■轮椅技能测试（WST）通常在模拟环境中进行。虽然WST可以在社区环境中完成，它在这种情况下的有用性尚未得到系统评估。这项研究的目的是比较模拟和社区环境中的WST，并探索参与者对在每种环境中表演的看法。
■对于这项混合方法研究，我们研究了20名电动移动踏板车使用者,他们使用他们的设备时间≥3个月.每个参与者以随机顺序两次完成WST4.3版-一次在模拟环境中，一次在两周内的社区中。在WST完成后，在两种环境中都进行了半结构化访谈。还完成了WST（WST-Q）的自我报告版本，该版本测量了感知能力，技能表现的频率，和信心。
■模拟设置中的平均（SD）WST总分为88.9％（8.6）和社区设置中的92.7％（7.8）。两个WST评分呈中度相关（r=0.306，p=0.190）。社区设置的WST得分与WST-Q信心得分中度相关。模拟设置得分与WST-Q频率得分中度相关。尽管由于方便和熟悉，大多数参与者更喜欢在他们的社区中执行WST，他们认为模拟的环境反映了他们的社区环境。
■尽管面临挑战，与模拟环境中的测试相比，基于社区的测试可以更好地反映踏板车用户的日常表现。
在社区中进行评估获得的健身轮椅技能测试（WST）分数可能与在模拟环境中进行评估获得的分数不同。由于在社区进行的WST可能提供与在实验室进行的WST不同的信息，临床医生应仔细考虑在何种环境中使用轮椅技能.在城市,社区设置,所有WST技能都可以在参与者家的一个街区半径内找到。
UNASSIGNED: The Wheelchair Skills Test (WST) is commonly conducted in a simulated setting. Although the WST can be done in the community setting, its usefulness in this setting has not been systematically evaluated. The purpose of this study was to compare the WST in the simulated versus community settings, and to explore participants\' perceptions of performing in each environment.
UNASSIGNED: For this mixed-methods study, we studied 20 motorized mobility scooter users who had used their devices for ≥ 3 months. Each participant completed the WST Version 4.3 twice in random order - once in a simulated setting and once in their community within a two-week period. Semi-structured interviews were conducted after completion of the WST in both environments. A self-report version of the WST (WST-Q) was also completed that measured perceived capacity, frequency of skill performance, and confidence.
UNASSIGNED: The mean (SD) total WST score in the simulated setting was 88.9% (8.6) and 92.7% (7.8) in the community setting. The two WST scores were moderately correlated (r = 0.306, p = 0.190). Community-setting WST scores were moderately correlated with WST-Q confidence scores. Simulated-setting scores were moderately correlated with WST-Q frequency scores. Although most participants preferred performing the WST in their communities due to convenience and familiarity, they perceived the simulated setting to be reflective of their community settings.
UNASSIGNED: Despite challenges, community-based testing may provide a better reflection of everyday performance for scooter users than testing in a simulated environment.
Wheelchair Skills Test (WST) scores obtained from conducting the assessment in the community may be different from those obtained from conducting the assessment in a simulated setting.Since the WST conducted in the community likely provides different information from the WST conducted in the lab, clinicians should carefully consider which environment to access wheelchair skills in.In an urban, community setting, all WST skills were able to be found within a one block radius of participants’ homes.
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