Development, reliability and validity of the queensland evaluation of wheelchair skills (QEWS)

Gollan, E.J., Harvey, L.A., Simmons, J., Adams, R., & McPhail, S.M. (2015) Development, reliability and validity of the queensland evaluation of wheelchair skills (QEWS). Spinal Cord, 53(10), pp. 743-749.

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  • Objectives

To develop and test a valid and reliable assessment of wheelchair skills for individuals with spinal cord injuries (SCI); the Queensland Evaluation of Wheelchair Skills (QEWS).

  • Setting

Hospital, Australia.

  • Methods

Phase 1: Four Delphi panel rounds with clinical experts were used to develop the QEWS.

Phase 2: Intra-rater and inter-rater reliability of the QEWS items were examined in 100 people with SCI.

Phase 3a: Concurrent validity was investigated by examining the association between QEWS total scores and physiotherapists’ global ratings of wheelchair skill performance.

Phase 3b: Construct validity was tested in 20 people with recent SCI by examining change in QEWS total scores between when they first mobilised in a wheelchair and scores obtained 10 weeks later.

  • Results

Phase 1: The QEWS was developed.

Phase 2: The intra-class correlation coefficients reflecting the intra-rater reliability and the inter-rater reliability for the QEWS total score were 1.00 and 0.98, with scores being within one point of each other 96 and 91% of the time, respectively.

Phase 3a: The QEWS total scores were comparable with the global rating of wheelchair skill performance (r2=0.93).

Phase 3b: The QEWS scores changed by a median (interquartile range (IQR)) of 4 (1 to 6) points over the 10-week period following first wheelchair mobilisation.

  • Conclusion

The QEWS is a valid and reliable tool for measuring wheelchair skills in individuals with SCI. The QEWS is efficient and practical to administer and does not require specialised equipment.

Impact and interest:

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ID Code: 92694
Item Type: Journal Article
Refereed: Yes
DOI: 10.1038/sc.2015.82
ISSN: 1476-5624
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Deposited On: 08 Feb 2016 02:49
Last Modified: 02 Mar 2016 21:14

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