Development and preliminary assessment of the measurement properties of the Seating Identification Tool (SIT)1

Miller, William C.; Miller, F.L.; Trenholm, Karen; Grant, Desiree; Goodman, Kristen

doi:10.1191/0269215504cr729oa

Cited by 20 publications

(22 citation statements)

References 20 publications

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“…Raters measured need for wheelchair seating intervention (e.g., problems such as sliding, leaning, pressure ulcers and difficulty propelling), using the Seating Identification Tool (SIT). 16 A score of two or higher indicates the need for seating intervention. Based on our preliminary qualitative study we created a mobility-related variable entitled "wheelchair issues" by summing together five dichotomous variables (yes = 1) that were not included in the SIT: 1) inability to release their seat belt, 2) use of a lap tray, 3) sitting in a wheelchair not designed for self-propulsion, 4) inability to release both brakes, and 5) sitting on a transfer sling.…”

Section: Predictor Variablesmentioning

confidence: 99%

Association Between Mobility, Participation, and Wheelchair‐Related Factors in Long‐Term Care Residents Who Use Wheelchairs as Their Primary Means of Mobility

Mortenson

Miller

Backman

et al. 2012

J American Geriatrics Society

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OBJECTIVES-To explore how wheelchair-related factors, mobility, and participation are associated in a sample of long-term care residents who use wheelchairs as their primary means of mobility. DESIGN-Cross-sectional survey SETTINGS-Eleven residential care facilities in the Lower Mainland of British Columbia CanadaPARTICIPANTS-146 self-responding residents and 118 proxy respondents: mean age 84 years (range 60-103). Most were women (69%), and a small proportion (9%) drove a power wheelchair. Author Contributions: Dr. Mortenson was involved in conceptualizing the research, recruitment of sites and participants, supervising data collection, performing data analysis and interpretation, and preparation of the manuscript. Dr. Miller was involved in conceptualizing the research, supervising data collection, data analysis, and writing up the study findings. Dr. Backman was involved in conceptualizing the research, data analysis and manuscript preparation. Dr. Oliffe was involved in conceptualizing the research, data analysis, and interpretation and writing up the study findings. RESULTS-Path analysis indicated that wheelchair-related factors were associated with participation frequency directly and indirectly through their relationship with mobility. The final model explained 46% of the variance in resident's mobility and 53% of the variance in resident's participation frequency. Wheelchair skills, which include the ability to transfer in and out of and propel a wheelchair, were important predictors of life-space mobility and frequency of participation, and life space mobility was a significant predictor of frequency of participation. Depression was associated with decreased wheelchair skills, mobility and participation frequency. Counter intuitively, perceived environmental barriers were positively associated with frequency of participation.CONCLUSION-The findings suggest that by addressing wheelchair-related factors resident's mobility and participation may be improved, but the efficacy of this approach needs to be confirmed experimentally. Keywordswheelchair; mobility; participation; nursing homeProblems with ambulation mean that most long-term care residents use wheelchairs as their primary means of mobility. 1 However, facility-related problems including inadequate selection and maintenance of wheelchairs and limited availability of staff to assist residents who are unable to self-propel their wheelchairs may negatively affect their participation in daily activities. 2,3 To facilitate positive outcomes of wheelchair prescription, the Matching Person to Technology (MPT) model posits that personal, environmental and assistive technology factors need careful consideration. 4 To date, most research investigating predictors of resident's participation has focused on personal factors. 5,6 Earlier studies have not investigated how wheelchair-related factors contribute to residents' activity and participation.Based on the MPT and a preliminary qualitative study 7 we developed a model to explain the association amon...

