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RIWC_PARA_A143 Wheelchair Mobility through participation

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A143 Wheelchair Mobility through participation

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RIWC_PARA_A143 Wheelchair Mobility through participation

  1. 1. Mobility as a Motor for Inclusion Engagement of Mobility Guides to Support Participation in and through Sport Research Institute for Inclusion through Physical Activity and Sport (FIBS gGmbH) www.fi-bs.de Edinburgh, October 26th 2016 Tanja Bungter Patrick Heydenreich Dr. Volker Anneken
  2. 2. Project “Mobility is Participation“ • Period of Time: January 2012 – June 2015 • Sponsor: DGUV research funding • Project partners: German Wheelchair Sport Association (DRS e.V.); Clinics of the employers' liability insurance association (BG) in Bochum, Duisburg, Frankfurt, Halle, Hamburg, Murnau, Tuebingen, Clinic “Hohe Warte“ Bayreuth • Target group: – Persons with acquired SCI – Insured persons of statutory accident insurances – Dependent on a wheelchair in everyday life • Project Aim: Movement-oriented after-care concept to improve participation
  3. 3. Methodology • Activity Test on Wheelchair Mobility (AMR®): Objective measurement of individual performance in wheelchair handling • Information on wheelchair mobility and physical activity: Questionnaire to identify need for consultation
  4. 4. Activity Assessment on Wheelchair Mobility (AMR®) • Aim: Objective measurement of individual performance in wheelchair handling • Origin: mobi sheets (Starter Kit DRS), testing and advice by patients and clinical experts • Content: Items from the fields of locomotion, overcoming obstacles and handling of slopes • Final versions: Para-version: 17 Items Tetra-version: 16 Items • Evaluation: 5 ability levels (min: 1; max: 5) Time measurement • Implementation: Used in 17 rehabilitation clinics in Germany, Austria and Switzerland
  5. 5. Project Concept Clinic Test and questionnaire, implementation and documentation Mobility guides Research, exchange with other guides, documentation, consultation FIBS Sighting, reports, data input, event information Insuredpersons Statutory accident insurances Documentation of patients‘ mobility Through sport therapy via mail to Questions via phone or email, organization of mobility training Via email to Checklist via email Advice via phone / email Quest- ions Report via mail or email Report via mail, project information Project information, consultation Test dates
  6. 6. Sample Description • N= 308 – 91,9% male, 46 ± 11 years old – 76,3% paraplegia – 54,2% complete – 15,3% first releases 53.9 24.7 11.0 4.5 2.6 2.3 0.6 0.3 Murnau Halle Hamburg Tübingen Bochum Duisburg Bayreuth Frankfurt Figure: Allocation to clinics in percentage (N=308).
  7. 7. Need for Consultation and Action • AMR®-results: 40,3% middle to high need for action • Consultation requests: 59,7% of the total sample • 161 consultations were conducted by five guides n Min Max Av SD Number of contacts between mobility guides and insured persons 161 1 10 2,88 1,44 Time span mobility test in clinics – receipt of records by mobility guides (in days) 161 0 257 22,46 29,31 Time span receipt of records by mobility guides – initial contact to insured persons (in days) 161 0 255 35,99 48,36 Time span mobility test in clinics – initial contact to insured persons (in days) 161 0 261 58,44 53,76 Time span mobility test in clinics – call from professional aid to mobility guide (in days) 3 24 167 91,33 71,86
  8. 8. Consultation Requests, Sport Motivation • Need for consultation mobility training: – First releases: 63,8% – Resumptions: 34,9% • Need for consultation physical activities: – First releases: 74,4% – Resumptions: 59,6% • 63,3% of all resuming persons are already physically active – Highly significantly (p≤.001) higher AMR®-values: • Average AMR® Para physically active = 73 • Average AMR® Para physically inactive = 62 • 77% can imagine to exercise or to try new sports in the future
  9. 9. Interventions of the Mobility Guides 1.2 3.1 4.3 8.7 13.7 18.0 36.6 48.4 52.2 88.2 0 10 20 30 40 50 60 70 80 90 100 Kontaktvermittlung zu Handbikern Informationen zu Auto/Führerschein Informationen zu Messen, Veranstaltungen Gespräche mit Vereinen/Fitnesstudios Informationen zu Sanitätshäusern, Sportrollstühlen, Handbikes Recherche korrekte Kontaktdaten Ausschreibungen zu Mobilitätstrainings, Schnupperangeboten, Camps Kontaktübermittlungen Ansprechpartner/Angebote Recherchen geeigneter Sportarten Lotsenkontakt für Rückfragen in percentage Figure: Interventions of the mobility guides (N=161). Contact to guides for further consultations Search for suitable activities Forwarding information to contact persons Advertisements for mobility trainings, trial offers, camps Research of contact information Information on health care supply stores, sport wheelchairs, handbikes Contact to sport clubs or fitness studios Information on fairs and events Information concerning cars / driving licence Contact mediation to handbikers
  10. 10. Evaluation of the Concept • 94,5% of all interviewed participants rate the mobility guide concept as useful. • 27,4% participated regularly in proposed activities, 13,7% participated irregularly and 28,8% would like to participate in proposed activities in the future. • 18,6% joined a sports club subsequently to consultations, 20% plan on doing so.
  11. 11. Conclusion and Prospects • The AMR®-test can be used economically in combination with short questionnaires to evaluate wheelchair mobility. The instruments reveal needs for consultation and support. • The mobility guides were perceived as capable interlocutors. • Patients could be successfully imparted to sport activities. • The German statutory accident insurances (DGUV) wants to apply the concept in its clinics after the end of the project.
  12. 12. Guidelines for Future Application Clinic, physiotherapy/ sports therapy AMR®-test and questionnaire, implementation and documentation Mobility guides Research, exchange with other guides, documentation, consultation Insuredpersons Statutory accident insurances Documentation of patients‘ mobility Questions and feedback via phone or email Advice in clinics, via phone or email Questions Arrangement of test dates Information, consultation if needed Test dates Test results via email, mail or fax to Reports via mail or email for information
  13. 13. Thank you for your attention! Further information on the project is available at www.fi-bs.de Contact: Tanja Bungter, +49-2234-2052-372, bungter@fi-bs.de

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