Enhancing Indoor, Community, and Advanced Wheelchair Skills in Spinal Cord Injury (SCI)
1 other identifier
interventional
138
1 country
3
Brief Summary
We propose to test an evidence-based wheelchair skills training program to optimize wheelchair safety and performance in veterans with SCI. The proposed training program incorporates emerging evidence on wheelchair biomechanics and motor-skills learning, and addresses recommendations in a new clinical practice guideline. Given the difficulty in translating wheelchair skills learned in a therapy clinic with "real world" problems in the home and community post-discharge, we are proposing to conduct the wheelchair skills training in and around the veteran's home. The immediate goal is to enhance ability, performance time, safety, community participation, and quality of life, while minimizing physical strain. The ultimate goal is to reduce morbidity/mortality associated with wheelchair use and promote successful aging with a disability.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Apr 2008
Typical duration for phase_2
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 8, 2007
CompletedFirst Posted
Study publicly available on registry
February 12, 2007
CompletedStudy Start
First participant enrolled
April 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedResults Posted
Study results publicly available
October 6, 2014
CompletedMay 12, 2015
April 1, 2015
3.4 years
February 8, 2007
September 16, 2014
April 24, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Wheelchair Skills Test (WST)
The WST is a standardized evaluation method that permits a set of representative wheelchair skills to be objectively, simply and inexpensively documented. The WST is an instrument for the objective evaluation of wheelchair skills. The WST consists of a series of commonly used wheelchair skills spanning the spectrum from those as basic as applying brakes to those as difficult as climbing curbs and performing wheelies. The WSC encompasses 57 skills (in Version 4.1) which result in a total score. The WST provide a pass-fail score for each skill. Refusal to attempt a skill (e.g. because of fear) constitutes a failing grade. The numerator is the Total Raw Score (i.e., the number of individual skills awarded a passing score) and the denominator is the number of applicable skills (i.e., the total number of skills minus those awarded NP scores). 100% is the maximum possible percentage score.
long term (1 year)
Secondary Outcomes (5)
Craig Handicap Assessment and Reporting Technique (CHART): Physical Independence Subscale
long term (1 year)
Craig Handicap Assessment and Reporting Technique (CHART): Mobility Subscale
long term (1 year)
Craig Handicap Assessment and Reporting Technique (CHART): Occupation Subscale
long term (1 year)
Craig Handicap Assessment and Reporting Technique (CHART): Social Integration Subscale
long term (1 year)
Craig Handicap Assessment and Reporting Technique (CHART): Economic Self-Sufficiency Subscale
long term (1 year)
Study Arms (2)
Wheelchair Skills Training Program
OTHERSubjects are provided with five weeks of wheelchair skills training, tailored to meet their needs. The WSP is a set of assessment and training protocols related to wheelchair skills. The WSP includes the Wheelchair Skills Test (WST), the Wheelchair Skills Training Program (WSTP) and related materials.
Basic Health Education
OTHERBasic health educational training sessions: Five sessions are held with subjects to provide them additional information regarding health related issues - such as nutrition, proper hand hygiene, sports, etc.
Interventions
Subjects are provided with five weeks of wheelchair skills training, tailored to meet their needs.
Five sessions are held with subjects to provide them with educational information regarding health related issues - such as nutrition, proper hand hygiene, sports, etc.
Eligibility Criteria
You may qualify if:
- SCI for at least 1 year (neurologically stable)
- Level of injury: C6 and below who use manual wheelchair as a primary means of mobility
- Able to self-propel wheelchair
- Between the ages of 18-75
- Able to follow simple instructions
You may not qualify if:
- Progressive disease (e.g. spinal tumor)
- Extended bedrest for more than 30 days
- Ventilator-dependent
- Any cardiac or respiratory condition that would limit subject's physical performance
- Unstable medical conditions
- Use power wheelchair or scooter as primary means of mobility
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
James A. Haley Veterans' Hospital, Tampa, FL
Tampa, Florida, 33612, United States
VA Medical Center, Augusta
Augusta, Georgia, 30904, United States
VA Medical Center, Jamaica Plain Campus
Boston, Massachusetts, 02130, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Shirley Groer
- Organization
- VACO
Study Officials
- PRINCIPAL INVESTIGATOR
Shirley Groer, PhD MS
James A. Haley Veterans' Hospital, Tampa, FL
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 8, 2007
First Posted
February 12, 2007
Study Start
April 1, 2008
Primary Completion
September 1, 2011
Study Completion
December 1, 2011
Last Updated
May 12, 2015
Results First Posted
October 6, 2014
Record last verified: 2015-04