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Section: Predictor Variablesmentioning

confidence: 99%

Association Between Mobility, Participation, and Wheelchair‐Related Factors in Long‐Term Care Residents Who Use Wheelchairs as Their Primary Means of Mobility

Mortenson

Miller

Backman

et al. 2012

J American Geriatrics Society

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“…The Seating Identification Tool (SIT) was developed to screen for individuals at risk for functional restriction or health complications due to an inadequately fitted wheelchair prescription [12] . As part of a tool development study, Miller et al [12] reported a prevalence rate of 67% among 43 residents of a single Ontario LTC facility.…”

Section: Prevalence and Predictors Of Need For Wheelchair Assessment mentioning

confidence: 99%

Prevalence and Facility Level Correlates of Need for Wheelchair Seating Assessment among Long-Term Care Residents

2012

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Background: Wheelchairs are frequently prescribed for residents with mobility impairments in long-term care. Many residents receive poorly fitting wheelchairs, compromising functional independence and mobility, and contributing to subsequent health issues such as pressure ulcers. The extent of this problem and the factors that predict poor fit are poorly understood; such evidence would contribute greatly to effective and efficient clinical practice in long-term care. Objective: To identify the prevalence of need for wheelchair seating intervention among residents in long-term care facilities in Vancouver and explore the relationship between the need for seating intervention and facility level factors. Methods: Logistic regression analysis using secondary data from a cross-sectional study exploring predictors of resident mobility. A total of 263 residents (183 females and 80 males) were randomly selected from 11 long-term care facilities in the Vancouver health region (mean age 84.2 ± 8.6 years). The Seating Identification Tool was used to establish subject need for wheelchair seating intervention. Individual item frequency was calculated. Six contextual variables were measured at each facility including occupational therapy staffing, funding source, policies regarding wheelchair-related equipment, and decision-making philosophy. Results: The overall prevalence rate of inappropriate seating was 58.6% (95% CI 52.6–64.5), ranging from 30.4 to 81.8% among the individual facilities. Discomfort, poor positioning and mobility, and skin integrity were the most common issues. Two facility level variables were significant predictors of need for seating assessment: ratio of occupational therapists per 100 residents [OR 0.11 (CI 0.04, 0.31)] and expectation that residents purchase wheelchair equipment beyond the basic level [OR 2.78 (1.11, 6.97)]. A negative association between facility prevalence rate and ratio of occupational therapists (r_p = –0.684, CI –0.143 to –0.910) was found. Conclusion: Prevalence of need for seating assessment in long-term care is high overall but it varies considerably between facilities. Increasing access to occupational therapy services appears to mediate this need.

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“…Role of aforementioned research, particularly in long-term rehabilitation and care, may be hard to overestimate, influencing both independence, mobility, quality of life, and even, as a consequences, mortality and cost of the therapy in disable people and elderly people. Newest tools, including Seating Identifi cation Tool (SIT), Resident Ergonomic Assessment Profi le for Seating, and Wheelchair Seating Discomfort Assessment Tool, help to assess selected possible risks in a quick, easy to use, reliable and valid way (Gavin-Dreschnack et al, 2005;Miller et al, 2004;Crane et al, 2005). But no doubt outcomes of clinical trials should be involved into strategic planning for both the home therapy and care, and institutionalized therapy and care.…”

Section: Discussionmentioning

confidence: 99%

Harmful results of improper fitted wheelchair – case study

Mikołajewska

2017

JMS

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Wheelchair is perceived basic orthopaedic equipment, both for permanent and temporary use. Proper wheelchair fitting, and correct education of both medical staff, patients, and their families/caregivers may influence increased awareness of threats, limitations, and results of incorrect patient’s positioning in wheelchair. Basic knowledge and experience may significantly reduce consequences in aformentioned area, and influence to shorter and more effective therapeutic process. Aim of this paper is to discuss possible problems resulting from improper wheelchair fitting on the basis of presented case study, explore the relationship between improper wheelchair fitting and limitations of wheelchair users independence, mobility, and life quality based on own experience and propose solutiopna and direstions of further research.

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Development and preliminary assessment of the measurement properties of the Seating Identification Tool (SIT)1

Cited by 20 publications

References 20 publications

Association Between Mobility, Participation, and Wheelchair‐Related Factors in Long‐Term Care Residents Who Use Wheelchairs as Their Primary Means of Mobility

Association Between Mobility, Participation, and Wheelchair‐Related Factors in Long‐Term Care Residents Who Use Wheelchairs as Their Primary Means of Mobility

Prevalence and Facility Level Correlates of Need for Wheelchair Seating Assessment among Long-Term Care Residents

Harmful results of improper fitted wheelchair – case study

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