Introduction

Wheelchair users worldwide are at high risk of developing secondary health conditions and premature death due to inappropriate wheelchair provision by untrained providers. The International Society of Wheelchair Professionals (ISWP) has developed a Hybrid Course based on the World Health Organization’s Wheelchair Service Training Package—Basic Level. The Hybrid Course leverages online modules designed for low-bandwidth internet access that reduces the in-person training exposure from five to three and a half days, making it less expensive and more convenient for both trainees and trainers.

Methods

The Hybrid Course was designed using a systematic approach guided by an international group of stakeholders. The development followed the Quality Matters Higher Educational Rubric, web design guidelines for low bandwidth, experts’ opinions, and the best practices for blended course design. A quasi-experimental approach was used to evaluate the effectiveness of the Hybrid Course taken by six graduate students in Rehabilitation Sciences at the University of Pittsburgh by measuring pre- and post knowledge using the validated ISWP Wheelchair Service Provision—Basic Test. The outcome measure was assessed using a paired sample t-test between pretest and posttest scores. The quality of the Hybrid Course was evaluated by three external reviewers using the Quality Matters Higher Educational Rubric who were blind to each others’ evaluation and the results of the training intervention.

Results

Hybrid Course participants reported significant increases in scores on the ISWP Wheelchair Service Provision—Basic Test after participating in the training, with an average increase of 10.84±5.42, p = 0.004, Cohen’s d = 1.99. In addition, the Hybrid Course met the Quality Matters Standards in two out of three evaluations and reported a percentage of agreement between evaluators of 84%.

Conclusions

The Hybrid Course met quality standards and proved to be effective in increasing basic level wheelchair knowledge in a group of Rehabilitation Science graduate students.

中文翻译：

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在国际背景下为临床医生提供轮椅服务混合课程

介绍

由于未经培训的提供者不适当地提供轮椅，全球轮椅使用者极有可能发展继发性健康状况和过早死亡。国际轮椅专业人员协会（ISWP）根据世界卫生组织的轮椅服务培训包-基本级别，开发了一项混合课程。混合课程利用专为低带宽互联网访问而设计的在线模块，将面对面的培训时间从五天减少到三天半，从而使培训学员和培训师的费用降低且更加方便。

方法

混合课程是在国际利益相关者小组的指导下使用系统方法设计的。开发遵循质量问题高等教育专论，低带宽的网页设计指南，专家的意见以及混合课程设计的最佳实践。通过使用经过验证的ISWP轮椅服务规定-基本测试，通过测量前后知识，采用准实验方法来评估匹兹堡大学（University of Pittsburgh）康复科学专业的六名研究生修读的混合课程的有效性。使用在测试前和测试后得分之间的配对样本t检验评估结果测量。

结果

混合课程的参与者报告说，参加培训后，ISPW轮椅服务条款-基础测试的得分显着提高，平均提高10.84±5.42，p = 0.004，Cohen d = 1.99。此外，混合课程在三分之二的评估中均达到了质量问题标准，并且评估者之间的同意率为84％。

结论

混合课程符合质量标准，并被证明可以有效地提高一组康复科学研究生的基本水平的轮椅知识。