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Mobility as a Motor for InclusionEngagement 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 BungterPatrick HeydenreichDr. Volker Anneken
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
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
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 ItemsTetra-version: 16 Items
• Evaluation: 5 ability levels (min: 1; max: 5)Time measurement
• Implementation: Used in 17 rehabilitation clinics in Germany, Austria and Switzerland
Project Concept
ClinicTest and
questionnaire, implementation
and documentation
Mobility guides
Research, exchange with other guides,
documentation, consultation
FIBSSighting, reports,
data input, event
information
Insu
red
pers
ons
Statutory accident insurancesDocumentation 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
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
MurnauHalleHamburgTübingenBochumDuisburgBayreuthFrankfurt
Figure: Allocation to clinics in percentage (N=308).
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
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
Interventions of the Mobility Guides
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
0 10 20 30 40 50 60 70 80 90 100
1.2
3.1
4.3
8.7
13.7
18.0
36.6
48.4
52.2
88.2
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
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.
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.
Guidelines for Future Application
Clinic, physiotherapy/sports therapyAMR®-test and questionnaire,
implementation and documentation
Mobility guides
Research, exchange with other guides,
documentation, consultation
Insu
red
pers
ons
Statutory accident insurancesDocumentation 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
Thank you for your attention!
Further information on the project is available at www.fi-bs.deContact: Tanja Bungter, +49-2234-2052-372, [email protected]