Samenvatting

Objective: To explore and describe the intensive wheelchair training method ‘Drivkraft’, and describe the evidence base. Method: Two wheelchair classes were both actively- and passively observed over a period of eight days. Based on these experiences, two semi-structured interviews were held with the developer of Drivkraft. Interviews were transcribed, coded and analyzed. Literature studies were conducted to find out what evidence could be found on the topics. Results: The interviews led to the finding that the Drivkraft method is based on eight principles that either can be connected to wheelchair adjustments, wheelchair training, or patient education. These principles are: rolling and turning resistance, posture, ergonomics, basic skills, rear wheel balance, patterns, obstacles, and patient education. Supporting literature was found for the way Drivkraft uses these principles. It was also found how people could participate in the training, and what steps are taken in the initial assessment. Another finding was the specific components of training in groups and peer mentoring. Conclusion: The Drivkraft method is an intensive training program in which not only wheelchair skills are trained, but the wheelchair will also be adapted to a participant’s physical measurements and capabilities, and participants will also learn relevant theory about the wheelchair. Characteristic of this training is that Drivkraft is taught by a peer mentor in groups of maximal five participants. The literature seems to support the eight principles and the three characteristic components of the literature studies; group training, peer mentoring and the importance of specific wheelchair skills training. The thesis can be used to give third parties an overview of the method and the evidence that supports it. Future studies are needed to explore the value and effectiveness of the method.