Effects of In-Home Rehabilitation on Task Self-Efficacy in Mobility Impaired Adults: A Randomized Clinical Trial
By Sanford, Jon A.; Griffiths, Patricia C.; Richardson, Peg; Hargraves, Katrina; Butterfield, Tina; Hoenig, Helen; Journal of the American Geriatrics Society, Vol. 54, No. 11, pp. 1641-1648Publication Date: November 2006
Study examined changes in self efficacy in patients with newly prescribed mobility aids who received an in-home multifactorial occupational/physical therapy (OT/PT) intervention delivered via teletechnology or a traditional home visit. The 4 week randomized, clinical trial included 65 community-dwelling adults with new mobility devices including wheelchairs and walkers. Participants were randomly assigned to a 33-member control group receiving usual care (UCG) and a 32-member intervention group (IG). Intervention consisted of 4 once-weekly one-hour OT/PT sessions targeting 3 mobility and 3 transfer tasks. A therapist delivered the intervention to 16 IG participants in the traditional home setting and remotely to the remaining 16 via technology using telephone lines to transmit real-time, two-way audio and video between participants’ home and a clinic. Outcome was measured using a 10-item Likert scale of mobility self-efficacy. The IG showed a statistically significant greater increase in overall self-efficacy over the study period than the UCG. The IG exhibited positive changes in self-efficacy for all tasks and greater positive change than the UCG on all items with the exception of getting in and out of a chair. Comparisons of the two treatment delivery methods showed a medium standardized effect size in both the teletechnology and traditional home setting groups, although it did not reach statistical significance for the former group.
Published by: Blackwell Publishing, Incorporated (Website: http://www.blackwellpublishing.com)
