient. Students’ knowledge does not align with the minimum guidelines recommended for wheelchair service provision by the World Health Organization. Objectively identifying the gap in knowledge in rehabilitation trainees (i.e., physiotherapy students) is a strategy to promote the inclusion of assistive technology related content in formal academic training. The need to include formal training of appropriate wheelchair provision persists and without this training, people with disabilities who require a wheelchair for mobility will continue to face barriers to full participation in society.

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Undergraduate physiotherapy students’ basic wheelchair provision knowledge: a pilot study in two universities in Colombia

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