Psychological Effects of Hands-On Training Using Public Transportation among Inpatients with Physical Disabilities: Analysis of the Self-Efficacy and Perception of Occupational Enablement Using a Multimethod Design.
Masahiro Ogawa, Yoriko Hayashi, Tatsunori Sawada and 2 others
PMID 33456405WHAT IT FOUND
Hands-on public transport training increased patients' confidence but did not change their view of their own ability.
Patients who used transport after discharge had better balance and walking scores than those who did not.
Key findings
01Self-efficacy scores for using public transport significantly increased after a one-time hands-on training session.
02Perceptions of occupational enablement showed no significant change after the training.
03Patients who used public transport after discharge had significantly higher Berg Balance Scale scores and walking speed than those who did not.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Very small sample size (n=21) limits generalizability. No control group was used, so changes cannot be definitively attributed to the training rather than natural recovery or other therapies. The before-after design cannot establish firm conclusions about the intervention's effectiveness. Mixed diagnostic categories (stroke and orthopedic) were included, which may confound findings. Only one facility in Japan was involved.
The easy way to misread this
Do not assume that increased confidence from training guarantees patients will use public transport. The study found that patients who did not use transport had significantly lower physical balance and walking scores, suggesting that physical capability is a critical prerequisite that a single training session does not address.