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Responsiveness of the TAWC tool for assessing wheelchair discomfort

Crane, BA and Holm, MB and Hobson, D and Cooper, RA and Reed, MP (2007) Responsiveness of the TAWC tool for assessing wheelchair discomfort. Disability and Rehabilitation: Assistive Technology, 2 (2). 97 - 103. ISSN 1748-3107

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Abstract

Purpose. The purpose of this research was to determine the clinical usefulness of the Tool for Assessing Wheelchair disComfort (TAWC) by examining floor and ceiling effects and responsiveness when used with two groups of wheelchair users -one known to have experienced real changes in discomfort levels and the other with unchanged levels. Method. In a retrospective analysis of data from two previous studies, change scores were compared across two groups of subjects -one stable group (NON-CHANGERS) and one experiencing a seating intervention (CHANGERS) intended to decreased seating discomfort. Results. No significant floor or ceiling effects were found. The average General Discomfort Score (GDS) change among the NON-CHANGERS was 2.0 (with a possible score range of 13 -91) and average Discomfort Intensity Score (DIS) change was 1.8 (with a possible score range of 8 -99) for the same group. Conversely, average GDS change among the CHANGERS was 8.7 and the average DIS change was 7.7. Additionally, both scores demonstrated a moderate effect size (d) for two tested treatments (GDS = 0.53 and 0.50, DIS = 0.31 and 0.33) and the standardized response means were 0.78 and 0.77 for the GDS and 0.80 and 1.2 for the DIS. Conclusions. All analyses indicate good responsiveness of the TAWC, supporting its use clinically and in future research. © 2007 Informa UK Ltd All rights reserved.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Crane, BA
Holm, MB
Hobson, D
Cooper, RARCOOPER@pitt.eduRCOOPER
Reed, MP
Centers: Other Centers, Institutes, or Units > Human Engineering Research Laboratories
Date: 1 December 2007
Date Type: Publication
Journal or Publication Title: Disability and Rehabilitation: Assistive Technology
Volume: 2
Number: 2
Page Range: 97 - 103
DOI or Unique Handle: 10.1080/17483100601178484
Schools and Programs: School of Health and Rehabilitation Sciences > Health and Rehabilitation Sciences
Refereed: Yes
ISSN: 1748-3107
MeSH Headings: Disabled Persons--rehabilitation; Equipment Design; Humans; Pain Measurement--methods; Patient Satisfaction; Reproducibility of Results; Retrospective Studies; Wheelchairs
PubMed ID: 19263544
Date Deposited: 10 Oct 2012 21:21
Last Modified: 02 Feb 2019 14:56
URI: http://d-scholarship.pitt.edu/id/eprint/15675

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